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FOOT & ANKLE CENTER OF ILLINOIS, P.C.

Company Details

Entity Name: FOOT & ANKLE CENTER OF ILLINOIS, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 Mar 2011
Company Number: CORP_67854047
File Number: 67854047
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOOT & ANKLE CENTER OF ILLINOIS 401(K) PLAN 2023 451269144 2024-09-13 FOOT & ANKLE CENTER OF ILLINOIS, 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621391
Sponsor’s telephone number 2174152077
Plan sponsor’s address 2921 MONTVALE DRIVE, SPRINGFIELD, IL, 62704

Signature of

Role Plan administrator
Date 2024-09-13
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE CENTER OF ILLINOIS CASH BALANCE PLAN 2023 451269144 2024-09-26 FOOT & ANKLE CENTER OF ILLINOIS 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621391
Sponsor’s telephone number 2174152077
Plan sponsor’s address 2921 MONTVALE DRIVE, SPRINGFIELD, IL, 62704

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing JOHN SIGLE
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE CENTER OF ILLINOIS 401(K) PLAN 2022 451269144 2023-08-25 FOOT & ANKLE CENTER OF ILLINOIS, 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621391
Sponsor’s telephone number 2174152077
Plan sponsor’s address 2921 MONTVALE DRIVE, SPRINGFIELD, IL, 62704

Signature of

Role Plan administrator
Date 2023-08-25
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE CENTER OF ILLINOIS CASH BALANCE PLAN 2022 451269144 2023-10-11 FOOT & ANKLE CENTER OF ILLINOIS 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621391
Sponsor’s telephone number 2174152077
Plan sponsor’s address 2921 MONTVALE DRIVE, SPRINGFIELD, IL, 62704

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing JOHN SIGLE
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE CENTER OF ILLINOIS 401(K) PLAN 2021 451269144 2022-09-22 FOOT & ANKLE CENTER OF ILLINOIS, 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621391
Sponsor’s telephone number 2174152077
Plan sponsor’s address 2921 MONTVALE DRIVE, SPRINGFIELD, IL, 62704

Signature of

Role Plan administrator
Date 2022-09-22
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE CENTER OF ILLINOIS 401(K) PLAN 2020 451269144 2022-05-27 FOOT & ANKLE CENTER OF ILLINOIS, 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621391
Sponsor’s telephone number 2174152077
Plan sponsor’s address 2921 MONTVALE DRIVE, SPRINGFIELD, IL, 62704

Signature of

Role Plan administrator
Date 2022-05-27
Name of individual signing JOHN SIGLE
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE CENTER OF ILLINOIS 401(K) PLAN 2019 451269144 2020-08-26 FOOT & ANKLE CENTER OF ILLINOIS, 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621391
Sponsor’s telephone number 2174152077
Plan sponsor’s address 2921 MOUNTVALE DRIVE, SPRINGFIELD, IL, 62704

Signature of

Role Plan administrator
Date 2020-08-26
Name of individual signing SHAWN WINDISCH
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE CENTER OF ILLINOIS 401(K) PLAN 2019 451269144 2020-07-07 FOOT & ANKLE CENTER OF ILLINOIS, 18
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621391
Sponsor’s telephone number 2174152077
Plan sponsor’s address 2921 MOUNTVALE DRIVE, SPRINGFIELD, IL, 62704

Signature of

Role Plan administrator
Date 2020-07-07
Name of individual signing JOHN SIGLE
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE CENTER OF ILLINOIS 401(K) PLAN 2018 451269144 2019-10-10 FOOT & ANKLE CENTER OF ILLINOIS, 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621391
Sponsor’s telephone number 2174152077
Plan sponsor’s address 2921 MOUNTVALE DRIVE, SPRINGFIELD, IL, 62704

Signature of

Role Plan administrator
Date 2019-10-10
Name of individual signing JOHN SIGLE
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE CENTER OF ILLINOIS 401(K) PLAN 2017 451269144 2019-10-25 FOOT & ANKLE CENTER OF ILLINOIS, 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621391
Sponsor’s telephone number 2174152077
Plan sponsor’s address 2921 MOUNTVALE DRIVE, SPRINGFIELD, IL, 62704

Signature of

Role Plan administrator
Date 2019-10-25
Name of individual signing JOHN SIGLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEPHEN A TAGGE, 1 N OLD STATE CAPITOL PLZ #200, SPRINGFIELD, 62701, SANGAMON Agent 2012-02-22

President

Name and Address Role
JOHN SIGLE, 2921 MONTVALE DR SPRINGFIELD IL 62704 President

Secretary

Name and Address Role
AS ABOVE Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060012412 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2019-03-12 2021-10-29 2025-01-01
PROF SERVICE CORP 060012400 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2019-02-22 2021-10-29 2025-01-01
PROF SERVICE CORP 060012370 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2018-12-24 2021-10-29 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
AESTHETICS AT ILLINOIS LASER CENTER Assume Name 2022-05-25 No data No data No data
ADVANCED EXTREMITY IMAGING Assume Name 2018-11-08 No data No data No data
EXTREMITY MRI No data 2016-09-09 2018-11-08 Voluntary Cancellation No data
FOOT & ANKLE DEPOT Assume Name 2015-05-13 No data No data No data
ILLINOIS LASER CENTER Assume Name 2012-10-18 No data No data No data

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State