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  5. ROCKFORD SURGICAL SERVICE, S.C.

ROCKFORD SURGICAL SERVICE, S.C.

Company Details

Entity Name: ROCKFORD SURGICAL SERVICE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 06 Feb 1967
Date of Dissolution: 28 Sep 2015
Company Number: CORP_47346126
File Number: 47346126
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 28 Sep 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROCKFORD SURGICAL SERVICE, S.C. EMPLOYEE SAVINGS AND PROFIT SHARING PLAN 2015 362615103 2016-10-28 ROCKFORD SURGICAL SERVICE, S.C. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621111
Sponsor’s telephone number 8153977900
Plan sponsor’s address 5668 EAST STATE STREET, ROCKFORD, IL, 61108

Plan administrator’s name and address
Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8152270300

Signature of
Role Plan administrator
Date 2016-10-28
Name of individual signing NICOLE GRUNER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SURGICAL SERVICE, S.C. EMPLOYEE SAVINGS AND PROFIT SHARING PLAN 2015 362615103 2016-11-29 ROCKFORD SURGICAL SERVICE, S.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621111
Sponsor’s telephone number 8153977900
Plan sponsor’s address 5668 EAST STATE STREET, ROCKFORD, IL, 61108

Plan administrator’s name and address
Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8152270300

Signature of
Role Plan administrator
Date 2016-11-29
Name of individual signing NICOLE GRUNER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SURGICAL SERVICE, S.C. EMPLOYEE SAVINGS AND PROFIT SHARING PLAN 2015 362615103 2016-09-19 ROCKFORD SURGICAL SERVICE, S.C. 53
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621111
Sponsor’s telephone number 8153977900
Plan sponsor’s address 5668 EAST STATE STREET, ROCKFORD, IL, 61108

Plan administrator’s name and address
Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8152270300

Signature of
Role Plan administrator
Date 2016-09-19
Name of individual signing NICOLE GRUNER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SURGICAL SERVICE, S.C. EMPLOYEE SAVINGS AND PROFIT SHARING PLAN 2014 362615103 2015-10-15 ROCKFORD SURGICAL SERVICE, S.C. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621111
Sponsor’s telephone number 8153977900
Plan sponsor’s address 5668 EAST STATE STREET, ROCKFORD, IL, 61108

Plan administrator’s name and address
Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8152270300

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing NICOLE GRUNER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SURGICAL SERVICE, S.C. EMPLOYEE SAVINGS AND PROFIT SHARING PLAN 2013 362615103 2014-10-04 ROCKFORD SURGICAL SERVICE, S.C. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621111
Sponsor’s telephone number 8153977900
Plan sponsor’s address 5668 EAST STATE STREET, ROCKFORD, IL, 61108
ROCKFORD SURGICAL SERVICE, S.C. EMPLOYEE SAVINGS AND PROFIT SHARING PLAN 2012 362615103 2013-10-14 ROCKFORD SURGICAL SERVICE, S.C. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621111
Sponsor’s telephone number 8153977900
Plan sponsor’s address 5668 EAST STATE STREET, ROCKFORD, IL, 61108

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing DUANE ZIMMERMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SURGICAL SERVICE, S.C. EMPLOYEE SAVINGS AND PROFIT SHARING PLAN 2011 362615103 2012-10-13 ROCKFORD SURGICAL SERVICE, S.C. 57
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621111
Sponsor’s telephone number 8153977900
Plan sponsor’s address 5668 EAST STATE STREET, ROCKFORD, IL, 61108

Plan administrator’s name and address
Administrator’s EIN 362615103
Plan administrator’s name ROCKFORD SURGICAL SERVICE, S.C.
Plan administrator’s address 5668 EAST STATE STREET, ROCKFORD, IL, 61108
Administrator’s telephone number 8153977900

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing DUANE ZIMMERMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SURGICAL SERVICE, S.C. DEFINED BENEFIT PENSION PLAN 2010 362615103 2011-12-06 ROCKFORD SURGICAL SERVICE, S.C. 54
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8153977900
Plan sponsor’s address 5668 EAST STATE STREET, ROCKFORD, IL, 611082464

Plan administrator’s name and address
Administrator’s EIN 362615103
Plan administrator’s name ROCKFORD SURGICAL SERVICE, S.C.
Plan administrator’s address 5668 EAST STATE STREET, ROCKFORD, IL, 611082464
Administrator’s telephone number 8153977900

Signature of
Role Plan administrator
Date 2011-12-06
Name of individual signing LARRY BUTCHER PREPARER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SURGICAL SERVICE, S.C. EMPLOYEE SAVINGS AND PROFIT SHARING PLAN 2010 362615103 2011-10-14 ROCKFORD SURGICAL SERVICE, S.C. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621111
Sponsor’s telephone number 8153977900
Plan sponsor’s address 5668 EAST STATE STREET, ROCKFORD, IL, 61108

Plan administrator’s name and address
Administrator’s EIN 362615103
Plan administrator’s name ROCKFORD SURGICAL SERVICE, S.C.
Plan administrator’s address 5668 EAST STATE STREET, ROCKFORD, IL, 61108
Administrator’s telephone number 8153977900

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing DUANE ZIMMERMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SURGICAL SERVICE, S.C. DEFINED BENEFIT PENSION PLAN 2010 362615103 2011-08-09 ROCKFORD SURGICAL SERVICE, S.C. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8153977900
Plan sponsor’s address 5668 EAST STATE STREET, ROCKFORD, IL, 611082464

Plan administrator’s name and address
Administrator’s EIN 362615103
Plan administrator’s name ROCKFORD SURGICAL SERVICE, S.C.
Plan administrator’s address 5668 EAST STATE STREET, ROCKFORD, IL, 611082464
Administrator’s telephone number 8153977900

Signature of
Role Plan administrator
Date 2011-08-09
Name of individual signing LARRY BUTCHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFFREY A BARTEAU, 5668 E STATE SUITE 1000, ROCKFORD, 61108, WINNEBAGO Agent 2014-01-29

President

Name and Address Role
JEFFREY A BARTEAU, 5668 E STATE ST ROCKFORD 61108 President

Historical Names

Name Change Date
THE ROCKFORD SURGICAL SERVICE, S. C. 1981-11-09

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 6000 882000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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