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  5. AMERICAN CENTER FOR SPINE & NEUROSURGERY, LLC

AMERICAN CENTER FOR SPINE & NEUROSURGERY, LLC

Company Details

Entity Name: AMERICAN CENTER FOR SPINE & NEUROSURGERY, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 10 May 2004
Company Number: LLC_01186361
File Number: 01186361
Type of Management: Manager Managed
Date Status Change: 06 Jun 2024
Address 716 S MILWAUKEE AVENUE, LIBERTYVILLE, 60048, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE AMERICAN CENTER FOR SPINE & NEUROSURGERY, LLC 401(K) P/S PLAN 2014 141907790 2015-10-02 LAKE COUNTY NEUROSURGERY, LLC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-04
Business code 621111
Sponsor’s telephone number 8479890606
Plan sponsor’s address 712 S MILWAUKEE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing KAREN CITOW
Valid signature Filed with authorized/valid electronic signature
THE AMERICAN CENTER FOR SPINE & NEUROSURGERY, LLC 401(K) P/S PLAN 2013 141907790 2014-10-07 LAKE COUNTY NEUROSURGERY, LLC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-04
Business code 621111
Sponsor’s telephone number 8479890606
Plan sponsor’s address 712 S MILWAUKEE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing KAREN CITOW
Valid signature Filed with authorized/valid electronic signature
LAKE COUNTY NEUROSURGERY, LLC 401(K) P/S PLAN 2012 141907790 2013-10-15 LAKE COUNTY NEUROSURGERY, LLC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-04
Business code 621111
Sponsor’s telephone number 8479890606
Plan sponsor’s address 712 S MILWAUKEE, ATTN BETSY MATTHEWS, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 141907790
Plan administrator’s name LAKE COUNTY NEUROSURGERY, LLC
Plan administrator’s address 712 S MILWAUKEE, ATTN BETSY MATTHEWS, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479890606

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing KAREN CITOW
Valid signature Filed with authorized/valid electronic signature
LAKE COUNTY NEUROSURGERY, LLC 401(K) P/S PLAN 2011 141907790 2012-10-15 LAKE COUNTY NEUROSURGERY, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-04
Business code 621111
Sponsor’s telephone number 8479890606
Plan sponsor’s address 712 S MILWAUKEE, ATTN BETSY MATTHEWS, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 141907790
Plan administrator’s name LAKE COUNTY NEUROSURGERY, LLC
Plan administrator’s address 712 S MILWAUKEE, ATTN BETSY MATTHEWS, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479890606

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing KAREN CITOW
Valid signature Filed with authorized/valid electronic signature
LAKE COUNTY NEUROSURGERY, LLC PENSION PLAN 2011 141907790 2012-09-06 LAKE COUNTY NEUROSURGERY, LLC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8479901463
Plan sponsor’s address 712 S. MILWAUKEE AVE., LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 141907790
Plan administrator’s name LAKE COUNTY NEUROSURGERY, LLC
Plan administrator’s address 712 S. MILWAUKEE AVE., LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479901463

Signature of
Role Plan administrator
Date 2012-09-06
Name of individual signing KAREN CITOW
Valid signature Filed with authorized/valid electronic signature
LAKE COUNTY NEUROSURGERY, LLC 401(K) P/S PLAN 2010 141907790 2011-08-31 LAKE COUNTY NEUROSURGERY, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-04
Business code 621111
Sponsor’s telephone number 8479890606
Plan sponsor’s address 712 S MILWAUKEE, ATTN BETSY MATTHEWS, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 141907790
Plan administrator’s name LAKE COUNTY NEUROSURGERY, LLC
Plan administrator’s address 712 S MILWAUKEE, ATTN BETSY MATTHEWS, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479890606

Signature of
Role Plan administrator
Date 2011-08-31
Name of individual signing BETSY MATTHEWS
Valid signature Filed with authorized/valid electronic signature
LAKE COUNTY NEUROSURGERY, LLC PENSION PLAN 2010 141907790 2011-10-13 LAKE COUNTY NEUROSURGERY, LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8479901463
Plan sponsor’s address 712 S. MILWAUKEE AVE., LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 141907790
Plan administrator’s name LAKE COUNTY NEUROSURGERY, LLC
Plan administrator’s address 712 S. MILWAUKEE AVE., LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479901463

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing KAREN CITOW
Valid signature Filed with authorized/valid electronic signature
LAKE COUNTY NEUROSURGERY, LLC 401(K) P/S PLAN 2009 141907790 2010-10-01 LAKE COUNTY NEUROSURGERY, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-04
Business code 621111
Sponsor’s telephone number 8479890606
Plan sponsor’s address 712 S MILWAUKEE, ATTN BETSY MATTHEWS, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 141907790
Plan administrator’s name LAKE COUNTY NEUROSURGERY, LLC
Plan administrator’s address 712 S MILWAUKEE, ATTN BETSY MATTHEWS, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479890606

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing KAREN CITOW
Valid signature Filed with authorized/valid electronic signature
LAKE COUNTY NEUROSURGERY, LLC 401(K) P/S PLAN 2009 141907790 2010-10-01 LAKE COUNTY NEUROSURGERY, LLC 28
Three-digit plan number (PN) 001
Effective date of plan 2004-05-04
Business code 621111
Sponsor’s telephone number 8479890606
Plan sponsor’s address 712 S MILWAUKEE, ATTN BETSY MATTHEWS, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 141907790
Plan administrator’s name LAKE COUNTY NEUROSURGERY, LLC
Plan administrator’s address 712 S MILWAUKEE, ATTN BETSY MATTHEWS, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479890606

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing KAREN CITOW
Valid signature Filed with incorrect/unrecognized electronic signature
LAKE COUNTY NEUROSURGERY, LLC PENSION PLAN 2009 141907790 2010-07-31 LAKE COUNTY NEUROSURGERY, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473621848
Plan sponsor’s address 712 S. MILWAUKEE, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 141907790
Plan administrator’s name LAKE COUNTY NEUROSURGERY, LLC
Plan administrator’s address 712 S. MILWAUKEE, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8473621848

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing KAREN CITOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing KAREN CITOW
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BETSY MATTHEWS, 712 S MILWAUKEE AVE, LIBERTYVILLE, 60048, COOK-NOT IN CITY OF CHICAGO Agent 2011-05-12

Manager

Name and Address Role Appointment Date
CITOW, JONATHAN DR, 81 LAKEWOOD DRIVE, GLENCOE, IL, 60022 Manager 2024-06-06

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
LAKE COUNTY NEUROSURGERY Assumed name 2011-07-22 2020-08-04 Involuntary cancellation 2015-05-12

Historical Names

Name Change Date
LAKE COUNTY NEUROSURGERY LLC 2011-07-22

Related by officers

BETSY MATTHEWS, 712 S MILWAUKEE AVE, LIBERTYVILLE, 60048, COOK-NOT IN CITY OF CHICAGO

SWIGERT ENTERPRISES, LLC CITOW CERVICAL VISUALIZER, LLC LAKE COUNTY NEUROMONITORING, LLC NORTHSIDE NEUROSURGERY, LLC

Related by address

No related companies by address

Date of last update: 30 Jan 2025

Sources: Illinois Office of the Secretary of State

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