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SOUTHWEST SURGERY CENTER, LLC

Company Details

Entity Name: SOUTHWEST SURGERY CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 22 May 2000
Company Number: LLC_00417378
File Number: 00417378
Type of Management: Manager Managed
Date Status Change: 28 Mar 2024
Address 19110 DARVIN DRIVE, MOKENA, 60448, IL
Place of Formation: ILLINOIS

Central Index Key

CIK number Mailing Address Business Address Phone
1735065 19110 DARVIN DRIVE, MOKENA, IL, 60448 19110 DARVIN DRIVE, MOKENA, IL, 60448 708-390-2290

Filings since 2022-02-01

Form type D/A
File number 021-413879
Filing date 2022-02-01
File View File

Filings since 2021-09-20

Form type D
File number 021-413879
Filing date 2021-09-20
File View File

Filings since 2018-12-17

Form type D
File number 021-328183
Filing date 2018-12-17
File View File

Filings since 2018-08-21

Form type D
File number 021-319679
Filing date 2018-08-21
File View File

Filings since 2018-03-22

Form type D
File number 021-308355
Filing date 2018-03-22
File View File

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHWEST SURGERY CENTER LLC 401(K) PROFIT SHARING PLAN 2016 364369359 2017-04-13 SOUTHWEST SURGERY CENTER LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 7084788889
Plan sponsor’s address 19110 DARVIN DR, STE A, MOKENA, IL, 604488683

Signature of

Role Plan administrator
Date 2017-04-13
Name of individual signing CARISSA MURPHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-13
Name of individual signing CARISSA MURPHY
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST SURGERY CENTER LLC 401(K) PROFIT SHARING PLAN 2015 364369359 2016-04-11 SOUTHWEST SURGERY CENTER LLC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 7084788889
Plan sponsor’s address 19110 DARVIN DR, STE A, MOKENA, IL, 604488683

Signature of

Role Plan administrator
Date 2016-04-11
Name of individual signing CARISSA MURPHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-11
Name of individual signing CARISSA MURPHY
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST SURGERY CENTER LLC 401(K) PROFIT SHARING PLAN 2014 364369359 2015-07-14 SOUTHWEST SURGERY CENTER LLC 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 7084788889
Plan sponsor’s address 19110 DARVIN DR, STE A, MOKENA, IL, 604488683

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing MICHEAL CHERNY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing MICHEAL CHERNY
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST SURGERY CENTER LLC 401 K PROFIT SHARING PLAN TRUST 2013 364369359 2014-06-30 SOUTHWEST SURGERY CENTER LLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 7084788889
Plan sponsor’s address 19110 DARVIN DR STE A, MOKENA, IL, 604488683

Signature of

Role Plan administrator
Date 2014-06-30
Name of individual signing CARISSA MURPHY
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST SURGERY CENTER LLC 401 K PROFIT SHARING PLAN TRUST 2012 364369359 2013-07-31 SOUTHWEST SURGERY CENTER LLC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 7084788889
Plan sponsor’s address 19110 DARVIN DR STE A, MOKENA, IL, 604488683

Signature of

Role Plan administrator
Date 2013-07-31
Name of individual signing SOUTHWEST SURGERY CENTER LLC
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST SURGERY CENTER LLC 401 K PROFIT SHARING PLAN TRUST 2011 364369359 2014-06-30 SOUTHWEST SURGERY CENTER LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621493
Sponsor’s telephone number 7084788889
Plan sponsor’s address 19110 DARVIN DR STE A, MOKENA, IL, 604488683

Plan administrator’s name and address

Administrator’s EIN 364369359
Plan administrator’s name SOUTHWEST SURGERY CENTER LLC
Plan administrator’s address 19110 DARVIN DR STE A, MOKENA, IL, 604488683
Administrator’s telephone number 7084788889

Signature of

Role Plan administrator
Date 2014-06-30
Name of individual signing SOUTHWEST SURGERY CENTER LLC
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO Agent 2016-02-17

Manager

Name and Address Role Appointment Date
RYAN BROWN, 19110 DARVIN DRIVE, MOKENA, IL, 60448 Manager 2024-03-28
DAVID LUBECK, 19110 DARVIN DRIVE, MOKENA, IL, 60448 Manager 2024-03-28
PHIL NARCISSI, 19110 DARVIN DRIVE, MOKENA, IL, 60448 Manager 2024-03-28
BRADLEY SILVERMAN, 19110 DARVIN DRIVE, MOKENA, IL, 60448 Manager 2024-03-28
AMY SINDER, 19110 DARVIN DRIVE, MOKENA, IL, 60448 Manager 2024-03-28
CARY TEMPLIN, 19110 DARVIN DRIVE, MOKENA, IL, 60448 Manager 2024-03-28

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CENTER FOR MINIMALLY INVASIVE SURGERY Assumed name 2008-01-31 No data No data 2020-04-30

Date of last update: 30 Jan 2025

Sources: Illinois Office of the Secretary of State