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  5. GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC

GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC

Company Details

Entity Name: GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 24 Apr 2000
Company Number: LLC_00406511
File Number: 00406511
Type of Management: Member Managed
Date Status Change: 28 Feb 2024
Address 2900 FOXFIELD RD, STE 102, ST CHARLES, 60174, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC CASH BALANCE PLAN 2023 364333655 2024-10-15 GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6303771188
Plan sponsor’s address 2900 FOXFIELD ROAD, SUITE 102, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing HYTHEM SHADID
Valid signature Filed with authorized/valid electronic signature
GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC EMPLOYEES' SAVINGS PLAN 2023 364333655 2024-10-15 GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6303771188
Plan sponsor’s address 2900 FOXFIELD RD, SUITE 102, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing HYTHEM SHADID
Valid signature Filed with authorized/valid electronic signature
GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC CASH BALANCE PLAN 2022 364333655 2023-10-11 GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6303771188
Plan sponsor’s address 2900 FOXFIELD ROAD, SUITE 102, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing HYTHEM SHADID
Valid signature Filed with authorized/valid electronic signature
GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC EMPLOYEES' SAVINGS PLAN 2022 364333655 2023-10-11 GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6303771188
Plan sponsor’s address 2900 FOXFIELD RD, SUITE 102, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing HYTHEM SHADID
Valid signature Filed with authorized/valid electronic signature
GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC EMPLOYEES' SAVINGS PLAN 2021 364333655 2022-10-17 GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6303771188
Plan sponsor’s address 2900 FOXFIELD RD, SUITE 102, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing HYTHEM SHADID
Valid signature Filed with authorized/valid electronic signature
GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC CASH BALANCE PLAN 2021 364333655 2022-10-17 GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6303771188
Plan sponsor’s address 2900 FOXFIELD ROAD, SUITE 102, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing HYTHEM SHADID
Valid signature Filed with authorized/valid electronic signature
GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC CASH BALANCE PLAN 2020 364333655 2021-10-13 GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6303771188
Plan sponsor’s address 2900 FOXFIELD ROAD, SUITE 102, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing HYTHEM SHADID
Valid signature Filed with authorized/valid electronic signature
GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC EMPLOYEES' SAVINGS PLAN 2020 364333655 2021-10-13 GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6303771188
Plan sponsor’s address 2900 FOXFIELD RD, SUITE 102, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing HYTHEM SHADID
Valid signature Filed with authorized/valid electronic signature
GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC EMPLOYEES' SAVINGS PLAN 2019 364333655 2020-10-15 GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6303771188
Plan sponsor’s address 2900 FOXFIELD RD, SUITE 102, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing HYTHEM SHADID
Valid signature Filed with authorized/valid electronic signature
GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC CASH BALANCE PLAN 2019 364333655 2020-10-15 GENESIS ORTHOPEDICS & SPORTS MEDICINE, LLC 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6303771188
Plan sponsor’s address 2900 FOXFIELD ROAD, SUITE 102, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing HYTHEM SHADID
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HYTHEM P SHADID, 2900 FOXFIELD RD STE 102, ST CHARLES, 60174 Agent 2000-04-24

Manager

Name and Address Role Appointment Date
SHADID, HYTHEM P MD, 26 W 316 TORREY PINES CT, WINFIELD, IL, 60190 Manager 2024-02-28
SHADID, BETH, 26W316 TORREY PINES CT, WINFIELD, IL, 60190 Manager 2024-02-28

Related by officers

No related officers

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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