| Entity Name: | TAYLORVILLE MEMORIAL HOSPITAL |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 29 Nov 1948 |
| Company Number: | CORP_31014671 |
| File Number: | 31014671 |
| Type of Business: | Charitable or benevolent |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| JLK4MLNDNMM5 | 2024-08-17 | 201 E PLEASANT ST, TAYLORVILLE, IL, 62568, 1562, USA | 201 E PLEASANT, TAYLORVILLE, IL, 62568, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | SAINT VINCENT MEMORIAL HOSPITIAL |
| Congressional District | 15 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-08-22 |
| Initial Registration Date | 2016-06-16 |
| Entity Start Date | 1906-10-01 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JOE ENLOW |
| Address | 201 E PLEASANT ST, TAYLORVILLE, IL, 62568, USA |
| Title | ALTERNATE POC |
| Name | KATHRYN J KEIM |
| Address | 701 N FIRST ST, SPRINGFIELD, IL, 62781, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JOE ENLOW |
| Address | 201 E PLEASANT ST, TAYLORVILLE, IL, 62568, USA |
| Title | ALTERNATE POC |
| Name | KATHRYN J KEIM |
| Address | 701 N FIRST ST, SPRINGFIELD, IL, 62781, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | KATHRYN J KEIM |
| Address | 701 N FIRST ST, SPRINGFIELD, IL, 62781, USA |
| Title | ALTERNATE POC |
| Name | AMY FISHER |
| Address | 701 N 1ST ST, SPRINGFIELD, IL, 62781, USA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAYLORVILLE MEMORIAL HOSPITAL RETIREMENT PLAN & TRUST | 2014 | 370661250 | 2015-04-14 | TAYLORVILLE MEMORIAL HOSPITAL | 375 | |||||||||||||||||||||||||||||||||||||||||||||||
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| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| 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 | 0 |
| 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 | 2015-04-14 |
| Name of individual signing | KIMBERLY BOURNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2015-04-14 |
| Name of individual signing | ANDREW COSTIC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ANNA EVANS, 340 W. MILLER STREET, SPRINGFIELD, 62702, SANGAMON | Agent | 2022-08-24 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054017423 | No data | No data | LICENSED PHARMACY | No data | 2010-04-01 | 2024-01-11 | 2026-03-31 |
| PHARMACY | 059013387 | No data | No data | LICENSED DIVISION III PHARMACY | No data | 1997-04-28 | 2008-01-10 | 2010-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| TAYLORVILLE MEMORIAL HOSPITAL AUXILIARY | NFP Assume Name | 2021-07-29 | No data | No data | No data |
| IN-HOME MEDICAL EQUIPMENT | No data | 1992-04-07 | 2006-04-01 | Involuntary Cancellation | No data |
| Name | Change Date |
|---|---|
| ST. VINCENT MEMORIAL HOSPITAL | 2007-05-01 |
Date of last update: 13 Jan 2025
