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  5. ORTHOPEDIC & SHOULDER CENTER, S.C.

ORTHOPEDIC & SHOULDER CENTER, S.C.

Company Details

Entity Name: ORTHOPEDIC & SHOULDER CENTER, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 17 Dec 2010
Company Number: CORP_67276493
File Number: 67276493
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
ORTHOPEDIC & SHOULDER CENTER, S.C. CASH BALANCE PENSION PLAN 2023 274182026 2024-10-05 ORTHOPEDIC & SHOULDER CENTER, S.C. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3098889800
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2024-10-05
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-05
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SHOULDER CENTER, S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2023 274182026 2024-06-12 ORTHOPEDIC & SHOULDER CENTER, S.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3098889800
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2024-06-12
Name of individual signing LAWRENCE K.C. LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-12
Name of individual signing LAWRENCE K.C. LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SHOULDER CENTER, S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2022 274182026 2023-06-23 ORTHOPEDIC & SHOULDER CENTER, S.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3098889800
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2023-06-23
Name of individual signing LAWRENCE K.C. LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-23
Name of individual signing LAWRENCE K.C. LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SHOULDER CENTER, S.C. CASH BALANCE PENSION PLAN 2022 274182026 2023-10-15 ORTHOPEDIC & SHOULDER CENTER, S.C. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3098889800
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2023-10-15
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-15
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SHOULDER CENTER, S.C. CASH BALANCE PENSION PLAN 2021 274182026 2022-10-12 ORTHOPEDIC & SHOULDER CENTER, S.C. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3098889800
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SHOULDER CENTER, S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2021 274182026 2022-06-21 ORTHOPEDIC & SHOULDER CENTER, S.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3098889800
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2022-06-21
Name of individual signing LAWRENCE K.C. LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-21
Name of individual signing LAWRENCE K.C. LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SHOULDER CENTER, S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2020 274182026 2021-05-28 ORTHOPEDIC & SHOULDER CENTER, S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3098889800
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2021-05-28
Name of individual signing LAWRENCE K.C. LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-28
Name of individual signing LAWRENCE K.C. LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SHOULDER CENTER, S.C. CASH BALANCE PENSION PLAN 2020 274182026 2021-10-09 ORTHOPEDIC & SHOULDER CENTER, S.C. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3098889800
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2021-10-09
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-09
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SHOULDER CENTER, S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2019 274182026 2020-05-12 ORTHOPEDIC & SHOULDER CENTER, S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3098889800
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2020-05-12
Name of individual signing LAWRENCE K.C. LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-12
Name of individual signing LAWRENCE K.C. LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SHOULDER CENTER, S.C. CASH BALANCE PENSION PLAN 2019 274182026 2020-10-06 ORTHOPEDIC & SHOULDER CENTER, S.C. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3098889800
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-06
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS A JENNINGS, 115 W JEFFERSON ST STE 400, BLOOMINGTON, 61701, MC LEAN Agent 2023-02-23

President

Name and Address Role
LAWRENCE K.C. LI, M.D 2200 FTJESSE RD #250 NORMAL IL 61761 President

Shares

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

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THOMAS A JENNINGS, 115 W JEFFERSON ST STE 400, BLOOMINGTON, 61701, MC LEAN

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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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