| Entity Name: | GALESBURG HOSPITALS AMBULANCE SERVICE |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 01 Mar 1979 |
| Company Number: | CORP_51676637 |
| File Number: | 51676637 |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| NNVBYQAGJ916 | 2025-03-07 | 2175 WINDISH DR, GALESBURG, IL, 61401, 9776, USA | 2175 WINDISH DRIVE, GALESBURG, IL, 61401, 9776, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 17 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-03-11 |
| Initial Registration Date | 2005-09-12 |
| Entity Start Date | 1979-03-01 |
| 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 | MIKE HOWARD |
| Role | EXECUTIVE DIRECTOR |
| Address | 2175 WINDISH DRIVE, GALESBURG, IL, 61401, USA |
| Title | ALTERNATE POC |
| Name | PAUL GREINER |
| Role | DIRECTOR OF FINANCE AND HR |
| Address | 2175 WINDISH DRIVE, GALESBURG, IL, 61401, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MIKE HOWARD |
| Role | EXECUTIVE DIRECTOR |
| Address | 2175 WINDISH DRIVE, GALESBURG, IL, 61401, USA |
| Title | ALTERNATE POC |
| Name | PAUL GREINER |
| Role | DIRECTOR OF FINANCE AND HR |
| Address | #3 MCEWEN COURT, MONMOUTH, IL, 61462, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GALESBURG HOSPITALS AMBULANCE SERVICE THRIFT & SAVINGS PLAN | 2011 | 376191376 | 2012-04-24 | GALESBURG HOSPITALS AMBULANCE SERVICE | 48 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 376191376 |
| Plan administrator’s name | GALESBURG HOSPITALS AMBULANCE SERVICE |
| Plan administrator’s address | 2175 WINDISH DRIVE, GALESBURG, IL, 61401 |
| Administrator’s telephone number | 3093425144 |
Signature of
| Role | Plan administrator |
| Date | 2012-04-24 |
| Name of individual signing | MICHAEL WIGNALL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1986-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 3093425144 |
| Plan sponsor’s address | 2175 WINDISH DRIVE, GALESBURG, IL, 61401 |
Plan administrator’s name and address
| Administrator’s EIN | 376191376 |
| Plan administrator’s name | GALESBURG HOSPITALS AMBULANCE SERVICE |
| Plan administrator’s address | 2175 WINDISH DRIVE, GALESBURG, IL, 61401 |
| Administrator’s telephone number | 3093425144 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-09 |
| Name of individual signing | MICHAEL WIGNALL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BRIAN A PETERSON, 246 E MAIN ST STE 201, GALESBURG, 61401, KNOX | Agent | 2017-01-31 |
Date of last update: 13 Jan 2025
