| Entity Name: | DANIEL T. WEBER, M.D., S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 27 Apr 2007 |
| Company Number: | CORP_65545187 |
| File Number: | 65545187 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL T. WEBER, MD RETIREMENT PLAN | 2011 | 208929101 | 2012-10-13 | DANIEL T. WEBER, M.D., S.C. | 1 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 208929101 |
| Plan administrator’s name | DANIEL T. WEBER, M.D., S.C. |
| Plan administrator’s address | 1230 BRAEBURN AVENUE, FLOSSMOOR, IL, 60422 |
| Administrator’s telephone number | 7082061535 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-13 |
| Name of individual signing | DANIEL T. WEBER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2010-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7082504935 |
| Plan sponsor’s address | 6850 W. CENTENNIAL DRIVE, TINLEY PARK, IL, 60477 |
Plan administrator’s name and address
| Administrator’s EIN | 208929101 |
| Plan administrator’s name | DANIEL T. WEBER, M.D., S.C. |
| Plan administrator’s address | 6850 W. CENTENNIAL DRIVE, TINLEY PARK, IL, 60477 |
| Administrator’s telephone number | 7082504935 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-30 |
| Name of individual signing | DANIEL WEBER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-30 |
| Name of individual signing | DANIEL WEBER |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2010-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7082061585 |
| Plan sponsor’s address | 1230 BRAEBURN AVENUE, FLOSSMOOR, IL, 60422 |
Plan administrator’s name and address
| Administrator’s EIN | 208929101 |
| Plan administrator’s name | DANIEL T. WEBER, M.D., S.C. |
| Plan administrator’s address | 1230 BRAEBURN AVENUE, FLOSSMOOR, IL, 60422 |
| Administrator’s telephone number | 7082061585 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-12 |
| Name of individual signing | DANIEL T. WEBER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| TIMOTHY G LAWLER, 9501 W 144TH PLACE 205, ORLAND PARK, 60462, COOK-NOT IN CITY OF CHICAGO | Agent | 2012-05-15 |
| Name and Address | Role |
|---|---|
| STEPHANIE WEBER 6850 CENTENNIAL DR TINLEY PARK IL 60477 | President |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| INTEGRITY PHYSICAL THERAPY AND REHABILITATION | Assume Name | 2009-07-15 | No data | No data | No data |
| INTEGRITY ORTHOPEDICS | Assume Name | 2007-11-15 | No data | No data | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 100000 | No data |
Date of last update: 20 Jan 2025
