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DUPAGE OPHTHALMOLOGY, S.C.

Company Details

Entity Name: DUPAGE OPHTHALMOLOGY, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 03 Jan 2006
Company Number: CORP_64649922
File Number: 64649922
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DUPAGE OPHTHALMOLOGY, S.C. RETIREMENT PLAN & TRUST 2023 204047031 2024-09-30 DUPAGE OPHTHALMOLOGY, S.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 6304952220
Plan sponsor’s address 2500 SOUTH HIGHLAND AVE., SUITE 110, LOMBARD, IL, 60148

Signature of

Role Plan administrator
Date 2024-09-30
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
DUPAGE OPHTHALMOLOGY, S.C. CASH BALANCE PENSION PLAN & TRUST 2023 204047031 2024-10-04 DUPAGE OPHTHALMOLOGY, S.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 6304952220
Plan sponsor’s address 2500 SOUTH HIGHLAND AVE., SUITE 110, LOMBARD, IL, 60148

Signature of

Role Plan administrator
Date 2024-10-04
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
DUPAGE OPHTHALMOLOGY, S.C. RETIREMENT PLAN & TRUST 2022 204047031 2023-09-27 DUPAGE OPHTHALMOLOGY, S.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 6304952220
Plan sponsor’s address 2500 SOUTH HIGHLAND AVENUE, SUITE 1, LOMBARD, IL, 60148

Signature of

Role Plan administrator
Date 2023-09-07
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-07
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
DUPAGE OPHTHALMOLOGY, S.C. CASH BALANCE PENSION PLAN & TRUST 2022 204047031 2023-09-25 DUPAGE OPHTHALMOLOGY, S.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 6304952220
Plan sponsor’s address 2500 SOUTH HIGHLAND AVENUE, SUITE 110, LOMBARD, IL, 60148

Signature of

Role Plan administrator
Date 2023-09-23
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-23
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
DUPAGE OPHTHALMOLOGY, S.C. CASH BALANCE PENSION PLAN & TRUST 2021 204047031 2022-10-16 DUPAGE OPHTHALMOLOGY, S.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 6304952220
Plan sponsor’s address 2500 SOUTH HIGHLAND AVENUE, SUITE 1, LOMBARD, IL, 60148

Signature of

Role Plan administrator
Date 2022-10-16
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-16
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
DUPAGE OPHTHALMOLOGY, S.C. RETIREMENT PLAN & TRUST 2021 204047031 2022-10-14 DUPAGE OPHTHALMOLOGY, S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 6304952220
Plan sponsor’s address 2500 SOUTH HIGHLAND AVENUE, SUITE 1, LOMBARD, IL, 60148

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
DUPAGE OPHTHALMOLOGY, S.C. RETIREMENT PLAN & TRUST 2020 204047031 2021-08-30 DUPAGE OPHTHALMOLOGY, S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 6304952220
Plan sponsor’s address 2500 SOUTH HIGHLAND AVENUE, SUITE 110, LOMBARD, IL, 60148

Signature of

Role Plan administrator
Date 2021-08-29
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-29
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
DUPAGE OPHTHALMOLOGY, S.C. CASH BALANCE PENSION PLAN & TRUST 2020 204047031 2021-08-30 DUPAGE OPHTHALMOLOGY, S.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 6304952220
Plan sponsor’s address 2500 SOUTH HIGHLAND AVENUE, SUITE 110, LOMBARD, IL, 60148

Signature of

Role Plan administrator
Date 2021-08-29
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-29
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
DUPAGE OPHTHALMOLOGY, S.C. CASH BALANCE PENSION PLAN & TRUST 2019 204047031 2020-10-01 DUPAGE OPHTHALMOLOGY, S.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 6304952220
Plan sponsor’s address 2500 SOUTH HIGHLAND AVENUE, SUITE 110, LOMBARD, IL, 60148

Signature of

Role Plan administrator
Date 2020-10-01
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-01
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
DUPAGE OPHTHALMOLOGY, S.C. RETIREMENT PLAN & TRUST 2019 204047031 2020-10-01 DUPAGE OPHTHALMOLOGY, S.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 6304952220
Plan sponsor’s address 2500 SOUTH HIGHLAND AVENUE, SUITE 110, LOMBARD, IL, 60148

Signature of

Role Plan administrator
Date 2020-10-01
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-01
Name of individual signing BALAJI GUPTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TFA REGISTERED AGENT CORPORATION, 549 S WASHINGTON ST, NAPERVILLE, 60540, DU PAGE Agent 2017-01-23

President

Name and Address Role
SHERIDAN LAM, M.D., 2500 S HIGHLAND #110 LOMBARD IL 60148 President

Secretary

Name and Address Role
BALAJI GUPTA, M.D., 2500 S. HIGHLAND #110, LOMBARD, IL 60148 Secretary

Historical Names

Name Change Date
DUPAGE OPTHAMOLOGY, S.C. 2006-03-01

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State