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  5. DAVID ROTTER PROSTHETICS, LTD.

DAVID ROTTER PROSTHETICS, LTD.

Company Details

Entity Name: DAVID ROTTER PROSTHETICS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Apr 2018
Company Number: CORP_71729591
File Number: 71729591
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
PZXJCA5BR7L9 2024-05-07 121 SPRINGFIELD AVE STE 4, JOLIET, IL, 60435, 6545, USA 121 SPRINGFIELD AVE STE 4, JOLIET, IL, 60435, 6545, USA

Business Information
Congressional District 14
State/Country of Incorporation IL, USA
Activation Date 2023-05-10
Initial Registration Date 2018-05-07
Entity Start Date 2018-04-20
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 339113, 423450
Product and Service Codes Q701, Q999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DAVID ROTTER
Role PRESIDENT
Address 121 SPRINGFIELD AVENUE, SUITE 4, JOLIET, IL, 60435, USA
Government Business
Title PRIMARY POC
Name ANIA JAROSZ
Role OFFICE MANAGER
Address 121 SPRINGFIELD AVENUE, SUITE 4, JOLIET, IL, 60435, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID ROTTER PROSTHETICS LTD 401(K) PROFIT SHARING PLAN & TRUST 2023 825150794 2024-05-21 DAVID ROTTER PROSTHETICS LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8152553220
Plan sponsor’s address 121 SPRINGFIELD AVENUE, SUITE 3, JOLIET, IL, 60435

Signature of
Role Plan administrator
Date 2024-05-21
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
DAVID ROTTER PROSTHETICS LTD 401(K) PROFIT SHARING PLAN & TRUST 2022 825150794 2023-06-21 DAVID ROTTER PROSTHETICS LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8152553220
Plan sponsor’s address 121 SPRINGFIELD AVENUE, SUITE 3, JOLIET, IL, 60435

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
DAVID ROTTER PROSTHETICS LTD 401(K) PROFIT SHARING PLAN & TRUST 2021 825150794 2022-04-14 DAVID ROTTER PROSTHETICS LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8152553220
Plan sponsor’s address 121 SPRINGFIELD AVENUE, SUITE 3, JOLIET, IL, 60435

Signature of
Role Plan administrator
Date 2022-04-14
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
DAVID ROTTER PROSTHETICS LTD 401(K) PROFIT SHARING PLAN & TRUST 2020 825150794 2021-04-23 DAVID ROTTER PROSTHETICS LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8152553220
Plan sponsor’s address 121 SPRINGFIELD AVENUE, SUITE 3, JOLIET, IL, 60435

Signature of
Role Plan administrator
Date 2021-04-23
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
DAVID ROTTER PROSTHETICS LTD 401(K) PROFIT SHARING PLAN & TRUST 2019 825150794 2020-05-08 DAVID ROTTER PROSTHETICS LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8152553220
Plan sponsor’s address 121 SPRINGFIELD AVENUE, SUITE 3, JOLIET, IL, 60435

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
DAVID ROTTER PROSTHETICS, LTD. 401 K PROFIT SHARING PLAN TRUST 2018 825150794 2019-05-29 DAVID ROTTER PROSTHETICS LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8152553220
Plan sponsor’s address 121 SPRINGFIELD AVENUE, SUITE 3, JOLIET, IL, 60435

Plan administrator’s name and address
Administrator’s EIN 264477125
Plan administrator’s name 401K GENERATION
Plan administrator’s address 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746
Administrator’s telephone number 8669985879

Signature of
Role Plan administrator
Date 2019-05-29
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HELEN B BLOCH, 155 N MICHIGAN AVE STE 715, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2021-03-10

President

Name and Address Role
DAVID ROTTER 121 SPRINGFIELD AVE #4 JOLIET 60435 President

Shares

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

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD 36C25224P1348 2024-09-26 2024-10-26 2024-10-26
Unique Award Key CONT_AWD_36C25224P1348_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 21208.89
Current Award Amount 21208.89
Potential Award Amount 21208.89

Description
Title LIMB - 578
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient DAVID ROTTER PROSTHETICS LTD
UEI PZXJCA5BR7L9
Recipient Address UNITED STATES, 121 SPRINGFIELD AVE STE 4, JOLIET, WILL, ILLINOIS, 604356545
PURCHASE ORDER AWARD 36C26324P1176 2024-08-29 2025-08-28 2025-08-28
Unique Award Key CONT_AWD_36C26324P1176_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 12866.64
Current Award Amount 12866.64
Potential Award Amount 12866.64

Description
Title PROSTHETICS. RUNNING LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient DAVID ROTTER PROSTHETICS LTD
UEI PZXJCA5BR7L9
Recipient Address UNITED STATES, 121 SPRINGFIELD AVE STE 4, JOLIET, WILL, ILLINOIS, 604356545
PURCHASE ORDER AWARD 36C25224P0940 2024-07-19 2024-08-18 2024-08-18
Unique Award Key CONT_AWD_36C25224P0940_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 10755.34
Current Award Amount 10755.34
Potential Award Amount 10755.34

Description
Title PROSTHETIC LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient DAVID ROTTER PROSTHETICS LTD
UEI PZXJCA5BR7L9
Recipient Address UNITED STATES, 121 SPRINGFIELD AVE STE 4, JOLIET, WILL, ILLINOIS, 604356545
PURCHASE ORDER AWARD 36C25224P1218 2024-05-21 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C25224P1218_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 20776.13
Current Award Amount 20776.13
Potential Award Amount 20776.13

Description
Title LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6530: HOSPITAL FURNITURE, EQUIPMENT, UTENSILS, AND SUPPLIES

Recipient Details
Recipient DAVID ROTTER PROSTHETICS LTD
UEI PZXJCA5BR7L9
Recipient Address UNITED STATES, 121 SPRINGFIELD AVE STE 4, JOLIET, WILL, ILLINOIS, 604356545
PURCHASE ORDER AWARD 36C25224P0654 2024-05-07 2024-06-06 2024-06-06
Unique Award Key CONT_AWD_36C25224P0654_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 14243.92
Current Award Amount 14243.92
Potential Award Amount 14243.92

Description
Title PROSTHETIC LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient DAVID ROTTER PROSTHETICS LTD
UEI PZXJCA5BR7L9
Recipient Address UNITED STATES, 121 SPRINGFIELD AVE STE 4, JOLIET, WILL, ILLINOIS, 604356545
PURCHASE ORDER AWARD 36C25224P0643 2024-05-01 2024-05-31 2024-05-31
Unique Award Key CONT_AWD_36C25224P0643_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 24744.47
Current Award Amount 24744.47
Potential Award Amount 24744.47

Description
Title LIMB - 578
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6530: HOSPITAL FURNITURE, EQUIPMENT, UTENSILS, AND SUPPLIES

Recipient Details
Recipient DAVID ROTTER PROSTHETICS LTD
UEI PZXJCA5BR7L9
Recipient Address UNITED STATES, 121 SPRINGFIELD AVE STE 4, JOLIET, WILL, ILLINOIS, 604356545
PURCHASE ORDER AWARD 36C25224P0630 2024-05-01 2024-05-31 2024-05-31
Unique Award Key CONT_AWD_36C25224P0630_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 36170.95
Current Award Amount 36170.95
Potential Award Amount 36170.95

Description
Title PROSTHETIC LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6530: HOSPITAL FURNITURE, EQUIPMENT, UTENSILS, AND SUPPLIES

Recipient Details
Recipient DAVID ROTTER PROSTHETICS LTD
UEI PZXJCA5BR7L9
Recipient Address UNITED STATES, 121 SPRINGFIELD AVE STE 4, JOLIET, WILL, ILLINOIS, 604356545
PURCHASE ORDER AWARD 36C25224P1201 2024-04-02 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C25224P1201_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 14062.18
Current Award Amount 14062.18
Potential Award Amount 14062.18

Description
Title LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6530: HOSPITAL FURNITURE, EQUIPMENT, UTENSILS, AND SUPPLIES

Recipient Details
Recipient DAVID ROTTER PROSTHETICS LTD
UEI PZXJCA5BR7L9
Recipient Address UNITED STATES, 121 SPRINGFIELD AVE STE 4, JOLIET, WILL, ILLINOIS, 604356545
PURCHASE ORDER AWARD 36C25224P1199 2024-04-02 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C25224P1199_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 31425.88
Current Award Amount 31425.88
Potential Award Amount 31425.88

Description
Title LIMB
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6530: HOSPITAL FURNITURE, EQUIPMENT, UTENSILS, AND SUPPLIES

Recipient Details
Recipient DAVID ROTTER PROSTHETICS LTD
UEI PZXJCA5BR7L9
Recipient Address UNITED STATES, 121 SPRINGFIELD AVE STE 4, JOLIET, WILL, ILLINOIS, 604356545
PURCHASE ORDER AWARD 36C25224K0046 2023-10-01 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C25224K0046_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 34441.47
Current Award Amount 34441.47
Potential Award Amount 34441.47

Description
Title VISN 12 PROSTHETICS PURCHASES FY24 WITH DAVID ROTTER PROSTHETICS LTD
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient DAVID ROTTER PROSTHETICS LTD
UEI PZXJCA5BR7L9
Recipient Address UNITED STATES, 121 SPRINGFIELD AVE STE 4, JOLIET, WILL, ILLINOIS, 604356545

Related by officers

HELEN B BLOCH, 155 N MICHIGAN AVE STE 715, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO

VIPER AUTO GLASS, INC. 9066 PRODUCTIONS, INC. LAW OFFICES OF HELEN BLOCH, P.C. CB RETIREMENT PLAN SERVICES, INC. JUST RAISE IT, INC. MOSES STRUCTURAL ENGINEERS INC.

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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