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  5. DUPAGE EYE SURGERY CENTER LLC

DUPAGE EYE SURGERY CENTER LLC

Company Details

Entity Name: DUPAGE EYE SURGERY CENTER LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 12 Mar 2004
Company Number: LLC_01137476
File Number: 01137476
Type of Management: Manager Managed
Date Status Change: 28 Feb 2024
Address 2015 N MAIN ST, WHEATON, 60187, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DUPAGE EYE SURGERY CENTER, LLC 401 (K) PLAN 2012 920189811 2013-07-02 DUPAGE EYE SURGERY CENTER, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Business code 621493
Sponsor’s telephone number 6306653690
Plan sponsor’s mailing address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Plan sponsor’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187

Number of participants as of the end of the plan year
Active participants 22
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 14
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-07-02
Name of individual signing SAMANTHA COOPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-02
Name of individual signing SAMANTHA COOPER
Valid signature Filed with authorized/valid electronic signature
DUPAGE EYE SURGERY CENTER, LLC 401(K) PLAN 2011 920189811 2012-03-26 DUPAGE EYE SURGERY CENTER, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Business code 621493
Sponsor’s telephone number 6306653690
Plan sponsor’s mailing address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Plan sponsor’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187

Plan administrator’s name and address
Administrator’s EIN 920189811
Plan administrator’s name DUPAGE EYE SURGERY CENTER, LLC
Plan administrator’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Administrator’s telephone number 6306653690

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 12
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-03-26
Name of individual signing SAMANTHA COOPER
Valid signature Filed with authorized/valid electronic signature
DUPAGE EYE SURGERY CENTER, LLC 401(K) PLAN 2011 920189811 2012-03-26 DUPAGE EYE SURGERY CENTER, LLC 21
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Business code 621493
Sponsor’s telephone number 6306653690
Plan sponsor’s mailing address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Plan sponsor’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187

Plan administrator’s name and address
Administrator’s EIN 920189811
Plan administrator’s name DUPAGE EYE SURGERY CENTER, LLC
Plan administrator’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Administrator’s telephone number 6306653690

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 12
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-03-26
Name of individual signing SAMANTHA COOPER
Valid signature Filed with authorized/valid electronic signature
DUPAGE EYE SURGERY CENTER, LLC 401(K) PLAN 2011 920189811 2012-03-26 DUPAGE EYE SURGERY CENTER LLC 21
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Business code 621493
Sponsor’s telephone number 6306653690
Plan sponsor’s mailing address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Plan sponsor’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187

Plan administrator’s name and address
Administrator’s EIN 920189811
Plan administrator’s name DUPAGE EYE SURGERY CENTER LLC
Plan administrator’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Administrator’s telephone number 6306653690

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 12
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-03-26
Name of individual signing SAMANTHA COOPER
Valid signature Filed with authorized/valid electronic signature
DUPAGE EYE SURGERY CENTER, LLC 401(K) PLAN 2010 920189811 2011-04-06 DUPAGE EYE SURGERY CENTER LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Business code 621493
Sponsor’s telephone number 6306653690
Plan sponsor’s mailing address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Plan sponsor’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187

Plan administrator’s name and address
Administrator’s EIN 920189811
Plan administrator’s name DUPAGE EYE SURGERY CENTER LLC
Plan administrator’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Administrator’s telephone number 6306653690

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2011-04-06
Name of individual signing SAMANTHA COOPER
Valid signature Filed with authorized/valid electronic signature
DUPAGE EYE SURGERY CENTER, LLC 401(K) PLAN 2009 920189811 2010-04-14 DUPAGE EYE SURGERY CENTER LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Business code 621493
Sponsor’s telephone number 6306653690
Plan sponsor’s mailing address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Plan sponsor’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187

Plan administrator’s name and address
Administrator’s EIN 920189811
Plan administrator’s name DUPAGE EYE SURGERY CENTER LLC
Plan administrator’s address 2015 NORTH MAIN STREET, WHEATON, IL, 60187
Administrator’s telephone number 6306653690

Number of participants as of the end of the plan year
Active participants 20
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 12
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-04-14
Name of individual signing SAMANTHA COOPER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS S. MICHELSON, MD, 2015 N. MAIN ST., WHEATON, 60187, DU PAGE Agent 2021-11-22

Manager

Name and Address Role Appointment Date
LAFAYETTE, MD, STEVEN R., 2015 N MAIN ST, WHEATON, IL, 60187 Manager 2023-05-01
MICHELSON, MD., THOMAS S., 2015 N. MAIN ST., WHEATON, IL, 60187 Manager 2017-07-19

Related by officers

No related officers

Related by address

2015 N MAIN ST, WHEATON, 60187, IL

WEC, L.L.C. COMMUNITY VISION, L.L.C. NAPERVILLE-RAYMOND REALTY, L.L.C.

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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