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ASSOCIATED PLASTIC SURGEONS, S.C.

Company Details

Entity Name: ASSOCIATED PLASTIC SURGEONS, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Apr 1975
Company Number: CORP_50629619
File Number: 50629619
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATED PLASTIC SURGEONS, SC PROFIT SHARING AND SAVINGS PLAN 2023 362821079 2024-09-16 ASSOCIATED PLASTIC SURGEONS, S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-11-06
Business code 621111
Sponsor’s telephone number 8473981660
Plan sponsor’s address 880 W. CENTRAL ROAD, SUITE 6100, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2024-09-16
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-16
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED PLASTIC SURGEONS, SC PROFIT SHARING AND SAVINGS PLAN 2022 362821079 2023-10-03 ASSOCIATED PLASTIC SURGEONS, S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-11-06
Business code 621111
Sponsor’s telephone number 8473981660
Plan sponsor’s address 880 W. CENTRAL ROAD, SUITE 6100, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2023-10-03
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-03
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED PLASTIC SURGEONS, SC PROFIT SHARING AND SAVINGS PLAN 2021 362821079 2022-07-26 ASSOCIATED PLASTIC SURGEONS, S.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-11-06
Business code 621111
Sponsor’s telephone number 8473981660
Plan sponsor’s address 880 W. CENTRAL ROAD, SUITE 6100, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2022-07-26
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED PLASTIC SURGEONS, SC PROFIT SHARING AND SAVINGS PLAN 2020 362821079 2021-04-09 ASSOCIATED PLASTIC SURGEONS, S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-11-06
Business code 621111
Sponsor’s telephone number 8473981660
Plan sponsor’s address 880 W. CENTRAL ROAD, SUITE 6100, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2021-04-09
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-09
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED PLASTIC SURGEONS, SC PROFIT SHARING AND 2019 362821079 2020-03-16 ASSOCIATED PLASTIC SURGEONS, S.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-11-06
Business code 621111
Sponsor’s telephone number 8473981660
Plan sponsor’s address 880 W. CENTRAL ROAD, SUITE 3100, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2020-03-16
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-16
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED PLASTIC SURGEONS, SC PROFIT SHARING AND 2018 362821079 2019-04-22 ASSOCIATED PLASTIC SURGEONS, S.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-11-06
Business code 621111
Sponsor’s telephone number 8473981660
Plan sponsor’s address 880 W. CENTRAL ROAD, SUITE 3100, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2019-04-22
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-22
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED PLASTIC SURGEONS, SC PROFIT SHARING AND 2017 362821079 2018-05-21 ASSOCIATED PLASTIC SURGEONS, S.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-11-06
Business code 621111
Sponsor’s telephone number 8473981660
Plan sponsor’s address 880 W. CENTRAL ROAD, SUITE 3100, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2018-05-21
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-21
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED PLASTIC SURGEONS, SC PROFIT SHARING AND 2016 362821079 2017-02-28 ASSOCIATED PLASTIC SURGEONS, S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-11-06
Business code 621111
Sponsor’s telephone number 8473981660
Plan sponsor’s address 880 W. CENTRAL ROAD, SUITE 3100, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2017-02-28
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-28
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED PLASTIC SURGEONS, SC PROFIT SHARING AND 2015 362821079 2016-07-22 ASSOCIATED PLASTIC SURGEONS, S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-11-06
Business code 621111
Sponsor’s telephone number 8473981660
Plan sponsor’s address 880 W. CENTRAL ROAD, SUITE 3100, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-22
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED PLASTIC SURGEONS SC PROFIT SHARING AND 2014 362821079 2015-07-20 ASSOCIATED PLASTIC SURGEONS, S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-11-06
Business code 621111
Sponsor’s telephone number 8473981660
Plan sponsor’s address 880 W. CENTRAL ROAD, SUITE 3100, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2015-07-20
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-20
Name of individual signing OTTO J. PLACIK, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MITCHELL D PAWLAN, 1751 LAKE COOK RD STE 400, DEERFIELD, 60015, COOK-NOT IN CITY OF CHICAGO Agent 2016-06-20

President

Name and Address Role
OTTO PLACIK, 880 W CENTRAL RD#6100 ARLINGTON HEIGHTS 60005 President

Secretary

Name and Address Role
OTTO PLACIK Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042620843 No data No data REGISTERED MEDICAL CORPORATION No data 2018-04-17 2021-10-28 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BODY SCULPTOR Assume Name 2016-08-10 No data No data No data
AMT SURGICAL SUITES Assume Name 2006-02-15 No data No data No data
PLASTIC SURGERY INFORMATION SERVICE Assume Name 1992-12-14 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 1

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State