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DEERPATH ORTHOPEDIC SURGICAL CENTER, LLC

Company Details

Entity Name: DEERPATH ORTHOPEDIC SURGICAL CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 01 Feb 2002
Company Number: LLC_00660809
File Number: 00660809
Type of Management: Manager Managed
Date Status Change: 24 Jan 2024
Address 1051 WEST U.S. ROUTE 6, MORRIS, 60450, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DEERPATH AMBULATORY SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES 2021 800033465 2022-04-01 DEERPATH AMBULATORY SURGICAL CENTER, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 8153185666
Plan sponsor’s address 1051 WEST US ROUTE 6, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2022-04-01
Name of individual signing CRYSTAL ROLLINGS
Valid signature Filed with authorized/valid electronic signature
DEERPATH AMBULATORY SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES 2020 800033465 2021-05-11 DEERPATH AMBULATORY SURGICAL CENTER, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 8159424875
Plan sponsor’s address 1051 WEST US ROUTE 6, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2021-05-10
Name of individual signing MICHELE CHESHARECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-10
Name of individual signing MICHELE CHESHARECK
Valid signature Filed with authorized/valid electronic signature
DEERPATH AMBULATORY SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES 2019 800033465 2020-08-06 DEERPATH AMBULATORY SURGICAL CENTER, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 8153185666
Plan sponsor’s address 1051 WEST US ROUTE 6, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2020-08-06
Name of individual signing MICHELE CHESHARECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-06
Name of individual signing MICHELE CHESHARECK
Valid signature Filed with authorized/valid electronic signature
DEERPATH AMBULATORY SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES 2018 800033465 2019-09-17 DEERPATH AMBULATORY SURGICAL CENTER, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 8153185666
Plan sponsor’s address 1051 WEST US ROUTE 6, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2019-09-13
Name of individual signing MICHELE CHESHARECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-13
Name of individual signing MICHELE CHESHARECK
Valid signature Filed with authorized/valid electronic signature
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES 2017 800033465 2018-05-03 DEERPATH ORTHOPEDIC SURGICAL CENTER 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 8159424875
Plan sponsor’s address 1051 WEST US ROUTE 6, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2018-05-02
Name of individual signing MICHELE CHESHARECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-02
Name of individual signing MICHELE CHESHARECK
Valid signature Filed with authorized/valid electronic signature
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES 2016 800033465 2017-04-26 DEERPATH ORTHOPEDIC SURGICAL CENTER 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 8159424875
Plan sponsor’s address 1051 WEST US ROUTE 6, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2017-04-21
Name of individual signing MICHELE ULTIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-21
Name of individual signing MICHELE ULTIS
Valid signature Filed with authorized/valid electronic signature
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES 2015 800033465 2016-08-19 DEERPATH ORTHOPEDIC SURGICAL CENTER 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 8159424875
Plan sponsor’s address 1051 WEST US ROUTE 6, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2016-08-18
Name of individual signing MICHELE ULTIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-18
Name of individual signing MICHELE ULTIS
Valid signature Filed with authorized/valid electronic signature
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES 2014 800033465 2015-10-12 DEERPATH ORTHOPEDIC SURGICAL CENTER 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 8159424875
Plan sponsor’s address 1051 WEST US ROUTE 6, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2015-10-09
Name of individual signing MICHELE ULTIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-09
Name of individual signing MICHELE ULTIS
Valid signature Filed with authorized/valid electronic signature
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES 2013 800033465 2014-10-02 DEERPATH ORTHOPEDIC SURGICAL CENTER 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 8159424875
Plan sponsor’s address 1051 WEST US ROUTE 6, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2014-10-02
Name of individual signing MICHELE ULTIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-02
Name of individual signing MICHELE ULTIS
Valid signature Filed with authorized/valid electronic signature
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES 2012 800033465 2014-10-03 DEERPATH ORTHOPEDIC SURGICAL CENTER 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 8159424875
Plan sponsor’s address 1051 WEST US ROUTE 6, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2014-10-02
Name of individual signing MICHELE ULTIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-02
Name of individual signing MICHELE ULTIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KEITH M. REZIN, M.D., 1051 WEST U.S. ROUTE 6, MORRIS, 60450, GRUNDY Agent 2002-02-01

Manager

Name and Address Role Appointment Date
ROTNICKI MD, RICHARD, 1715 N DIVISION STREET, SUITE A, MORRIS, IL, 60450 Manager 2022-02-07
MEYER MD, RAYMOND, 1051 W US RT 6, MORRIS, IL, 60450 Manager 2022-02-07
REZIN MD, KEITH, 1051 W US RT 6, MORRIS, IL, 60450 Manager 2022-02-07
KYLE PEARSON,DPM, 1051 WEST US ROUTE 6, MORRIS, IL, 60450 Manager 2023-07-06
SCOTT DIVENERE, MD, 2201 GLENWOOD AVE, JOLIET, IL, 60435 Manager 2023-07-06
ELIGIUS LELIS MD, 963 129TH INFANTGRY DR STE 110, JOLIET, IL, 60435 Manager 2023-07-06
MAJID RASSOLLI, DO, 963 129TH INFANTRY DR STE 110, JOLIET, IL, 60435 Manager 2023-07-06
STEPHEN H TREACY, MD, 1051 WEST US ROUTE 6, MORRIS, IL, 60450 Manager 2023-07-06
MORRIS HOSPITAL, 150 WEST HIGH STREET, MORRIS, IL, 60450 Manager 2023-07-06
RAJEEV MEHTA MD, 2201 GLENWOOD AVE, JOILIET, IL, 60435 Manager 2023-07-06

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
DEERPATH AMBULATORY SURGICAL CENTER, LLC Assumed name 2018-03-16 No data No data 2020-01-08

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State