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ALGONQUIN ROAD SURGERY CENTER, L.L.C.

Company Details

Entity Name: ALGONQUIN ROAD SURGERY CENTER, L.L.C.
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 12 Jan 2000
Company Number: LLC_00366102
File Number: 00366102
Type of Management: Manager Managed
Date Status Change: 12 Dec 2024
Address 2550 WEST ALGONQUIN RD, LAKE IN THE HILLS, 60156, IL
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALGONQUIN ROAD SURGERY CENTER 401(K) PLAN 2023 364337493 2024-05-29 ALGONQUIN ROAD SURGERY CENTER 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 8474581246
Plan sponsor’s address 2550 WEST ALGONQUIN ROAD, LAKE IN THE HILLS, IL, 60156

Signature of

Role Plan administrator
Date 2024-05-29
Name of individual signing JUDITH KAZY GAREY
Valid signature Filed with authorized/valid electronic signature
ALGONQUIN ROAD SURGERY CENTER 401(K) PLAN 2022 364337493 2023-06-08 ALGONQUIN ROAD SURGERY CENTER 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 8474581246
Plan sponsor’s address 2550 WEST ALGONQUIN ROAD, LAKE IN THE HILLS, IL, 60156

Signature of

Role Plan administrator
Date 2023-06-08
Name of individual signing LORI CALLAHAN
Valid signature Filed with authorized/valid electronic signature
ALGONQUIN ROAD SURGERY CENTER 401(K) PLAN 2021 364337493 2022-05-27 ALGONQUIN ROAD SURGERY CENTER 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 8474581246
Plan sponsor’s address 2550 WEST ALGONQUIN ROAD, LAKE IN THE HILLS, IL, 60156

Signature of

Role Plan administrator
Date 2022-05-27
Name of individual signing LORI CALLAHAN
Valid signature Filed with authorized/valid electronic signature
ALGONQUIN ROAD SURGERY CENTER 401(K) PLAN 2020 364337493 2021-06-16 ALGONQUIN ROAD SURGERY CENTER 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 8474581246
Plan sponsor’s address 2550 WEST ALGONQUIN ROAD, LAKE IN THE HILLS, IL, 60156

Signature of

Role Plan administrator
Date 2021-06-16
Name of individual signing LORI CALLAHAN
Valid signature Filed with authorized/valid electronic signature
ALGONQUIN ROAD SURGERY CENTER 401(K) PLAN 2019 364337493 2020-07-31 ALGONQUIN ROAD SURGERY CENTER 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 8474581246
Plan sponsor’s address 2550 WEST ALGONQUIN ROAD, LAKE IN THE HILLS, IL, 60156

Signature of

Role Plan administrator
Date 2020-07-31
Name of individual signing LORI CALLAHAN
Valid signature Filed with authorized/valid electronic signature
ALGONQUIN ROAD SURGERY CENTER 401(K) PLAN 2018 364337493 2019-05-29 ALGONQUIN ROAD SURGERY CENTER 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 8474581246
Plan sponsor’s address 2550 WEST ALGONQUIN ROAD, LAKE IN THE HILLS, IL, 60156

Signature of

Role Plan administrator
Date 2019-05-29
Name of individual signing LORI CALLAHAN
Valid signature Filed with authorized/valid electronic signature
ALGONQUIN ROAD SURGERY CENTER 401(K) PLAN 2017 364337493 2018-06-13 ALGONQUIN ROAD SURGERY CENTER 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 8474581246
Plan sponsor’s address 2550 WEST ALGONQUIN ROAD, LAKE IN THE HILLS, IL, 60156

Signature of

Role Plan administrator
Date 2018-06-13
Name of individual signing LORI CALLAHAN
Valid signature Filed with authorized/valid electronic signature
ALGONQUIN ROAD SURGERY CENTER 401(K) PLAN 2016 364337493 2017-07-14 ALGONQUIN ROAD SURGERY CENTER 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 8474581246
Plan sponsor’s address 2550 WEST ALGONQUIN ROAD, LAKE IN THE HILLS, IL, 60156

Signature of

Role Plan administrator
Date 2017-07-14
Name of individual signing LORI CALLAHAN
Valid signature Filed with authorized/valid electronic signature
ALGONQUIN ROAD SURGERY CENTER 401(K) PLAN 2015 364337493 2016-06-13 ALGONQUIN ROAD SURGERY CENTER 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 8474581246
Plan sponsor’s address 2550 WEST ALGONQUIN ROAD, LAKE IN THE HILLS, IL, 60156

Signature of

Role Plan administrator
Date 2016-06-13
Name of individual signing LORI CALLAHAN
Valid signature Filed with authorized/valid electronic signature
ALGONQUIN ROAD SURGERY CENTER 401(K) PLAN 2014 364337493 2015-06-15 ALGONQUIN ROAD SURGERY CENTER 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 8474581246
Plan sponsor’s address 2550 WEST ALGONQUIN ROAD, LAKE IN THE HILLS, IL, 60156

Signature of

Role Plan administrator
Date 2015-06-15
Name of individual signing LORI CALLAHAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LORI A CALLAHAN, 2550 W ALGONQUIN RD, LAKE IN HILLS, 60156 Agent 2012-02-29

Manager

Name and Address Role Appointment Date
DE GUZMAN MD, MICHAEL, 650 SPRING HILL RING RD, SUITE 202, WEST DUNDEE, IL, 60118 Manager 2024-12-12
MAYER, JULIE - ADVOCATE SHERMAN HOSPITAL, 1425 N RANDALL ROAD, ELGIN, IL, 60123 Manager 2024-12-12
CARLEN, MATTIAS- NORTHWESTERN CENTEGRA HOSPITAL, 3701 DOTY ROAD, WOODSTOCK, IL, 60098 Manager 2024-12-12
CHATTERJI MD, RAJA, 750 FLETCHER DR STE 206, ELGIN, IL, 60123 Manager 2024-12-12
LOVATO DPM, PETER, 113 W MAIN ST, CARY, IL, 60013 Manager 2024-12-12
HUI, SIU, 3701 DOTY RD, WOODSTOCK, IL, 60098 Manager 2024-12-12
DESHAZO, SHERI, 1425 N RANDALL RD, ELGIN, IL, 60123 Manager 2024-12-12

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State