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  5. OFELIA B. AYUSTE, M.D., S.C.

OFELIA B. AYUSTE, M.D., S.C.

Company Details

Entity Name: OFELIA B. AYUSTE, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 08 Aug 2006
Company Number: CORP_65064073
File Number: 65064073
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
OFELIA B. AYUSTE M.D., S.C. 401K PLAN 2023 300377616 2024-04-17 OFELIA B. AYUSTE M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6309718881
Plan sponsor’s address 4121 FAIRVIEW AVENUE, SUITE 100, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2024-04-17
Name of individual signing CATHLEEN AYUSTE
Valid signature Filed with authorized/valid electronic signature
OFELIA B. AYUSTE M.D., S.C. 401K PLAN 2022 300377616 2023-04-23 OFELIA B. AYUSTE M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6309718881
Plan sponsor’s address 4121 FAIRVIEW AVENUE, SUITE 100, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2023-04-23
Name of individual signing CATHLEEN AYUSTE
Valid signature Filed with authorized/valid electronic signature
OFELIA B. AYUSTE M.D., S.C. 401K PLAN 2021 300377616 2022-05-07 OFELIA B. AYUSTE M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6309718881
Plan sponsor’s address 4121 FAIRVIEW AVENUE, SUITE 100, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2022-05-07
Name of individual signing CATHLEEN AYUSTE
Valid signature Filed with authorized/valid electronic signature
OFELIA B. AYUSTE M.D., S.C. 401K PLAN 2020 300377616 2021-06-29 OFELIA B. AYUSTE M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6309718881
Plan sponsor’s address 4121 FAIRVIEW AVENUE, SUITE 100, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing CATHLEEN AYUSTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-26
Name of individual signing CATHLEEN AYUSTE
Valid signature Filed with authorized/valid electronic signature
OFELIA B. AYUSTE M.D., S.C. 401K PLAN 2019 300377616 2020-06-10 OFELIA B. AYUSTE M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6309718881
Plan sponsor’s address 4121 FAIRVIEW AVENUE, SUITE 100, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing DR. OFELIA B AYUSTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-10
Name of individual signing DR. OFELIA B. AYUSTE
Valid signature Filed with authorized/valid electronic signature
OFELIA B. AYUSTE M.D., S.C. 401K PLAN 2018 300377616 2019-06-02 OFELIA B. AYUSTE M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6309718881
Plan sponsor’s address 5207 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2019-06-02
Name of individual signing DR. OFELIA B AYUSTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-02
Name of individual signing DR. OFELIA B. AYUSTE
Valid signature Filed with authorized/valid electronic signature
OFELIA B. AYUSTE M.D., S.C. 401K PLAN 2017 300377616 2018-06-27 OFELIA B. AYUSTE M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6309718881
Plan sponsor’s address 5207 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2018-06-27
Name of individual signing DR. OFELIA B AYUSTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-27
Name of individual signing DR. OFELIA B AYUSTE
Valid signature Filed with authorized/valid electronic signature
OFELIA B. AYUSTE M.D., S.C. 401K PLAN 2016 300377616 2017-06-20 OFELIA B. AYUSTE M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6309718881
Plan sponsor’s address 5207 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing DR. OFELIA B AYUSTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-20
Name of individual signing DR. OFELIA B AYUSTE
Valid signature Filed with authorized/valid electronic signature
OFELIA B. AYUSTE M.D., S.C. 401K PLAN 2015 300377616 2016-05-30 OFELIA B. AYUSTE M.D., S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6309718881
Plan sponsor’s address 5207 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2016-05-30
Name of individual signing DR. OFELIA B AYUSTE
Valid signature Filed with authorized/valid electronic signature
OFELIA B. AYUSTE M.D., S.C. 401K PLAN 2014 300377616 2015-10-14 OFELIA B. AYUSTE M.D., S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6309718881
Plan sponsor’s address 5207 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing DR. OFELIA B AYUSTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing DR. OFELIA B. AYUSTE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CATHLEEN AYUSTE, 1962 ELMORE AVE, DOWNERS GROVE, 60515, DU PAGE Agent 2021-09-10

President

Name and Address Role
CATHLEEN B AYUSTE MD 1962 ELMORE AVE DOWNERS GROVE IL 60515 President

Secretary

Name and Address Role
DEBORAH A BOYLE MD 905 ST STEPHENS GREEN OAK BROOK IL 60523 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
AYUSTE PEDIATRICS Assume Name 2020-09-16 No data No data No data

Shares

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

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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