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  5. FORERUNNER ANESTHESIA LTD.

FORERUNNER ANESTHESIA LTD.

Company Details

Entity Name: FORERUNNER ANESTHESIA LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 21 Dec 2012
Company Number: CORP_68831466
File Number: 68831466
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORERUNNER ANESTHESIA LTD 401(K) PROFIT SHARING PLAN 2020 461632562 2021-09-30 FORERUNNER ANESTHESIA LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8473099896
Plan sponsor’s address 825 N. SHERIDAN ROAD, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2021-09-30
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-30
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
FORERUNNER ANESTHESIA LTD 401(K) PROFIT SHARING PLAN 2019 461632562 2020-10-05 FORERUNNER ANESTHESIA LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8473099896
Plan sponsor’s address 825 N. SHERIDAN ROAD, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2020-10-04
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-04
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
FORERUNNER ANESTHESIA LTD 401(K) PROFIT SHARING PLAN 2018 461632562 2019-10-14 FORERUNNER ANESTHESIA LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8473099896
Plan sponsor’s address 825 N. SHERIDAN ROAD, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
FORERUNNER ANESTHESIA LTD 401(K) PROFIT SHARING PLAN 2017 461632562 2018-09-18 FORERUNNER ANESTHESIA LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8473099896
Plan sponsor’s address 825 N. SHERIDAN ROAD, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2018-09-18
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-18
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
FORERUNNER ANESTHESIA LTD 401(K) PROFIT SHARING PLAN 2016 461632562 2017-10-02 FORERUNNER ANESTHESIA LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8473099896
Plan sponsor’s address 825 N. SHERIDAN ROAD, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2017-09-30
Name of individual signing ARISTEIDIE M DIVERIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-30
Name of individual signing ARISTEIDIE M DIVERIS
Valid signature Filed with authorized/valid electronic signature
FORERUNNER ANESTHESIA LTD 401(K) PROFIT SHARING PLAN 2015 461632562 2016-09-22 FORERUNNER ANESTHESIA LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8473099896
Plan sponsor’s address 825 N. SHERIDAN ROAD, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2016-09-09
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-09
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
FORERUNNER ANESTHESIA LTD 401(K) PROFIT SHARING PLAN 2014 461632562 2015-09-28 FORERUNNER ANESTHESIA LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8473099896
Plan sponsor’s address 825 N. SHERIDAN ROAD, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-28
Name of individual signing ARISTEIDIE DIVERIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL W KITE, 1900 S HIGHLAND AVE STE 100, LOMBARD, 60148, DU PAGE Agent 2019-11-22

Secretary

Name and Address Role
ARISTEIDIE DIVERIS 10530 39THAVE PLEASANT PRAIRIE, WI 53158 Secretary

President

Name and Address Role
ARISTEIDIE DIVERIS 10530 39THAVE PLEASANT PRAIRIE, WI 53158 President

Shares

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

Related by officers

MICHAEL W KITE, 1900 S HIGHLAND AVE STE 100, LOMBARD, 60148, DU PAGE

LINDAHL BROTHERS, INC. GROVE PLATING COMPANY AEROFAST, INC. J M V CORPORATION WENDELL REAL ESTATE INVESTMENTS, INC. BETTER BUILT LUMBER AND SUPPLY INC. ANDAC GOLF SALES CORPORATION SAVEX MANUFACTURING COMPANY, INC. RELIANCE ORTHODONTIC PRODUCTS, INC. E. ANTHONY, INC.

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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