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  5. BELLEVILLE FAMILY MEDICAL ASSOCIATES LTD.

BELLEVILLE FAMILY MEDICAL ASSOCIATES LTD.

Company Details

Entity Name: BELLEVILLE FAMILY MEDICAL ASSOCIATES LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 08 Oct 1969
Company Number: CORP_49565879
File Number: 49565879
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2018 370917186 2019-08-30 BELLEVILLE FAMILY MEDICAL ASSOCIATES. LTD 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-01-04
Business code 621111
Sponsor’s telephone number 6182342566
Plan sponsor’s address 311 W LINCOLN ST STE 300, BELLEVILLE, IL, 622201902

Signature of
Role Plan administrator
Date 2019-08-30
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-30
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2017 370917186 2018-07-24 BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-01-04
Business code 621111
Sponsor’s telephone number 6182342566
Plan sponsor’s address 311 W LINCOLN ST STE 300, BELLEVILLE, IL, 622201902

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-24
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2016 370917186 2017-07-27 BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-01-04
Business code 621111
Sponsor’s telephone number 6182342566
Plan sponsor’s DBA name TRAGESSER & ASSOCIATES, P
Plan sponsor’s address 311 W LINCOLN ST STE 300, BELLEVILLE, IL, 622201902

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2015 370917186 2016-06-29 BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-01-04
Business code 621111
Sponsor’s telephone number 6182342566
Plan sponsor’s address 311 W LINCOLN ST STE 300, BELLEVILLE, IL, 622201902

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-29
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2014 370917186 2015-07-27 BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-01-04
Business code 621111
Sponsor’s telephone number 6182342566
Plan sponsor’s address 311 W LINCOLN SUITE 300, BELLEVILLE, IL, 62220

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2013 370917186 2014-07-30 BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-01-04
Business code 621111
Sponsor’s telephone number 6182342566
Plan sponsor’s address 311 W LINCOLN SUITE 300, BELLEVILLE, IL, 62220

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2011 370917186 2012-07-30 BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-01-04
Business code 621111
Sponsor’s telephone number 6182342566
Plan sponsor’s address 311 W. LINCOLN, SUITE 300, BELLEVILLE, IL, 62220

Plan administrator’s name and address
Administrator’s EIN 370917186
Plan administrator’s name BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD.
Plan administrator’s address 311 W. LINCOLN, SUITE 300, BELLEVILLE, IL, 62220
Administrator’s telephone number 6182342566

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing DOUGLAS DESPAIN
Valid signature Filed with authorized/valid electronic signature
BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD. PROFIT SHARINGPLAN 2010 370917186 2011-10-14 BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-01-04
Business code 621111
Sponsor’s telephone number 6182342566
Plan sponsor’s address 311 WEST LINCOLN SUITE 300, BELLEVILLE, IL, 62220

Plan administrator’s name and address
Administrator’s EIN 370917186
Plan administrator’s name BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD
Plan administrator’s address 311 WEST LINCOLN SUITE 300, BELLEVILLE, IL, 62220
Administrator’s telephone number 6182342566

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing DOMINIC MADURI
Valid signature Filed with authorized/valid electronic signature
BELLEVILLE FAMILY MEDICAL ASSOCIATES LTD PROFIT SHARING PLAN 2009 370917186 2010-07-29 BELLEVILLE FAMILY MEDICAL ASSOCIATES, LTD 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-01-04
Business code 621111
Sponsor’s telephone number 6182342566
Plan sponsor’s address 311 WEST LINCOLN SUITE 300, BELLEVILLE, IL, 62220

Plan administrator’s name and address
Administrator’s EIN 370917186
Plan administrator’s name BELLEVILLE FAMILY MEDICAL ASSOCIATES LTD
Plan administrator’s address 311 WEST LINCOLN SUITE 300, BELLEVILLE, IL, 62220
Administrator’s telephone number 6182342566

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing JOHN BOEREN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LORRAINE CAVATAIO, 475 REGENCY PARK, SUITE 310, O'FALLON, 62269, ST. CLAIR Agent 2021-02-24

President

Name and Address Role
DOUGLAS C DESPAIN, 860 CABIN CREEK, FREEBURG, IL, 62243 President

Secretary

Name and Address Role
DOUGLAS C DESPAIN 860 CABIN CREEK FREEBURG, IL 62243 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042000559 No data No data REGISTERED MEDICAL CORPORATION No data 1998-01-01 2021-11-11 2025-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 600 450000 No data

Related by officers

LORRAINE CAVATAIO, 475 REGENCY PARK, SUITE 310, O'FALLON, 62269, ST. CLAIR

JACK AND JILL CHILD DEVELOPMENT CENTER, INC. HOMETOWN HARDWARE OF BELLEVILLE, INC. SOUTHERN ILLINOIS CRANKSHAFT, INC. ST. CLAIR COUNTY BAR FOUNDATION LOWE CONSULTING, LTD. SPRA CORP. KEITH WILKEN INSURANCE AGENCY, INC. RW EQUITY, INC. TERRON ARMSTEAD FOUNDATION

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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