| Entity Name: | HENDERSON OBSTETRICS S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 16 Jul 1970 |
| Date of Dissolution: | 01 Dec 1994 |
| Company Number: | CORP_49691157 |
| File Number: | 49691157 |
| Date Status Change: | 01 Dec 1994 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAMELOT RADIOLOGY ASSOCIATES, LTD. CASH BALANCE PLAN | 2009 | 362671677 | 2012-10-24 | CAMELOT RADIOLOGY ASSOCIATES, LTD | 1 | |||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 362671677 |
| Plan administrator’s name | CAMELOT RADIOLOGY ASSOCIATES, LTD |
| Plan administrator’s address | 3849 N. PERRYVILLE ROAD, ROCKFORD, IL, 61114 |
| Administrator’s telephone number | 8153975554 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-24 |
| Name of individual signing | REBECCA STEMM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2004-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8153975554 |
| Plan sponsor’s DBA name | C/O NORTHERN ILLINOIS RADIOLOGY |
| Plan sponsor’s address | 3849 N. PERRYVILLE ROAD, ROCKFORD, IL, 61114 |
Plan administrator’s name and address
| Administrator’s EIN | 362667167 |
| Plan administrator’s name | CAMELOT RADIOLOGY ASSOCIATES, LTD. |
| Plan administrator’s address | 3849 N. PERRYVILLE ROAD, ROCKFORD, IL, 61114 |
| Administrator’s telephone number | 8153975554 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-19 |
| Name of individual signing | REBECCA STEMM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| WILLIAM P HENDERSON, 1505 EASTLAND DR STE 360, BLOOMINGTON, 61701, MC LEAN | Agent | 1991-02-22 |
| Name and Address | Role |
|---|---|
| WILLIAM HENDERSON, 1505 EASTLAND DR, BLOOMINGTON 61701 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 10000 | 100000 | No data |
Date of last update: 13 Jan 2025
