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EXCEL ADMINISTRATION SERVICES, INC.

Company Details

Entity Name: EXCEL ADMINISTRATION SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 05 Dec 2005
Company Number: CORP_64577255
File Number: 64577255
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXCEL ATIA GASTROENTEROLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2023 203932441 2024-09-26 EXCEL ADMINISTRATION SERVICES, INC. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 561110
Sponsor’s telephone number 8472174510
Plan sponsor’s address 107 GREEN BAY ROAD, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-26
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
EXCEL ATIA GASTROENTEROLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2022 203932441 2023-10-05 EXCEL ADMINISTRATION SERVICES, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 561110
Sponsor’s telephone number 8472174510
Plan sponsor’s address 107 GREEN BAY ROAD, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2023-10-05
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-05
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
EXCEL ATIA GASTROENTEROLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2021 203932441 2022-06-23 EXCEL ADMINISTRATION SERVICES, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 561110
Sponsor’s telephone number 8472174510
Plan sponsor’s address 107 GREEN BAY ROAD, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2022-06-03
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-03
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
EXCEL ATIA GASTROENTEROLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2020 203932441 2021-10-14 EXCEL ADMINISTRATION SERVICES, INC. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 561110
Sponsor’s telephone number 8472174510
Plan sponsor’s address 107 GREEN BAY ROAD, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
EXCEL ATIA GASTROENTEROLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2019 203932441 2020-10-09 EXCEL ADMINISTRATION SERVICES, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 561110
Sponsor’s telephone number 8472174510
Plan sponsor’s address 107 GREEN BAY ROAD, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2020-10-09
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-09
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
EXCEL ATIA GASTROENTEROLOGY 401 K PROFIT SHARING PLAN TRUST 001 2018 203932441 2019-07-08 EXCEL ADMINISTRATION SERVICES 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621112
Sponsor’s telephone number 8472174510
Plan sponsor’s address 107 GREEN BAY RD, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2019-07-08
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
EXCEL ATIA GASTROENTEROLOGY 401 K PROFIT SHARING PLAN TRUST 001 2017 203932441 2018-07-23 EXCEL ADMINISTRATION SERVICES 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621112
Sponsor’s telephone number 8472174510
Plan sponsor’s address INC, 107 GREEN BAY RD, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature
EXCEL ATIA GASTROENTEROLOGY RETIREMENT PLAN 2014 471423461 2015-06-16 EXCEL ADMINISTRATION SERVICES 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621112
Sponsor’s telephone number 8472174510
Plan sponsor’s address 107 GREEN BAY RD, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2015-06-16
Name of individual signing EMILY ATIA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
EMILY ATIA, 107 GREEN BAY RD, WILMETTE, 60091, COOK-NOT IN CITY OF CHICAGO Agent 2013-11-04

President

Name and Address Role
EMILY ATIA 107 GREENBAY ROAD WILMETTE, IL 60091 President

Secretary

Name and Address Role
EMILY ATIA 107 GREENBAY ROAD WILMETTE, IL 60091 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State