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  5. PROTESTANT MEMORIAL MEDICAL CENTER, INC.

PROTESTANT MEMORIAL MEDICAL CENTER, INC.

Company Details

Entity Name: PROTESTANT MEMORIAL MEDICAL CENTER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 04 Aug 1947
Company Number: CORP_29982171
File Number: 29982171
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
KWBMAEEMUK21 2024-09-05 4500 MEMORIAL HOSPITAL, BELLEVILLE, IL, 62223, USA 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226, USA

Business Information
Congressional District 13
State/Country of Incorporation IL, USA
Activation Date 2023-09-08
Initial Registration Date 2010-06-17
Entity Start Date 1958-05-01
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LISA MCDONALD
Address 4249 CLAYTON AVENUE, SUITE 316 MS 90-67-818, ST. LOUIS, MO, 63110, USA
Title ALTERNATE POC
Name LISA HOWELL
Address 4249 CLAYTON AVENUE, SUITE 316 MS 90-67-818, ST. LOUIS, MO, 63110, USA
Government Business
Title PRIMARY POC
Name LISA MCDONALD
Address 4249 CLAYTON AVENUE, SUITE 316 MS 90-67-818, ST. LOUIS, MO, 63110, USA
Title ALTERNATE POC
Name LISA HOWELL
Address 4249 CLAYTON AVENUE, SUITE 316 MS 90-67-818, ST. LOUIS, MO, 63110, USA
Past Performance
Title PRIMARY POC
Name LISA MCDONALD
Address 4249 CLAYTON AVENUE, SUITE 316 MS 90-67-818, ST. LOUIS, MO, 63110, USA
Title ALTERNATE POC
Name LISA HOWELL
Address 4249 CLAYTON AVENUE, SUITE 316 MS 90-67-818, ST. LOUIS, MO, 63110, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEMORIAL HOSPITAL LIFE INSURANCE AD&D PLAN 2015 370635502 2016-08-30 PROTESTANT MEMORIAL MEDICAL CENTER, INC. 1588
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1967-05-01
Business code 622000
Sponsor’s telephone number 6182337750
Plan sponsor’s mailing address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226
Plan sponsor’s address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226

Number of participants as of the end of the plan year
Active participants 2245

Signature of
Role Plan administrator
Date 2016-08-30
Name of individual signing AMY THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-30
Name of individual signing AMY THOMAS
Valid signature Filed with authorized/valid electronic signature
PROTESTANT MEMORIAL MEDICAL CENTER, INC. EMPLOYEE HEALTH CARE PLAN 2015 370635502 2016-08-30 PROTESTANT MEMORIAL MEDICAL CENTER, INC. 2425
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-05-19
Business code 622000
Sponsor’s telephone number 6182337750
Plan sponsor’s mailing address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226
Plan sponsor’s address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226

Number of participants as of the end of the plan year
Active participants 3188
Retired or separated participants receiving benefits 17

Signature of
Role Plan administrator
Date 2016-08-30
Name of individual signing AMY THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-30
Name of individual signing AMY THOMAS
Valid signature Filed with authorized/valid electronic signature
PROTESTANT MEMORIAL MEDICAL CENTER, INC. FLEX LONG TERM DISABILITY PLAN 2015 370635502 2016-08-30 PROTESTANT MEMORIAL MEDICAL CENTER, INC. 1379
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2002-06-01
Business code 622000
Sponsor’s telephone number 6182337750
Plan sponsor’s mailing address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226
Plan sponsor’s address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226

Number of participants as of the end of the plan year
Active participants 1425

Signature of
Role Plan administrator
Date 2016-08-30
Name of individual signing AMY THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-30
Name of individual signing AMY THOMAS
Valid signature Filed with authorized/valid electronic signature
PROTESTANT MEMORIAL MEDICAL CENTER, INC. LT CARE PLAN 2015 370635502 2016-08-30 PROTESTANT MEMORIAL MEDICAL CENTER, INC. 178
File View Page
Three-digit plan number (PN) 507
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 6182337750
Plan sponsor’s mailing address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226
Plan sponsor’s address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226

Number of participants as of the end of the plan year
Active participants 163

Signature of
Role Plan administrator
Date 2016-08-30
Name of individual signing AMY THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-30
Name of individual signing AMY THOMAS
Valid signature Filed with authorized/valid electronic signature
PROTESTANT MEMORIAL MEDICAL CENTER, INC. EMPLOYEE HEALTH CARE PLAN 2014 370635502 2015-10-02 PROTESTANT MEMORIAL MEDICAL CENTER, INC. 2271
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-05-19
Business code 622000
Sponsor’s telephone number 6182337750
Plan sponsor’s mailing address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226
Plan sponsor’s address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226

Number of participants as of the end of the plan year
Active participants 2271
Retired or separated participants receiving benefits 23

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-02
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
PROTESTANT MEMORIAL MEDICAL CENTER, INC. EMPLOYEE HEALTH CARE PLAN 2014 370635502 2015-10-02 PROTESTANT MEMORIAL MEDICAL CENTER, INC. 1607
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-05-19
Business code 622000
Sponsor’s telephone number 6182337750
Plan sponsor’s mailing address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226
Plan sponsor’s address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226

Number of participants as of the end of the plan year
Active participants 2239
Retired or separated participants receiving benefits 32

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-02
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
PROTESTANT MEMORIAL MEDICAL CENTER, INC. EMPLOYEE HEALTH CARE PLAN 2014 370635502 2015-10-08 PROTESTANT MEMORIAL MEDICAL CENTER, INC. 2554
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-05-19
Business code 622000
Sponsor’s telephone number 6182337750
Plan sponsor’s mailing address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226
Plan sponsor’s address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226

Number of participants as of the end of the plan year
Active participants 2408
Retired or separated participants receiving benefits 17

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
MEMORIAL HOSPITAL LIFE INSURANCE AD&D PLAN 2014 370635502 2015-10-08 PROTESTANT MEMORIAL MEDICAL CENTER, INC. 1728
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1967-05-01
Business code 622000
Sponsor’s telephone number 6182337750
Plan sponsor’s mailing address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226
Plan sponsor’s address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226

Number of participants as of the end of the plan year
Active participants 1588

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
PROTESTANT MEMORIAL MEDICAL CENTER, INC. FLEX LONG TERM DISABILITY PLAN 2014 370635502 2015-10-08 PROTESTANT MEMORIAL MEDICAL CENTER, INC. 1248
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2002-06-01
Business code 622000
Sponsor’s telephone number 6182337750
Plan sponsor’s mailing address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226
Plan sponsor’s address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226

Number of participants as of the end of the plan year
Active participants 1379

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
PROTESTANT MEMORIAL MEDICAL CENTER, INC. LT CARE PLAN 2014 370635502 2015-10-08 PROTESTANT MEMORIAL MEDICAL CENTER, INC. 305
File View Page
Three-digit plan number (PN) 507
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 6182337750
Plan sponsor’s mailing address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226
Plan sponsor’s address 4500 MEMORIAL DRIVE, BELLEVILLE, IL, 62226

Number of participants as of the end of the plan year
Active participants 178

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing JOE LANIUS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON Agent 2017-07-24

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054022888 No data No data LICENSED PHARMACY No data 2024-07-03 2024-07-03 2026-03-31
PHARMACY 054019814 No data No data LICENSED PHARMACY No data 2016-03-09 2024-01-31 2026-03-31
PHARMACY 054019570 No data No data LICENSED PHARMACY No data 2016-02-03 2024-01-11 2026-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
MEMORIAL HOSPITAL HOME CARE No data 2011-02-23 2020-08-06 Voluntary Cancellation No data
MEMORIAL CARE CENTER NFP Assume Name 2010-01-22 No data No data No data

Historical Names

Name Change Date
THE PROTESTANT HOSPITAL BUILDERS CLUB, INCORPORATED 1985-10-08

Related by officers

ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON

SARGENT & LUNDY, L.L.C. DIEBOLD NIXDORF, INCORPORATED THE SHERWIN-WILLIAMS COMPANY BENJAMIN MOORE & CO. BUSINESS PROPERTY LENDING, INC. NORFOLK SOUTHERN RAILWAY COMPANY ALIGHT FINANCIAL SOLUTIONS, LLC MAPLE BROOK, L.L.C. INVESTMENT 10 L.L.C. ALIGHT SOLUTIONS LLC

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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