| Entity Name: | DECATUR FAMILY MEDICAL GROUP, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 20 Apr 1970 |
| Date of Dissolution: | 01 Sep 1999 |
| Company Number: | CORP_49651805 |
| File Number: | 49651805 |
| Date Status Change: | 01 Sep 1999 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VALUE AUTO MART INC. SALARY SAVINGS PLAN | 2011 | 362667828 | 2012-06-07 | VALUE AUTO MART INC. | 20 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 362667828 |
| Plan administrator’s name | VALUE AUTO MART INC. |
| Plan administrator’s address | 2734 N CICERO AVENUE, CHICAGO, IL, 60639 |
| Administrator’s telephone number | 7736377575 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-07 |
| Name of individual signing | DAVID SAMUELS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 1995-01-01 |
| Business code | 441120 |
| Sponsor’s telephone number | 7736377575 |
| Plan sponsor’s address | 2734 N CICERO AVENUE, CHICAGO, IL, 60639 |
Plan administrator’s name and address
| Administrator’s EIN | 362667828 |
| Plan administrator’s name | VALUE AUTO MART INC. |
| Plan administrator’s address | 2734 N CICERO AVENUE, CHICAGO, IL, 60639 |
| Administrator’s telephone number | 7736377575 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-08 |
| Name of individual signing | DAVID SAMUELS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JACK O SPICER, 1770 E LAKE SHORE DR #105, DECATUR, 62521, MACON | Agent | 1990-04-26 |
| Name and Address | Role |
|---|---|
| DALE K JONES, 2224 WESTERN DR DECATUR 62521 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| MEDICAL CORP | 042000777 | No data | No data | REGISTERED MEDICAL CORPORATION | No data | 1998-01-01 | No data | 1999-01-01 |
| Name | Change Date |
|---|---|
| SPICER, JONES & RADEMACER, LTD. | 1989-11-09 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10000 | 1200000 | No data |
Date of last update: 23 Jan 2025
