| Entity Name: | DANVILLE POLYCLINIC, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 02 Apr 1973 |
| Company Number: | CORP_50210677 |
| File Number: | 50210677 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANVILLE POLYCLINIC, LTD. 401(K) PROFIT SHARING PLAN | 2023 | 370967248 | 2024-10-15 | DANVILLE POLYCLINIC, LTD. | 56 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-15 |
| Name of individual signing | WILLIAM J. BOWEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-15 |
| Name of individual signing | MELISSA EDINGTON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1975-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2174466410 |
| Plan sponsor’s address | 707 N LOGAN AVE, DANVILLE, IL, 618324360 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-10 |
| Name of individual signing | VENKAT E SEKAR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-10-10 |
| Name of individual signing | BREANNE WELLS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1975-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2174466410 |
| Plan sponsor’s address | 707 N LOGAN AVE, DANVILLE, IL, 618324360 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-06 |
| Name of individual signing | VENKAT E SEKAR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-06 |
| Name of individual signing | BREANNE WELLS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1975-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2174466410 |
| Plan sponsor’s address | 707 N LOGAN AVE, DANVILLE, IL, 618324360 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-14 |
| Name of individual signing | VENKAT E SEKAR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MELISSA A EDINGTON, 707 N LOGAN AVE, DANVILLE, 61832, VERMILION | Agent | 1995-09-08 |
| Name and Address | Role |
|---|---|
| WILLIAM J BOWEN MD 707 N LOGAN AVENUE, DANVILLE IL 61832 | President |
| Name and Address | Role |
|---|---|
| AARON EUBANKS MD, 707 N LOGAN, DANVILLE IL, 61832 | Secretary |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| COLLECTION AGENCY | 017000999 | No data | No data | LICENSED COLLECTION AGENCY | No data | 1989-07-22 | 2012-05-11 | 2015-05-31 |
| PROF SERVICE CORP | 060000812 | No data | No data | REGISTERED PROFESSIONAL SERVICE CORPORATION | No data | 1973-04-16 | 2021-10-29 | 2025-01-01 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| BI STATE COLLECTION AGENCY | No data | 1988-12-16 | 2015-06-05 | Voluntary Cancellation | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 10000 | 270000 | No data |
Date of last update: 13 Jan 2025
