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  5. LSG MEDICAL GROUP, LTD.

LSG MEDICAL GROUP, LTD.

Company Details

Entity Name: LSG MEDICAL GROUP, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 25 Jun 1981
Date of Dissolution: 15 Feb 2011
Company Number: CORP_52424275
File Number: 52424275
Date Status Change: 15 Feb 2011
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LUNDHOLM SURGICAL GROUP, LTD. CODE 401(K) PROFIT SHARING PLAN 2011 363134248 2012-07-11 LUNDHOLM SURGICAL GROUP, LTD. 32
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8153976723
Plan sponsor’s address 1340 CHARLES STREET SUITE 100, ROCKFORD, IL, 61104

Plan administrator’s name and address
Administrator’s EIN 363134248
Plan administrator’s name LUNDHOLM SURGICAL GROUP, LTD.
Plan administrator’s address 1340 CHARLES STREET SUITE 100, ROCKFORD, IL, 61104
Administrator’s telephone number 8153976723

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing SCOTT R. NQUIST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-11
Name of individual signing SCOTT R. NYQUIST
Valid signature Filed with authorized/valid electronic signature
LUNDHOLM SURGICAL GROUP, LTD. MONEY PURCHASE PLAN 2011 363134248 2012-07-11 LUNDHOLM SURGICAL GROUP, LTD. 32
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8153976723
Plan sponsor’s address 1340 CHARLES STREET SUITE 100, ROCKFORD, IL, 61104

Plan administrator’s name and address
Administrator’s EIN 363134248
Plan administrator’s name LUNDHOLM SURGICAL GROUP, LTD.
Plan administrator’s address 1340 CHARLES STREET SUITE 100, ROCKFORD, IL, 61104
Administrator’s telephone number 8153976723

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing SCOTT R. NYQUIST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-11
Name of individual signing SCOTT R. NYQUIST
Valid signature Filed with authorized/valid electronic signature
LUNDHOLM SURGICAL GROUP, LTD. CODE 401(K) PROFIT SHARING PLAN 2010 363134248 2011-09-19 LUNDHOLM SURGICAL GROUP, LTD. 34
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8159048244
Plan sponsor’s address 1340 CHARLES STREET, SUITE 100, ROCKFORD, IL, 61104

Plan administrator’s name and address
Administrator’s EIN 363134248
Plan administrator’s name LUNDHOLM SURGICAL GROUP, LTD.
Plan administrator’s address 1340 CHARLES STREET, SUITE 100, ROCKFORD, IL, 61104
Administrator’s telephone number 8159048244

Signature of
Role Plan administrator
Date 2011-09-19
Name of individual signing SCOTT R. NYQUIST
Valid signature Filed with authorized/valid electronic signature
LUNDHOLM SURGICAL GROUP, LTD. MONEY PURCHASE PLAN 2010 363134248 2011-06-11 LUNDHOLM SURGICAL GROUP, LTD. 34
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8159048244
Plan sponsor’s address 1340 CHARLES STREET, SUITE 100, ROCKFORD, IL, 61104

Plan administrator’s name and address
Administrator’s EIN 363134248
Plan administrator’s name LUNDHOLM SURGICAL GROUP, LTD.
Plan administrator’s address 1340 CHARLES STREET, SUITE 100, ROCKFORD, IL, 61104
Administrator’s telephone number 8159048244

Signature of
Role Plan administrator
Date 2011-06-11
Name of individual signing SCOTT R. NYQUIST
Valid signature Filed with authorized/valid electronic signature
LUNDHOLM SURGICAL GROUP, LTD. CODE 401(K) PROFIT SHARING PLAN 2010 363134248 2011-06-11 LUNDHOLM SURGICAL GROUP, LTD. 34
Three-digit plan number (PN) 005
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8159048244
Plan sponsor’s address 1340 CHARLES STREET, SUITE 100, ROCKFORD, IL, 61104

Plan administrator’s name and address
Administrator’s EIN 363134248
Plan administrator’s name LUNDHOLM SURGICAL GROUP, LTD.
Plan administrator’s address 1340 CHARLES STREET, SUITE 100, ROCKFORD, IL, 61104
Administrator’s telephone number 8159048244

Signature of
Role Plan administrator
Date 2011-06-11
Name of individual signing SCOTT R. NYQUIST
Valid signature Filed with authorized/valid electronic signature
LUNDHOLM SURGICAL GROUP, LTD. MONEY PURCHASE PLAN 2009 363134248 2010-07-09 LUNDHOLM SURGICAL GROUP, LTD. 39
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8159048244
Plan sponsor’s address 1340 CHARLES STREET, SUITE 100, ROCKFORD, IL, 61104

Plan administrator’s name and address
Administrator’s EIN 363134248
Plan administrator’s name LUNDHOLM SURGICAL GROUP, LTD.
Plan administrator’s address 1340 CHARLES STREET, SUITE 100, ROCKFORD, IL, 61104
Administrator’s telephone number 8159048244

Signature of
Role Plan administrator
Date 2010-07-09
Name of individual signing SCOTT NYQUIST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-09
Name of individual signing SCOTT NYQUIST
Valid signature Filed with authorized/valid electronic signature
LUNDHOLM SURGICAL GROUP, LTD. CODE 401(K) PROFIT SHARING PLAN 2009 363134248 2010-07-09 LUNDHOLM SURGICAL GROUP, LTD. 39
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8159048244
Plan sponsor’s address 1340 CHARLES STREET, SUITE 100, ROCKFORD, IL, 61104

Plan administrator’s name and address
Administrator’s EIN 363134248
Plan administrator’s name LUNDHOLM SURGICAL GROUP, LTD.
Plan administrator’s address 1340 CHARLES STREET, SUITE 100, ROCKFORD, IL, 61104
Administrator’s telephone number 8159048244

Signature of
Role Plan administrator
Date 2010-07-09
Name of individual signing SCOTT NYQUIST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-09
Name of individual signing SCOTT NYQUIST
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TERRY D ANDERSON, 120 W STATE ST #400, ROCKFORD, 61101, WINNEBAGO Agent 2007-02-20

President

Name and Address Role
SCOTT NYQUIST, 1340 CHARLES ST ROCKFORD 61104 President

Historical Names

Name Change Date
LUNDHOLM SURGICAL GROUP, LTD. 2011-02-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 150000 67200000 No data

Related by officers

TERRY D ANDERSON, 120 W STATE ST #400, ROCKFORD, 61101, WINNEBAGO

NORTHERN ILLINOIS HOSPITAL SERVICES, INC. MOTIVATING INDIVIDUALS FOR LEARNING AND LIVING JOHN A. BUTLER, M.D., S.C. FREDRIC C. KULLBERG, M.D., S.C. JANET WATTLES FOUNDATION COMET MACHINING COMPANY ORCHARD RIDGE FARMS INC RJS INN, INC. MCEIL, INC. SPANTON FARMS, 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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