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  5. AMBULATORY ANESTHESIOLOGY, LTD.

AMBULATORY ANESTHESIOLOGY, LTD.

Company Details

Entity Name: AMBULATORY ANESTHESIOLOGY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 05 Feb 2008
Company Number: CORP_66388549
File Number: 66388549
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMBULATORY ANESTHESIOLOGY, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2014 261896407 2015-06-08 AMBULATORY ANESTHESIOLOGY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096640101
Plan sponsor’s address P.O. BOX 5448, BLOOMINGTON, IL, 617025448

Signature of
Role Plan administrator
Date 2015-06-08
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-08
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIOLOGY, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2013 261896407 2014-05-21 AMBULATORY ANESTHESIOLOGY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096640101
Plan sponsor’s address P.O. BOX 5448, BLOOMINGTON, IL, 617025448

Signature of
Role Plan administrator
Date 2014-05-21
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-21
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIOLOGY, INC. CASH BALANCE PLAN 2013 261896407 2014-06-12 AMBULATORY ANESTHESIOLOGY, LTD. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3092879594
Plan sponsor’s address P. O. BOX 5448, BLOOMINGTON, IL, 617025448

Signature of
Role Plan administrator
Date 2014-06-11
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-11
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIOLOGY, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2012 261896407 2013-06-20 AMBULATORY ANESTHESIOLOGY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096640101
Plan sponsor’s address P.O. BOX 5448, BLOOMINGTON, IL, 617025448

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-20
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIOLOGY, LTD. CASH BALANCE PLAN 2012 261896407 2013-07-17 AMBULATORY ANESTHESIOLOGY, LTD. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3092879594
Plan sponsor’s address P. O. BOX 5448, BLOOMINGTON, IL, 617025448

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-12
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIOLOGY, LTD. CASH BALANCE PLAN 2011 261896407 2012-07-19 AMBULATORY ANESTHESIOLOGY, LTD. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3092879594
Plan sponsor’s address 5 CARNEY COURT, BLOOMINGTON, IL, 61704

Plan administrator’s name and address
Administrator’s EIN 261896407
Plan administrator’s name AMBULATORY ANESTHESIOLOGY, LTD.
Plan administrator’s address 5 CARNEY COURT, BLOOMINGTON, IL, 61704
Administrator’s telephone number 3092879594

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-16
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIOLOGY, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2011 261896407 2012-05-17 AMBULATORY ANESTHESIOLOGY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096640101
Plan sponsor’s address P.O. BOX 5448, BLOOMINGTON, IL, 617025448

Plan administrator’s name and address
Administrator’s EIN 261896407
Plan administrator’s name AMBULATORY ANESTHESIOLOGY, LTD.
Plan administrator’s address P.O. BOX 5448, BLOOMINGTON, IL, 617025448
Administrator’s telephone number 3096640101

Signature of
Role Plan administrator
Date 2012-05-17
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIOLOGY, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2010 261896407 2011-05-25 AMBULATORY ANESTHESIOLOGY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096640101
Plan sponsor’s address P.O. BOX 5448, BLOOMINGTON, IL, 617025448

Plan administrator’s name and address
Administrator’s EIN 261896407
Plan administrator’s name AMBULATORY ANESTHESIOLOGY, LTD.
Plan administrator’s address P.O. BOX 5448, BLOOMINGTON, IL, 617025448
Administrator’s telephone number 3096640101

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature
AMBULATORY ANESTHESIOLOGY, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2009 261896407 2010-06-28 AMBULATORY ANESTHESIOLOGY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096640101
Plan sponsor’s address P.O. BOX 5448, BLOOMINGTON, IL, 617025448

Plan administrator’s name and address
Administrator’s EIN 261896407
Plan administrator’s name AMBULATORY ANESTHESIOLOGY, LTD.
Plan administrator’s address P.O. BOX 5448, BLOOMINGTON, IL, 617025448
Administrator’s telephone number 3096640101

Signature of
Role Plan administrator
Date 2010-06-28
Name of individual signing MARK LANZEROTTE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ELIZABETH B MEGLI, 115 W JEFFERSON STE 400, BLOOMINGTON, 61701, MC HENRY Agent 2016-02-04

Secretary

Name and Address Role
AS ABOVE Secretary

President

Name and Address Role
MARK J. LANZEROTTE, 5527 HIGHBURY LN., ARLINGTON, TN 38002 President

Shares

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

Related by officers

AS ABOVE

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Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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