Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Sangamon
    4. ›
  4. 62704
    5. ›
  5. JACKSONVILLE CONVALESCENT CENTER, INC.

JACKSONVILLE CONVALESCENT CENTER, INC.

Company Details

Entity Name: JACKSONVILLE CONVALESCENT CENTER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Revoked
Date Formed: 26 Jun 1974
Company Number: CORP_50471608
File Number: 50471608
Date Status Change: 10 Nov 2017
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSONVILLE CONVALESCENT CENTER RETIREMENT PLAN 2014 370983545 2015-06-23 JACKSONVILLE CONVALESCENT CENTER 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN, SPRINGFIELD, IL, 62704
Plan sponsor’s address 850 S DURKIN, SPRINGFIELD, IL, 62704

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
JACKSONVILLE CONVALESCENT CENTER RETIREMENT PLAN 2013 370983545 2014-06-16 JACKSONVILLE CONVALESCENT CENTER 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN, SPRINGFIELD, IL, 62704
Plan sponsor’s address 850 S DURKIN, SPRINGFIELD, IL, 62704

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
JACKSONVILLE CONVALESCENT CENTER RETIREMENT PLAN 2012 370983545 2013-07-09 JACKSONVILLE CONVALESCENT CENTER 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN, SPRINGFIELD, IL, 62704
Plan sponsor’s address 850 S DURKIN, SPRINGFIELD, IL, 62704

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing DWAN GROSS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE CONVALESCENT CENTER RETIREMENT PLAN 2011 370983545 2012-07-31 JACKSONVILLE CONVALESCENT CENTER 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN, SPRINGFIELD, IL, 62704
Plan sponsor’s address 850 S DURKIN, SPRINGFIELD, IL, 62704

Plan administrator’s name and address
Administrator’s EIN 370983545
Plan administrator’s name JACKSONVILLE CONVALESCENT CENTER
Plan administrator’s address 850 S DURKIN, SPRINGFIELD, IL, 62704
Administrator’s telephone number 2175467575

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing DWAN GROSS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE CONVALESCENT CENTER RETIREMENT PLAN 2010 370983545 2011-07-29 JACKSONVILLE CONVALESCENT CENTER 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2177878530
Plan sponsor’s mailing address 2653 W LAWRENCE AVE, SPRINGFIELD, IL, 62704
Plan sponsor’s address 1517 W WALNUT, JACKSONVILLE, IL, 62650

Plan administrator’s name and address
Administrator’s EIN 370983545
Plan administrator’s name JACKSONVILLE CONVALESCENT CENTER
Plan administrator’s address 2653 W LAWRENCE AVE, SPRINGFIELD, IL, 62704
Administrator’s telephone number 2177878530

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing DWAN GROSS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE CONVALESCENT CENTER RETIREMENT PLAN 2009 370983545 2010-06-15 JACKSONVILLE CONVALESCENT CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2177878530
Plan sponsor’s mailing address 2653 W LAWRENCE AVE, SPRINGFIELD, IL, 62704
Plan sponsor’s address 1517 W WALNUT, JACKSONVILLE, IL, 62650

Plan administrator’s name and address
Administrator’s EIN 370983545
Plan administrator’s name JACKSONVILLE CONVALESCENT CENTER
Plan administrator’s address 2653 W LAWRENCE AVE, SPRINGFIELD, IL, 62704
Administrator’s telephone number 2177878530

Number of participants as of the end of the plan year
Active participants 14
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-06-15
Name of individual signing DWAN GROSS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JERRY W JENNINGS, 850 SOUTH DURKIN DR, SPRINGFIELD, 62704, SANGAMON Agent 2012-05-22

President

Name and Address Role
JERRY W JENNINGS, 416 NATCHEZTRACE SPRINGFIELD 62707 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 2000 160000 No data

Related by officers

JERRY W JENNINGS, 416 NATCHEZTRACE SPRINGFIELD 62707

MEADOW MANOR WEST, INC.

JERRY W JENNINGS, 850 SOUTH DURKIN DR, SPRINGFIELD, 62704, SANGAMON

HILLTOP NURSING HOME, INC. MEADOW MANOR INCORPORATED MENARD CONVALESCENT CENTER INCORPORATED MEADOW MANOR WEST, INC.

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 ilorg.com, Part of Big Data Integrated