| Entity Name: | FITZSIMMONS SURGICAL SUPPLY, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Foreign BCA |
| Status: | Goodstanding |
| Date Formed: | 05 Jan 1981 |
| Company Number: | CORP_52262232 |
| File Number: | 52262232 |
| Address | 6428 N MILWAUKEE AVE 1ST, CHICAGO, IL, 60631 |
| Place of Formation: | DELAWARE |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FITZSIMMONS SURGICAL SUPPLY, INC. PROFIT SHARING TRUST | 2011 | 362677861 | 2013-03-11 | FITZSIMMONS SURGICAL SUPPLY, INC. | 154 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 362677861 |
| Plan administrator’s name | FITZSIMMONS SURGICAL SUPPLY, INC. |
| Plan administrator’s address | PO BOX 1127, TINLEY PARK, IL, 60477 |
| Administrator’s telephone number | 7085321199 |
Number of participants as of the end of the plan year
| Active participants | 121 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 20 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 88 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-03-11 |
| Name of individual signing | THOMAS FITZSIMMONS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-03-11 |
| Name of individual signing | THOMAS FITZSIMMONS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 502 |
| Effective date of plan | 2009-05-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 7085321199 |
| Plan sponsor’s mailing address | 8000 W 186TH ST, TINLEY PARK, IL, 60487 |
| Plan sponsor’s address | 8000 W 186TH ST, TINLEY PARK, IL, 60487 |
Plan administrator’s name and address
| Administrator’s EIN | 362677861 |
| Plan administrator’s name | FITZSIMMONS SURGICAL SUPPLY, INC. |
| Plan administrator’s address | 8000 W 186TH ST, TINLEY PARK, IL, 60487 |
| Administrator’s telephone number | 7085321199 |
Number of participants as of the end of the plan year
| Active participants | 126 |
Signature of
| Role | Employer/plan sponsor |
| Date | 2010-07-14 |
| Name of individual signing | THOMAS FITZSIMMONS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MARK R. RAYMOND, 1515 E WOODFIELD RD STE 250, SCHAUMBURG, 60173, COOK-NOT IN CITY OF CHICAGO | Agent | 2023-09-18 |
| Name and Address | Role | Account Number |
|---|---|---|
| JAMES FITZSIMMONS 8000 W 186TH ST TINLEY PARK 60487 | President | No data |
| JAMES L FITZSIMMONS | President | 62907 |
| Name and Address | Role | Account Number |
|---|---|---|
| THOMAS J FITZSIMMONS | Secretary | 62907 |
| THOMAS FITZSIMMONS | Secretary | No data |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| HME AND SERVICES PROV | 203002525 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2020-03-06 | 2024-01-04 | 2027-03-31 |
| HME AND SERVICES PROV | 203002507 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2020-01-14 | 2024-01-04 | 2027-03-31 |
| BUSINESS LICENSE | 9799 | Issued | 1010 | Limited Business License | No data | 2012-07-02 | 2012-08-16 | 2014-08-15 |
| BUSINESS LICENSE | 6846 | Issued | 1010 | Limited Business License | No data | 2011-05-23 | 2011-04-16 | 2013-04-15 |
| HME AND SERVICES PROV | 203000299 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2001-08-09 | 2012-01-04 | 2015-03-31 |
| HME AND SERVICES PROV | 203000306 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2001-08-09 | 2012-01-04 | 2015-03-31 |
| HME AND SERVICES PROV | 203000298 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2001-08-09 | 2024-01-04 | 2027-03-31 |
| HME AND SERVICES PROV | 203000303 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2001-08-09 | 2012-01-04 | 2015-03-31 |
| HME AND SERVICES PROV | 203000302 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2001-08-09 | 2024-01-04 | 2027-03-31 |
| HME AND SERVICES PROV | 203000304 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2001-08-09 | 2006-01-19 | 2009-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| FITZSIMMONS HOME MEDICAL EQUIPMENT | Assume Name | 2005-03-30 | No data | No data | No data |
| FITZSIMMONS HOSPITAL SERVICES | Assume Name | 2005-03-30 | No data | No data | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 100 | 100000 | No data |
Date of last update: 23 Dec 2024
