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  5. CASTA 5, LLC

CASTA 5, LLC

Company Details

Entity Name: CASTA 5, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: NGS
Date Formed: 14 Dec 2016
Company Number: LLC_06085334
File Number: 06085334
Type of Management: Member Managed
Date Status Change: 01 Dec 2024
Address 13715 FAWN DRIVE, BLOOMINGTON, 61705, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2012 364362710 2013-10-02 RETINA INSTITUTE OF ILLINOIS, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing CLIFF JEFFERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-02
Name of individual signing CLIFF JEFFERS
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2011 364362710 2012-10-12 RETINA INSTITUTE OF ILLINOIS, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Plan administrator’s name and address
Administrator’s EIN 364362710
Plan administrator’s name RETINA INSTITUTE OF ILLINOIS, P.C.
Plan administrator’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
Administrator’s telephone number 8472978900

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing CLIFF JEFFERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing CLIFF JEFFERS
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2010 364362710 2011-10-07 RETINA INSTITUTE OF ILLINOIS, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Plan administrator’s name and address
Administrator’s EIN 364362710
Plan administrator’s name RETINA INSTITUTE OF ILLINOIS, P.C.
Plan administrator’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
Administrator’s telephone number 8472978900

Signature of
Role Plan administrator
Date 2011-10-07
Name of individual signing MICHAEL YOUNAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-07
Name of individual signing MICHAEL YOUNAN
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2009 364362710 2010-10-11 RETINA INSTITUTE OF ILLINOIS, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Plan administrator’s name and address
Administrator’s EIN 364362710
Plan administrator’s name RETINA INSTITUTE OF ILLINOIS, P.C.
Plan administrator’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
Administrator’s telephone number 8472978900

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing MICHAEL YOUNAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing MICHAEL YOUNAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHNNY HERNANDEZ, 10 HEARTLAND DR STE A, BLOOMINGTON, 61704 Agent 2020-10-09

Manager

Name and Address Role Appointment Date
HERNANDEZ, JOHNNY JAMES, 13715 FAWN DRIVE, BLOOMINGTON, IL, 61705 Manager 2020-10-09

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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