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  5. ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC

ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC

Company Details

Entity Name: ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 29 Apr 2004
Company Number: LLC_01176285
File Number: 01176285
Type of Management: Manager Managed
Date Status Change: 12 Jul 2024
Address 9000 WAUKEGAN ROAD, SUITE 120, MORTON GROVE, 60053, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ILLINOIS BONE AND JOINT INSTITUTE, LLC PROFIT SHARING AND SAVINGS PLAN 2023 201054630 2024-10-15 ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 8472135444
Plan sponsor’s address 9000 WAUKEGAN ROAD, SUITE 120, MORTON GROVE, IL, 60053

Plan administrator’s name and address
Administrator’s EIN 203845479
Plan administrator’s name ILLINOIS BONE AND JOINT INSTITUTE, LLC
Plan administrator’s address 900 RAND ROAD, SUITE 300, DES PLAINES, IL, 60016
Administrator’s telephone number 8473753000

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing CAROL SCHELLHORN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS BONE AND JOINT INSTITUTE, LLC PROFIT SHARING AND SAVINGS PLAN 2022 201054630 2023-10-13 ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 8472135444
Plan sponsor’s address 9000 WAUKEGAN ROAD, SUITE 120, MORTON GROVE, IL, 60053

Plan administrator’s name and address
Administrator’s EIN 203845479
Plan administrator’s name ILLINOIS BONE AND JOINT INSTITUTE, LLC
Plan administrator’s address 900 RAND ROAD, SUITE 300, DES PLAINES, IL, 60016
Administrator’s telephone number 8473753000

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing CAROL SCHELLHORN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS BONE AND JOINT INSTITUTE, LLC PROFIT SHARING AND SAVINGS PLAN 2021 201054630 2022-10-14 ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 8472135444
Plan sponsor’s address 9000 WAUKEGAN ROAD, SUITE 120, MORTON GROVE, IL, 60053

Plan administrator’s name and address
Administrator’s EIN 203845479
Plan administrator’s name ILLINOIS BONE AND JOINT INSTITUTE, LLC
Plan administrator’s address 900 RAND ROAD, SUITE 300, DES PLAINES, IL, 60016
Administrator’s telephone number 8473753000

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing CAROL SCHELLHORN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS BONE AND JOINT INSTITUTE, LLC PROFIT SHARING AND SAVINGS PLAN 2020 201054630 2021-10-08 ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 8472135444
Plan sponsor’s address 9000 WAUKEGAN ROAD, SUITE 120, MORTON GROVE, IL, 60053

Plan administrator’s name and address
Administrator’s EIN 203845479
Plan administrator’s name ILLINOIS BONE AND JOINT INSTITUTE, LLC
Plan administrator’s address 900 RAND ROAD, SUITE 300, DES PLAINES, IL, 60016
Administrator’s telephone number 8473753000

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing CAROL SCHELLHORN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS BONE AND JOINT INSTITUTE, LLC PROFIT SHARING AND SAVINGS PLAN 2019 201054630 2020-10-11 ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 8472135444
Plan sponsor’s address 9000 WAUKEGAN ROAD, SUITE 120, MORTON GROVE, IL, 60053

Plan administrator’s name and address
Administrator’s EIN 203845479
Plan administrator’s name ILLINOIS BONE AND JOINT INSTITUTE, LLC
Plan administrator’s address 900 RAND ROAD, SUITE 300, DES PLAINES, IL, 60016
Administrator’s telephone number 8473753000

Signature of
Role Plan administrator
Date 2020-10-11
Name of individual signing CAROL SCHELLHORN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS BONE AND JOINT INSTITUTE, LLC PROFIT SHARING AND SAVINGS PLAN 2018 201054630 2019-10-07 ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 8472135444
Plan sponsor’s address 9000 WAUKEGAN ROAD, SUITE 120, MORTON GROVE, IL, 60053

Plan administrator’s name and address
Administrator’s EIN 203845479
Plan administrator’s name ILLINOIS BONE AND JOINT INSTITUTE, LLC
Plan administrator’s address 900 RAND ROAD, SUITE 300, DES PLAINES, IL, 60016
Administrator’s telephone number 8473753000

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing CAROL SCHELLHORN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS BONE AND JOINT INSTITUTE, LLC PROFIT SHARING AND SAVINGS PLAN 2017 201054630 2018-10-03 ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 8472135444
Plan sponsor’s address 9000 WAUKEGAN ROAD, SUITE 120, MORTON GROVE, IL, 60053

Plan administrator’s name and address
Administrator’s EIN 203845479
Plan administrator’s name ILLINOIS BONE AND JOINT INSTITUTE, LLC
Plan administrator’s address 900 RAND ROAD, SUITE 300, DES PLAINES, IL, 60016
Administrator’s telephone number 8473753000

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing CAROL SCHELLHORN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS BONE AND JOINT INSTITUTE, LLC PROFIT SHARING AND SAVINGS PLAN 2016 201054630 2017-09-27 ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 8472135444
Plan sponsor’s address 9000 WAUKEGAN ROAD, SUITE 120, MORTON GROVE, IL, 60053

Plan administrator’s name and address
Administrator’s EIN 203845479
Plan administrator’s name ILLINOIS BONE AND JOINT INSTITUTE, LLC
Plan administrator’s address 900 RAND ROAD, SUITE 300, DES PLAINES, IL, 60016
Administrator’s telephone number 8473753000

Signature of
Role Plan administrator
Date 2017-09-27
Name of individual signing CAROL SCHELLHORN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS BONE AND JOINT INSTITUTE, LLC PROFIT SHARING AND SAVINGS PLAN 2015 201054630 2016-10-07 ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC SURGERY CENTER, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 8472135444
Plan sponsor’s address 9000 WAUKEGAN ROAD, SUITE 120, MORTON GROVE, IL, 60053

Plan administrator’s name and address
Administrator’s EIN 203845479
Plan administrator’s name ILLINOIS BONE AND JOINT INSTITUTE, LLC
Plan administrator’s address 900 RAND ROAD, SUITE 300, DES PLAINES, IL, 60016
Administrator’s telephone number 8473753000

Signature of
Role Plan administrator
Date 2016-10-07
Name of individual signing CAROL SCHELLHORN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID RAAB, M.D., 9000 WAUKEGAN RD #120, MORTON GROVE, 60053, COOK-NOT IN CITY OF CHICAGO Agent 2004-04-29

Manager

Name and Address Role Appointment Date
RAAB, DAVID M.D., 475 NIADA TERRACE, HIGHLAND PARK, IL, 60035 Manager 2024-07-12
PARRISH, LAWRENCE, 10360 S PROSPECT AVE, CHICAGO, IL, 60643 Manager 2024-07-12

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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