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CITY CENTRE DECATUR

Company Details

Entity Name: CITY CENTRE DECATUR
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 28 Mar 1958
Date of Dissolution: 13 Aug 2010
Company Number: CORP_37660370
File Number: 37660370
Date Status Change: 13 Aug 2010
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2012 431905678 2013-06-28 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address

Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of

Role Plan administrator
Date 2013-06-28
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2011 431905678 2012-05-25 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address

Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of

Role Plan administrator
Date 2012-05-25
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2011 431905678 2012-04-30 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 12
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address

Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of

Role Plan administrator
Date 2012-04-30
Name of individual signing KELLIE GODIER
Valid signature Filed with incorrect/unrecognized electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2011 431905678 2012-04-24 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 12
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address

Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of

Role Plan administrator
Date 2012-04-24
Name of individual signing KELLIE GODIER
Valid signature Filed with incorrect/unrecognized electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2010 431905678 2011-06-10 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address

Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of

Role Plan administrator
Date 2011-06-10
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2010 431905678 2011-03-07 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 10
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address

Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of

Role Plan administrator
Date 2011-03-07
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2009 431905678 2010-06-21 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address

Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of

Role Plan administrator
Date 2010-06-21
Name of individual signing VALERA JACKSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KATHRINE HAZEL-JACKSON, 250 N WATER STE 501, DECATUR, 62523, MACON Agent 2004-07-30

Historical Names

Name Change Date
DOWNTOWN DECATUR COUNCIL, INC. 2007-11-27

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State