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  5. THE ALTERNATIVE SOURCE MEDICAL, LLC

THE ALTERNATIVE SOURCE MEDICAL, LLC

Company Details

Entity Name: THE ALTERNATIVE SOURCE MEDICAL, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Revoked
Date Formed: 01 Nov 2007
Company Number: LLC_02373696
File Number: 02373696
Type of Management: Manager Managed
Date Status Change: 10 May 2024
Address 645 FOREST EDGE DRIVE, VERNON HILLS, 60061, IL
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 261302896 2023-10-03 THE ALTERNATIVE SOURCE MEDICAL, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423800
Sponsor’s telephone number 8474190123
Plan sponsor’s address 645 FOREST EDGE DRIVE, VERNON HILLS, IL, 60061
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 261302896 2023-10-03 THE ALTERNATIVE SOURCE MEDICAL, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423800
Sponsor’s telephone number 8474190123
Plan sponsor’s address 645 FOREST EDGE DRIVE, VERNON HILLS, IL, 60061
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 261302896 2022-10-03 THE ALTERNATIVE SOURCE MEDICAL, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423800
Sponsor’s telephone number 8474190123
Plan sponsor’s address 645 FOREST EDGE DRIVE, VERNON HILLS, IL, 60061

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-03
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 261302896 2021-10-01 THE ALTERNATIVE SOURCE MEDICAL, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423800
Sponsor’s telephone number 8474190123
Plan sponsor’s address 645 FOREST EDGE DRIVE, VERNON HILLS, IL, 60061

Signature of
Role Plan administrator
Date 2021-10-01
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-01
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 261302896 2020-10-07 THE ALTERNATIVE SOURCE MEDICAL, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423800
Sponsor’s telephone number 8474190123
Plan sponsor’s address 645 FOREST EDGE DRIVE, VERNON HILLS, IL, 60061

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-07
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST 2018 261302896 2019-10-02 THE ALTERNATIVE SOURCE MEDICAL, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423800
Sponsor’s telephone number 8474190123
Plan sponsor’s address 645 FOREST EDGE DRIVE, VERNON HILLS, IL, 60061

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-02
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST 2017 261302896 2018-09-28 THE ALTERNATIVE SOURCE MEDICAL, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423800
Sponsor’s telephone number 8474190123
Plan sponsor’s address 1700 S. BUTTERFIELD, MUNDELEIN, IL, 60060

Signature of
Role Plan administrator
Date 2018-09-28
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-28
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 261302896 2017-10-05 THE ALTERNATIVE SOURCE MEDICAL, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423800
Sponsor’s telephone number 8474190123
Plan sponsor’s address 1700 S. BUTTERFIELD, MUNDELEIN, IL, 60060

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-05
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 261302896 2016-09-26 THE ALTERNATIVE SOURCE MEDICAL, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423800
Sponsor’s telephone number 8474190123
Plan sponsor’s address 1700 S. BUTTERFIELD, MUNDELEIN, IL, 60060

Signature of
Role Plan administrator
Date 2016-09-26
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-26
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST 2014 261302896 2015-03-30 THE ALTERNATIVE SOURCE MEDICAL, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423800
Sponsor’s telephone number 8474190123
Plan sponsor’s address 1700 S. BUTTERFIELD, MUNDELEIN, IL, 60060

Signature of
Role Plan administrator
Date 2015-03-30
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-30
Name of individual signing JAMES HAMILTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RICHARD D. KOPIN, 645 FOREST EDGE DR, VERNON HILLS, 60061 Agent 2019-02-26

Manager

Name and Address Role Appointment Date
KOPIN, RICHARD D, 645 FOREST EDGE DRIVE, VERNON HILLS, IL, 60061 Manager 2022-09-20

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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