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THE GLEN ENDOSCOPY CENTER, LLC

Company Details

Entity Name: THE GLEN ENDOSCOPY CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Merged
Date Formed: 27 Mar 2002
Company Number: LLC_00689386
File Number: 00689386
Type of Management: Manager Managed
Date Status Change: 31 Oct 2012
Address 2551 COMPASS RD. STE 120, GLENVIEW, 60025, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE GLEN ENDOSCOPY CENTER, LLC 401(K) PLAN & TRUST 2023 364486546 2024-07-17 THE GLEN ENDOSCOPY CENTER, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621900
Sponsor’s telephone number 8476562400
Plan sponsor’s address 2551 COMPASS ROAD, SUITE 115, GLENVIEW, IL, 60025

Signature of

Role Plan administrator
Date 2024-07-17
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-17
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
THE GLEN ENDOSCOPY CENTER, LLC 401(K) PLAN & TRUST 2022 364486546 2023-10-05 THE GLEN ENDOSCOPY CENTER, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621900
Sponsor’s telephone number 8476562400
Plan sponsor’s address 2551 COMPASS ROAD, SUITE 115, GLENVIEW, IL, 60025

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-04
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
THE GLEN ENDOSCOPY CENTER, LLC 401(K) PLAN & TRUST 2021 364486546 2022-10-03 THE GLEN ENDOSCOPY CENTER, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621900
Sponsor’s telephone number 8476562400
Plan sponsor’s address 2551 COMPASS ROAD, SUITE 115, GLENVIEW, IL, 60025

Signature of

Role Plan administrator
Date 2022-10-02
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-02
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
THE GLEN ENDOSCOPY CENTER, LLC 401(K) PLAN & TRUST 2020 364486546 2021-10-04 THE GLEN ENDOSCOPY CENTER, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621900
Sponsor’s telephone number 8476562400
Plan sponsor’s address 2551 COMPASS ROAD, SUITE 115, GLENVIEW, IL, 60025

Signature of

Role Plan administrator
Date 2021-10-03
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-03
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
THE GLEN ENDOSCOPY CENTER, LLC 401(K) PLAN & TRUST 2019 364486546 2020-10-03 THE GLEN ENDOSCOPY CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621900
Sponsor’s telephone number 8476562400
Plan sponsor’s address 2551 COMPASS ROAD, SUITE 115, GLENVIEW, IL, 60025

Signature of

Role Plan administrator
Date 2020-10-03
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-03
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
THE GLEN ENDOSCOPY CENTER, LLC 401(K) PLAN & TRUST 2018 364486546 2019-09-10 THE GLEN ENDOSCOPY CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621900
Sponsor’s telephone number 8476562400
Plan sponsor’s address 2551 COMPASS ROAD, SUITE 115, GLENVIEW, IL, 60025

Signature of

Role Plan administrator
Date 2019-08-24
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-24
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
THE GLEN ENDOSCOPY CENTER, LLC 401(K) PLAN & TRUST 2017 364486546 2018-09-24 THE GLEN ENDOSCOPY CENTER, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621900
Sponsor’s telephone number 8476562400
Plan sponsor’s address 2551 COMPASS ROAD, SUITE 115, GLENVIEW, IL, 60025

Signature of

Role Plan administrator
Date 2018-09-23
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-23
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
THE GLEN ENDOSCOPY CENTER, LLC 401(K) PLAN & TRUST 2016 364486546 2017-07-05 THE GLEN ENDOSCOPY CENTER, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621900
Sponsor’s telephone number 8476562400
Plan sponsor’s address 2551 COMPASS ROAD, SUITE 115, GLENVIEW, IL, 60025

Signature of

Role Plan administrator
Date 2017-07-05
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-05
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
THE GLEN ENDOSCOPY CENTER, LLC 401(K) PLAN & TRUST 2015 364486546 2016-04-15 THE GLEN ENDOSCOPY CENTER, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621900
Sponsor’s telephone number 8476562400
Plan sponsor’s address 2551 COMPASS ROAD, SUITE 115, GLENVIEW, IL, 60025

Signature of

Role Plan administrator
Date 2016-04-14
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-14
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
THE GLEN ENDOSCOPY CENTER, LLC 401(K) PLAN & TRUST 2014 364486546 2015-03-03 THE GLEN ENDOSCOPY CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621900
Sponsor’s telephone number 8476562400
Plan sponsor’s address 2551 COMPASS ROAD, SUITE 115, GLENVIEW, IL, 60025

Signature of

Role Plan administrator
Date 2015-03-02
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-02
Name of individual signing RONALD BLOOM
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFFREY M. JACOBS, M.D., 2551 COMPASS ROAD,STE 120, GLENVIEW, 60025 Agent 2006-05-17

Manager

Name and Address Role Appointment Date
JACOBS, JEFFREY M. M.D., 1188 GREENBAY RD., GLENCOE, IL, 60022 Manager 2008-02-01
BLOOM, RONALD M.D., 4711 GOLF RD, SKOKIE, IL, 60076 Manager 2008-02-01
SABLE, KAREN M.D., 800 AUSTIN ST, EVANSTON, IL, 60201 Manager 2008-02-01
FAIBISOFF, JAN M.D., 9669 N. KENTON AVE., #306, SKOKIE, IL, 60076 Manager 2008-02-01

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000315 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2011-07-07 2021-10-29 2025-01-01

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State