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  5. PEORIA HOSPITALS MOBILE MEDICAL SERVICES

PEORIA HOSPITALS MOBILE MEDICAL SERVICES

Company Details

Entity Name: PEORIA HOSPITALS MOBILE MEDICAL SERVICES
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 14 Oct 1975
Company Number: CORP_50752771
File Number: 50752771
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
ME5CTCHKSXN3 2025-02-14 1718 N STERLING AVE, WEST PEORIA, IL, 61604, 3831, USA 1718 N. STERLING AVE., PEORIA, IL, 61604, 3831, USA

Business Information
URL www.amtci.org
Congressional District 17
State/Country of Incorporation IL, USA
Activation Date 2024-03-04
Initial Registration Date 2010-11-18
Entity Start Date 1975-11-17
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621910
Product and Service Codes V225

Points of Contacts
Electronic Business
Title PRIMARY POC
Name TIM BECCUE
Role VP OF FINANCE
Address ADVANCED MEDICAL TRANSPORT, 1718 N. STERLING AVE., PEORIA, IL, 61604, 3831, USA
Title ALTERNATE POC
Name ANDREW RAND
Role CEO
Address ADVANCED MEDICAL TRANSPORT, 1718 N. STERLING AVE., PEORIA, IL, 61604, 3831, USA
Government Business
Title PRIMARY POC
Name TIM BECCUE
Role VP OF FINANCE
Address ADVANCED MEDICAL TRANSPORT, 1718 N. STERLING AVE., PEORIA, IL, 61604, 3831, USA
Title ALTERNATE POC
Name ANDREW RAND
Role CEO
Address ADVANCED MEDICAL TRANSPORT, 1718 N. STERLING AVE., PEORIA, IL, 61604, 3831, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN 2015 370999878 2016-10-14 PEORIA HOSPITALS MOBILE MEDICAL SERVICES 297
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621900
Sponsor’s telephone number 3094946206
Plan sponsor’s DBA name ADVANCED MEDICAL TRANSPORT
Plan sponsor’s mailing address 1718 NORTH STERLING AVENUE, PEORIA, IL, 616043831
Plan sponsor’s address 1718 N. STERLING AVE., PEORIA, IL, 616043831

Plan administrator’s name and address
Administrator’s EIN 370999878
Plan administrator’s name PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES
Plan administrator’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569
Administrator’s telephone number 3094946206

Number of participants as of the end of the plan year
Active participants 303
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 14
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 174
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 2016-10-14
Name of individual signing TIM BECCUE
Valid signature Filed with authorized/valid electronic signature
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN 2014 370999878 2015-10-09 PEORIA HOSPITALS MOBILE MEDICAL SERVICES 297
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621900
Sponsor’s telephone number 3094946206
Plan sponsor’s DBA name ADVANCED MEDICAL TRANSPORT
Plan sponsor’s mailing address 1718 NORTH STERLING AVENUE, PEORIA, IL, 616043831
Plan sponsor’s address 1718 N. STERLING AVE., PEORIA, IL, 616043831

Plan administrator’s name and address
Administrator’s EIN 370999878
Plan administrator’s name PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES
Plan administrator’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569
Administrator’s telephone number 3094946206

Number of participants as of the end of the plan year
Active participants 342
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 10
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 151
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 2015-10-09
Name of individual signing TIM BECCUE
Valid signature Filed with authorized/valid electronic signature
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN 2013 370999878 2014-10-14 PEORIA HOSPITALS MOBILE MEDICAL SERVICES 297
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621900
Sponsor’s telephone number 3094946206
Plan sponsor’s DBA name ADVANCED MEDICAL TRANSPORT
Plan sponsor’s mailing address P.O. BOX 1569, PEORIA, IL, 616551569
Plan sponsor’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569

Plan administrator’s name and address
Administrator’s EIN 370999878
Plan administrator’s name PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES
Plan administrator’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569
Administrator’s telephone number 3094946206

Number of participants as of the end of the plan year
Active participants 330
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 20
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 130
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 2014-10-14
Name of individual signing TIM BECCUE
Valid signature Filed with authorized/valid electronic signature
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN 2012 370999878 2013-10-09 PEORIA HOSPITALS MOBILE MEDICAL SERVICES 324
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621900
Sponsor’s telephone number 3094946206
Plan sponsor’s DBA name ADVANCED MEDICAL TRANSPORT
Plan sponsor’s mailing address P.O. BOX 1569, PEORIA, IL, 616551569
Plan sponsor’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569

Plan administrator’s name and address
Administrator’s EIN 370999878
Plan administrator’s name PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES
Plan administrator’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569
Administrator’s telephone number 3094946206

Number of participants as of the end of the plan year
Active participants 263
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 34
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 122
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing TIM BECCUE
Valid signature Filed with authorized/valid electronic signature
PEORIA HOSPITALS MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN 2010 370999878 2012-06-04 PEORIA HOSPITALS MOBILE MEDICAL SERVICES 233
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621900
Sponsor’s telephone number 3094946206
Plan sponsor’s DBA name ADVANCED MEDICAL TRANSPORT
Plan sponsor’s mailing address P.O. BOX 1569, PEORIA, IL, 616551569
Plan sponsor’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569

Plan administrator’s name and address
Administrator’s EIN 370999878
Plan administrator’s name PEORIA HOSPITALS MOBILE MEDICAL SERVICES
Plan administrator’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569
Administrator’s telephone number 3094946206

Number of participants as of the end of the plan year
Active participants 292
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 20
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 109
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 2012-06-04
Name of individual signing JERRY KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-04
Name of individual signing JERRY KOLB
Valid signature Filed with authorized/valid electronic signature
PEORIA HOSPITALS MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN 2010 370999878 2011-10-14 PEORIA HOSPITALS MOBILE MEDICAL SERVICES 233
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621900
Sponsor’s telephone number 3094946206
Plan sponsor’s DBA name ADVANCED MEDICAL TRANSPORT
Plan sponsor’s mailing address P.O. BOX 1569, PEORIA, IL, 616551569
Plan sponsor’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569

Plan administrator’s name and address
Administrator’s EIN 370999878
Plan administrator’s name PEORIA HOSPITALS MOBILE MEDICAL SERVICES
Plan administrator’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569
Administrator’s telephone number 3094946206

Number of participants as of the end of the plan year
Active participants 292
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 20
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 109
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 2011-10-14
Name of individual signing JERRY KOLB
Valid signature Filed with authorized/valid electronic signature
PEORIA HOSPITALS MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN 2009 370999878 2012-06-04 PEORIA HOSPITALS MOBILE MEDICAL SERVICES 180
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621900
Sponsor’s telephone number 3094946206
Plan sponsor’s DBA name ADVANCED MEDICAL TRANSPORT
Plan sponsor’s mailing address P.O. BOX 1569, PEORIA, IL, 616551569
Plan sponsor’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569

Plan administrator’s name and address
Administrator’s EIN 370999878
Plan administrator’s name PEORIA HOSPITALS MOBILE MEDICAL SERVICES
Plan administrator’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569
Administrator’s telephone number 3094946206

Number of participants as of the end of the plan year
Active participants 225
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
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 103
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 2012-06-04
Name of individual signing JERRY KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-04
Name of individual signing JERRY KOLB
Valid signature Filed with authorized/valid electronic signature
PEORIA HOSPITALS MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN 2009 370999878 2010-10-12 PEORIA HOSPITALS MOBILE MEDICAL SERVICES 180
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621900
Sponsor’s telephone number 3094946206
Plan sponsor’s DBA name ADVANCED MEDICAL TRANSPORT
Plan sponsor’s mailing address P.O. BOX 1569, PEORIA, IL, 616551569
Plan sponsor’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569

Plan administrator’s name and address
Administrator’s EIN 370999878
Plan administrator’s name PEORIA HOSPITALS MOBILE MEDICAL SERVICES
Plan administrator’s address 1718 N. STERLING AVE., PEORIA, IL, 616551569
Administrator’s telephone number 3094946206

Number of participants as of the end of the plan year
Active participants 225
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
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 103
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 2010-10-12
Name of individual signing JERRY KOLB
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROBERT C. GATES, 300 HAMILTON BLVD, BOX 6199, PEORIA, 61601, PEORIA Agent 2024-02-22

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS NFP Assume Name 1991-09-25 No data No data No data

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD 15B41125P00000011 2024-10-01 2025-09-30 2025-09-30
Unique Award Key CONT_AWD_15B41125P00000011_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Award Amounts
Obligated Amount 13575.00
Current Award Amount 13575.00
Potential Award Amount 13575.00

Description
Title FY25 B2 AMT AMBULANCE ANNUAL. RP #25-0016
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes V225: TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: AMBULANCE

Recipient Details
Recipient PEORIA HOSPITALS MOBILE MEDICAL SERVICES
UEI ME5CTCHKSXN3
Recipient Address UNITED STATES, 1718 N STERLING AVE, WEST PEORIA, PEORIA, ILLINOIS, 616043831

Related by officers

ROBERT C. GATES, 300 HAMILTON BLVD, BOX 6199, PEORIA, 61601, PEORIA

MALONEY LAND ACQUISITION, LLC ADVANCED MEDICAL TRANSPORT, INCORPORATED ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD, INC. ADVANCED MEDICAL TRANSPORT EAST, INC.

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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