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ASSOCIATED SURGICAL CENTER LLC

Company Details

Entity Name: ASSOCIATED SURGICAL CENTER LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 09 Aug 2016
Company Number: LLC_05919673
File Number: 05919673
Type of Management: Member Managed
Date Status Change: 23 Jul 2024
Address 129 W. RAND ROAD, ARLINGTON HEIGHTS, 60004, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATED SURGICAL CENTER LLC 401K PLAN 2023 813492018 2024-10-15 ASSOCIATED SURGICAL CENTER LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8475652600
Plan sponsor’s address 129 W RAND RD, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing SAM REYNISH
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SURGICAL CENTER LLC 401K PLAN 2022 813492018 2023-10-16 ASSOCIATED SURGICAL CENTER LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8475652600
Plan sponsor’s address 129 W RAND RD, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing SAM REYNISH
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SURGICAL CENTER LLC 401K PLAN 2022 813492018 2023-10-30 ASSOCIATED SURGICAL CENTER LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8475652600
Plan sponsor’s address 129 W RAND RD, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2023-10-30
Name of individual signing SAM REYNISH
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SURGICAL CENTER LLC 401K PLAN 2021 813492018 2022-10-07 ASSOCIATED SURGICAL CENTER LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8475652600
Plan sponsor’s address 129 W RAND RD, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2022-10-07
Name of individual signing SAM REYNISH
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SURGICAL CENTER LLC 401K PLAN 2020 813492018 2023-10-16 ASSOCIATED SURGICAL CENTER LLC 20
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8475652600
Plan sponsor’s address 129 W RAND RD, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing SAM REYNISH
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SURGICAL CENTER LLC 401K PLAN 2020 813492018 2023-10-16 ASSOCIATED SURGICAL CENTER LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8475652600
Plan sponsor’s address 129 W RAND RD, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing SAM REYNISH
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SURGICAL CENTER LLC 401K PLAN 2019 813492018 2020-10-01 ASSOCIATED SURGICAL CENTER LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621498
Sponsor’s telephone number 8475652600
Plan sponsor’s address 129 W RAND RD, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2020-10-01
Name of individual signing SAM REYNISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-01
Name of individual signing SAM REYNISH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ALEXANDER BOGACHKOV, 4020 GREENLEAF ST., SKOKIE, 60076 Agent 2019-08-09

Manager

Name and Address Role Appointment Date
LEVITIN, YELENA, 129 W. RAND ROAD, ARLINGTON HEIGHTS, IL, 60004 Manager 2024-07-23

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State