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MARK A. GAPINSKI, M.D., S.C.

Company Details

Entity Name: MARK A. GAPINSKI, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 31 Oct 2006
Company Number: CORP_65157098
File Number: 65157098
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
MARK A. GAPINSKI, M.D., S.C. 401(K) PLAN 2023 205900284 2024-10-06 MARK A. GAPINSKI, M.D., S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6304624963
Plan sponsor’s address 25 N. WINFIELD RD., SUITE 511, WINFIELD, IL, 60190

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-02
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
MARK A. GAPINSKI, M.D., S.C. CASH BALANCE PLAN 2023 205900284 2024-10-07 MARK A. GAPINSKI, M.D., S.C. 2
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6304624963
Plan sponsor’s address 25 N. WINFIELD RD., SUITE 511, WINFIELD, IL, 60190

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-02
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
MARK A. GAPINSKI, M.D., S.C. CASH BALANCE PLAN 2023 205900284 2024-10-06 MARK A. GAPINSKI, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6304624963
Plan sponsor’s address 25 N. WINFIELD RD., SUITE 511, WINFIELD, IL, 60190

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-02
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
MARK A. GAPINSKI, M.D., S.C. 401(K) PLAN 2022 205900284 2023-04-24 MARK A. GAPINSKI, M.D., S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6304624963
Plan sponsor’s address 25 N. WINFIELD RD., SUITE 511, WINFIELD, IL, 60190

Signature of

Role Plan administrator
Date 2023-04-23
Name of individual signing MARK A. GAPINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-23
Name of individual signing MARK A. GAPINSKI
Valid signature Filed with authorized/valid electronic signature
MARK A. GAPINSKI, M.D., S.C. CASH BALANCE PLAN 2022 205900284 2023-04-24 MARK A. GAPINSKI, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6304624963
Plan sponsor’s address 25 N. WINFIELD RD., SUITE 511, WINFIELD, IL, 60190

Signature of

Role Plan administrator
Date 2023-04-23
Name of individual signing MARK A. GAPINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-23
Name of individual signing MARK A. GAPINSKI
Valid signature Filed with authorized/valid electronic signature
MARK A. GAPINSKI, M.D., S.C. CASH BALANCE PLAN 2021 205900284 2022-08-08 MARK A. GAPINSKI, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6304624963
Plan sponsor’s address 25 N. WINFIELD RD., SUITE 511, WINFIELD, IL, 60190

Signature of

Role Plan administrator
Date 2022-08-08
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-08
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
MARK A. GAPINSKI, M.D., S.C. 401(K) PLAN 2021 205900284 2022-08-08 MARK A. GAPINSKI, M.D., S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6304624963
Plan sponsor’s address 25 N. WINFIELD RD., SUITE 511, WINFIELD, IL, 60190

Signature of

Role Plan administrator
Date 2022-08-08
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-08
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
MARK A. GAPINSKI, M.D., S.C. CASH BALANCE PLAN 2020 205900284 2021-05-13 MARK A. GAPINSKI, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6304624963
Plan sponsor’s address 25 N. WINFIELD RD., SUITE 511, WINFIELD, IL, 60190

Signature of

Role Plan administrator
Date 2021-05-13
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-13
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
MARK A. GAPINSKI, M.D., S.C. 401(K) PLAN 2020 205900284 2021-05-13 MARK A. GAPINSKI, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6304624963
Plan sponsor’s address 25 N. WINFIELD RD., SUITE 511, WINFIELD, IL, 60190

Signature of

Role Plan administrator
Date 2021-05-13
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-13
Name of individual signing MARK GAPINSKI
Valid signature Filed with authorized/valid electronic signature
MARK A. GAPINSKI, M.D., S.C. CASH BALANCE PLAN 2019 205900284 2020-06-19 MARK A. GAPINSKI, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6304624963
Plan sponsor’s address 25 N. WINFIELD RD., SUITE 511, WINFIELD, IL, 60190

Signature of

Role Plan administrator
Date 2020-06-19
Name of individual signing MARK A. GAPINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-19
Name of individual signing MARK A. GAPINSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARK ANTHONY GAPINSKI, 567 HILLSIDE AVE, GLEN ELLYN, 60137, DU PAGE Agent 2016-06-09

President

Name and Address Role
MARK A GAPINSKI MD 567 HILLSIDE, GLEN ELLYN, IL 60137 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State