| Entity Name: | NICHOLAS RUTKOWSKI, O.D. & ASSOCIATES LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 23 Mar 2015 |
| Company Number: | LLC_05188644 |
| File Number: | 05188644 |
| Type of Management: | Member Managed |
| Date Status Change: | 29 Jan 2024 |
| Address | 19975 S LAGRANGE RD, FRANFORT, 60423, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR. NICHOLAS RUTKOWSKI ASSOCIATES 401(K) PLAN | 2023 | 473524037 | 2024-05-06 | NICHOLAS RUTKOWSKI, O.D. & ASSOCIATES | 5 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-06 |
| Name of individual signing | NICHOLAS RUTKOWSKI, O.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7082851270 |
| Plan sponsor’s address | 19975 S. LAGRANGE ROAD, FRANKFORT, IL, 60423 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-07 |
| Name of individual signing | NICHOLAS RUTKOWSKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-09-07 |
| Name of individual signing | NICHOLAS RUTKOWSKI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7082851270 |
| Plan sponsor’s address | 19975 S. LAGRANGE ROAD, FRANKFORT, IL, 60423 |
Signature of
| Role | Plan administrator |
| Date | 2022-12-28 |
| Name of individual signing | NICHOLAS RUTKOWSKI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7082851270 |
| Plan sponsor’s address | 19975 S. LAGRANGE ROAD, FRANKFORT, IL, 60423 |
Signature of
| Role | Plan administrator |
| Date | 2021-12-20 |
| Name of individual signing | NICHOLAS RUTKOWSKI, O.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| NICHOLAS RUTKOWSKI, 19975 S. LAGRANGE RD., FRANKFORT, 60423 | Agent | 2020-06-04 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RUTKOWSKI, NICHOLAS, 19975 S LAGRANGE RD, FRANKFORT, IL, 60423 | Manager | 2024-01-29 |
Date of last update: 16 Jan 2025
