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MIDWEST BONE & JOINT SURGERY, P.C.

Company Details

Entity Name: MIDWEST BONE & JOINT SURGERY, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Sep 2007
Company Number: CORP_65677849
File Number: 65677849
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
MIDWEST BONE & JOINT SURGERY 401(K) PLAN 2021 260854510 2022-03-15 MIDWEST BONE & JOINT SURGERY, P. C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 6186545400
Plan sponsor’s address 30 APEX DRIVE, HIGHLAND, IL, 62249

Signature of

Role Plan administrator
Date 2022-03-15
Name of individual signing MALISSA UNGACTA
Valid signature Filed with authorized/valid electronic signature
MIDWEST BONE & JOINT SURGERY 401(K) PLAN 2020 260854510 2022-01-10 MIDWEST BONE & JOINT SURGERY, P. C. 13
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 6186545400
Plan sponsor’s address 30 APEX DRIVE, HIGHLAND, IL, 62249

Signature of

Role Plan administrator
Date 2022-01-10
Name of individual signing MALISSA UNGACTA
Valid signature Filed with authorized/valid electronic signature
MIDWEST BONE & JOINT SURGERY 401(K) PLAN 2020 260854510 2021-04-14 MIDWEST BONE & JOINT SURGERY, P. C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 6186545400
Plan sponsor’s address 30 APEX DRIVE, HIGHLAND, IL, 62249

Signature of

Role Plan administrator
Date 2021-04-14
Name of individual signing MALISSA UNGACTA
Valid signature Filed with authorized/valid electronic signature
MIDWEST BONE & JOINT SURGERY 401(K) PLAN 2019 260854510 2020-08-24 MIDWEST BONE & JOINT SURGERY, P. C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 6186545400
Plan sponsor’s address 30 APEX DRIVE, HIGHLAND, IL, 62249

Signature of

Role Plan administrator
Date 2020-08-24
Name of individual signing MALISSA UNGACTA
Valid signature Filed with authorized/valid electronic signature
MIDWEST BONE & JOINT SURGERY 401(K) PLAN 2018 260854510 2019-09-21 MIDWEST BONE & JOINT SURGERY, P. C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 6186545400
Plan sponsor’s address 30 APEX DRIVE, HIGHLAND, IL, 62249

Signature of

Role Plan administrator
Date 2019-09-21
Name of individual signing MALISSA UNGACTA
Valid signature Filed with authorized/valid electronic signature
MIDWEST BONE & JOINT SURGERY 401(K) PLAN 2017 260854510 2018-05-10 MIDWEST BONE & JOINT SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 6186545400
Plan sponsor’s address 30 APEX DRIVE, HIGHLAND, IL, 62249

Signature of

Role Plan administrator
Date 2018-05-10
Name of individual signing MALISSA UNGACTA
Valid signature Filed with authorized/valid electronic signature
MIDWEST REGIONAL BONE & JOINT 401(K) PLAN 2016 260854510 2017-03-10 MIDWEST BONE & JOINT SURGERY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 6186545400
Plan sponsor’s address 30 APEX DRIVE, HIGHLAND, IL, 62249

Signature of

Role Plan administrator
Date 2017-03-10
Name of individual signing MALISSA UNGACTA
Valid signature Filed with authorized/valid electronic signature
MIDWEST REGIONAL BONE & JOINT 401(K) PLAN 2015 260854510 2016-07-25 MIDWEST BONE & JOINT SURGERY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 6186545400
Plan sponsor’s address 30 APEX DRIVE, HIGHLAND, IL, 62249

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing MALISSA UNGACTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SPRA CORP, 475 REGENCY PARK SUITE 310, O FALLON, 62269, ST. CLAIR Agent 2022-12-08

President

Name and Address Role
FELIX F UNGACTA 38 DEERFIELD TERRACE ST LOUIS MO 63124 President

Secretary

Name and Address Role
MALISSA S UNGACTA Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 600 300000 No data

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State