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J. REVELLO CHIROPRACTIC S.C.

Company Details

Entity Name: J. REVELLO CHIROPRACTIC S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 21 Feb 2013
Company Number: CORP_68684218
File Number: 68684218
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
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN 2021 461999578 2022-09-30 J. REVELLO CHIROPRACTIC S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 7083854416
Plan sponsor’s DBA name CHIRO- MED PAIN & WELLNESS
Plan sponsor’s address 13703 S CICERO AVE, CRESTWOOD, IL, 60445

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-30
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN 2020 461999578 2021-02-19 J. REVELLO CHIROPRACTIC S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 7083854416
Plan sponsor’s DBA name CHIRO- MED PAIN & WELLNESS
Plan sponsor’s address 13703 S CICERO AVE, CRESTWOOD, IL, 60445

Signature of

Role Plan administrator
Date 2021-02-19
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-19
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN 2019 461999578 2020-10-10 J. REVELLO CHIROPRACTIC S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 7083854416
Plan sponsor’s DBA name CHIRO- MED PAIN & WELLNESS
Plan sponsor’s address 13703 S CICERO AVE, CRESTWOOD, IL, 60445

Signature of

Role Plan administrator
Date 2020-10-10
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-10
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN 2018 461999578 2019-10-14 J. REVELLO CHIROPRACTIC S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 7083854416
Plan sponsor’s DBA name CHIRO- MED PAIN & WELLNESS
Plan sponsor’s address 13703 S CICERO AVE, CRESTWOOD, IL, 60445

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN 2017 461999578 2018-10-11 J. REVELLO CHIROPRACTIC S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 7083854416
Plan sponsor’s DBA name CHIRO- MED PAIN & WELLNESS
Plan sponsor’s address 13703 S CICERO AVE, CRESTWOOD, IL, 60445

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing JOHN REVELLO, DC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing JOHN REVELLO, DC
Valid signature Filed with authorized/valid electronic signature
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN 2016 461999578 2017-10-12 J. REVELLO CHIROPRACTIC S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 7083854416
Plan sponsor’s DBA name MED PAIN & WELLNESS
Plan sponsor’s address 13703 S CICERO AVE, CRESTWOOD, IL, 60445

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing JOHN REVELLO, DC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-12
Name of individual signing JOHN REVELLO, DC
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DENNIS M MICHON, 15255 S 94TH AVE STE 205, ORLAND PARK, 60462, COOK-NOT IN CITY OF CHICAGO Agent 2013-02-21

President

Name and Address Role
JOHN REVELLO, 13703 S, CICERO AVENUE CRESTWOOD IL 60418 President

Secretary

Name and Address Role
JOHN REVELLO, 13703 S, CICERO AVENUE CRESTWOOD IL 60418 Secretary

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State