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  5. HARRISBURG MEDICAL CENTER, INC.

HARRISBURG MEDICAL CENTER, INC.

Company Details

Entity Name: HARRISBURG MEDICAL CENTER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 18 Oct 1974
Company Number: CORP_50536025
File Number: 50536025
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FSH5KX16SG96 2025-01-21 100 DR WARREN TUTTLE DR, HARRISBURG, IL, 62946, 2718, USA P O BOX 428, HARRISBURG, IL, 62946, 0428, USA

Business Information
URL harrisburgmc.com
Congressional District 12
State/Country of Incorporation IL, USA
Activation Date 2024-02-05
Initial Registration Date 2003-11-14
Entity Start Date 1974-10-01
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 622110, 622210

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JENNIFER DURHAM
Role PFS DIRECTOR
Address 100 DR WARREN TUTTLE DRIVE, PO BOX 428, HARRISBURG, IL, 62946, 2718, USA
Title ALTERNATE POC
Name JUNE HAYES
Role DIRECTOR OF FINANCE
Address 100 DR WARREN TUTTLE DRIVE, HARRISBURG, IL, 62946, 2718, USA
Government Business
Title PRIMARY POC
Name JENNIFER DURHAM
Role PFS DIRECTOR
Address 100 DR WARREN TUTTLE DRIVE, PO BOX 428, HARRISBURG, IL, 62946, 2718, USA
Title ALTERNATE POC
Name JUNE HAYES
Role DIRECTOR OF FINANCE
Address 100 DR WARREN TUTTLE DRIVE, HARRISBURG, IL, 62946, 2718, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARRISBURG MEDICAL CENTER WELFARE BENEFIT PROGRAM 2011 237426289 2013-01-10 HARRISBURG MEDICAL CENTER INC. 394
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 6182537671
Plan sponsor’s mailing address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Plan sponsor’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428

Plan administrator’s name and address
Administrator’s EIN 237426289
Plan administrator’s name HARRISBURG MEDICAL CENTER INC.
Plan administrator’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Administrator’s telephone number 6182537671

Number of participants as of the end of the plan year
Active participants 416
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 8

Signature of
Role Plan administrator
Date 2013-01-10
Name of individual signing RODNEY SMITH
Valid signature Filed with authorized/valid electronic signature
HARRISBURG MEDICAL CENTER WELFARE BENEFIT PROGRAM 2011 237426289 2013-01-10 HARRISBURG MEDICAL CENTER INC. 395
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 6182537671
Plan sponsor’s mailing address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Plan sponsor’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428

Plan administrator’s name and address
Administrator’s EIN 237426289
Plan administrator’s name HARRISBURG MEDICAL CENTER INC.
Plan administrator’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Administrator’s telephone number 6182537671

Number of participants as of the end of the plan year
Active participants 378
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 5

Signature of
Role Plan administrator
Date 2013-01-10
Name of individual signing RODNEY SMITH
Valid signature Filed with authorized/valid electronic signature
HARRISBURG MEDICAL CENTER WELFARE BENEFIT PROGRAM 2011 237426289 2013-01-10 HARRISBURG MEDICAL CENTER INC. 407
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 6182537671
Plan sponsor’s mailing address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Plan sponsor’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428

Plan administrator’s name and address
Administrator’s EIN 237426289
Plan administrator’s name HARRISBURG MEDICAL CENTER INC.
Plan administrator’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Administrator’s telephone number 6182537671

Number of participants as of the end of the plan year
Active participants 388
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 5

Signature of
Role Plan administrator
Date 2013-01-10
Name of individual signing RODNEY SMITH
Valid signature Filed with authorized/valid electronic signature
HARRISBURG MEDICAL CENTER WELFARE BENEFIT PROGRAM 2011 237426289 2013-01-10 HARRISBURG MEDICAL CENTER INC. 359
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 6182537671
Plan sponsor’s mailing address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Plan sponsor’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428

Plan administrator’s name and address
Administrator’s EIN 237426289
Plan administrator’s name HARRISBURG MEDICAL CENTER INC.
Plan administrator’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Administrator’s telephone number 6182537671

Number of participants as of the end of the plan year
Active participants 397
Retired or separated participants receiving benefits 7
Other retired or separated participants entitled to future benefits 8

Signature of
Role Plan administrator
Date 2013-01-10
Name of individual signing RODNEY SMITH
Valid signature Filed with authorized/valid electronic signature
HARRISBURG MEDICAL CENTER WELFARE BENEFIT PROGRAM 2011 237426289 2013-01-10 HARRISBURG MEDICAL CENTER INC. 348
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 6182537671
Plan sponsor’s mailing address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Plan sponsor’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428

Plan administrator’s name and address
Administrator’s EIN 237426289
Plan administrator’s name HARRISBURG MEDICAL CENTER INC.
Plan administrator’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Administrator’s telephone number 6182537671

Number of participants as of the end of the plan year
Active participants 348
Retired or separated participants receiving benefits 5
Other retired or separated participants entitled to future benefits 6

Signature of
Role Plan administrator
Date 2013-01-10
Name of individual signing RODNEY SMITH
Valid signature Filed with authorized/valid electronic signature
HARRISBURG MEDICAL CENTER WELFARE BENEFIT PROGRAM 2010 237426289 2013-01-10 HARRISBURG MEDICAL CENTER INC. 390
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 6182537671
Plan sponsor’s mailing address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Plan sponsor’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428

Plan administrator’s name and address
Administrator’s EIN 237426289
Plan administrator’s name HARRISBURG MEDICAL CENTER INC.
Plan administrator’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Administrator’s telephone number 6182537671

Number of participants as of the end of the plan year
Active participants 386
Retired or separated participants receiving benefits 6
Other retired or separated participants entitled to future benefits 2

Signature of
Role Plan administrator
Date 2013-01-10
Name of individual signing RODNEY SMITH
Valid signature Filed with authorized/valid electronic signature
HARRISBURG MEDICAL CENTER WELFARE BENEFIT PROGRAM 2009 237426289 2013-01-10 HARRISBURG MEDICAL CENTER INC. 385
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2005-01-01
Business code 622000
Sponsor’s telephone number 6182537671
Plan sponsor’s mailing address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Plan sponsor’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428

Plan administrator’s name and address
Administrator’s EIN 237426289
Plan administrator’s name HARRISBURG MEDICAL CENTER INC.
Plan administrator’s address 100 DR. WARREN TUTTLE DRIVE, P.O. BOX 428, HARRISBURG, IL, 629460428
Administrator’s telephone number 6182537671

Number of participants as of the end of the plan year
Active participants 380
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 6

Signature of
Role Plan administrator
Date 2013-01-10
Name of individual signing RODNEY SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN DALY, 1239 E MAIN STREET POB 3988, CARBONDALE, 62901, JACKSON Agent 2021-07-30

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054022054 No data No data LICENSED PHARMACY No data 2022-01-24 2024-01-31 2026-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
EQUALITY FAMILY PRACTICE No data 2010-12-22 2021-03-01 Involuntary Cancellation No data
ELDORADO PRIMARY CARE No data 2010-12-22 2021-03-01 Involuntary Cancellation No data

Related by officers

JOHN DALY, 1239 E MAIN STREET POB 3988, CARBONDALE, 62901, JACKSON

HARRISBURG MEDICAL CENTER 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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