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  5. CHARLES R. WELFORD, M.D. S.C.

CHARLES R. WELFORD, M.D. S.C.

Company Details

Entity Name: CHARLES R. WELFORD, M.D. S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 20 Nov 1981
Date of Dissolution: 11 Dec 2019
Company Number: CORP_52574544
File Number: 52574544
Date Status Change: 11 Dec 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHARLES R. WELFORD, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2017 363144548 2018-11-07 CHARLES R. WELFORD, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621111
Sponsor’s telephone number 8153989386
Plan sponsor’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179

Signature of
Role Plan administrator
Date 2018-11-07
Name of individual signing CHARLES WELFORD
Valid signature Filed with authorized/valid electronic signature
CHARLES R. WELFORD, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2016 363144548 2018-02-06 CHARLES R. WELFORD, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621111
Sponsor’s telephone number 8153989386
Plan sponsor’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179

Signature of
Role Plan administrator
Date 2018-02-06
Name of individual signing CHARLES WELFORD
Valid signature Filed with authorized/valid electronic signature
CHARLES R. WELFORD, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2015 363144548 2017-04-01 CHARLES R. WELFORD, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621111
Sponsor’s telephone number 8153989386
Plan sponsor’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179

Signature of
Role Plan administrator
Date 2017-04-01
Name of individual signing CHARLES WELFORD
Valid signature Filed with authorized/valid electronic signature
CHARLES R. WELFORD, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2014 363144548 2016-03-13 CHARLES R. WELFORD, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621111
Sponsor’s telephone number 8153989386
Plan sponsor’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179

Signature of
Role Plan administrator
Date 2016-03-13
Name of individual signing CHARLES WELFORD
Valid signature Filed with authorized/valid electronic signature
CHARLES R. WELFORD, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2013 363144548 2015-03-11 CHARLES R. WELFORD, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621111
Sponsor’s telephone number 8153989386
Plan sponsor’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179

Signature of
Role Plan administrator
Date 2015-03-11
Name of individual signing CHARLES WELFORD
Valid signature Filed with authorized/valid electronic signature
CHARLES R. WELFORD, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2012 363144548 2014-03-10 CHARLES R. WELFORD, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621111
Sponsor’s telephone number 8153989386
Plan sponsor’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179

Signature of
Role Plan administrator
Date 2014-03-10
Name of individual signing CHARLES WELFORD
Valid signature Filed with authorized/valid electronic signature
CHARLES R. WELFORD, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2011 363144548 2013-03-29 CHARLES R. WELFORD, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621111
Sponsor’s telephone number 8153989386
Plan sponsor’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179

Plan administrator’s name and address
Administrator’s EIN 363144548
Plan administrator’s name CHARLES R. WELFORD, M.D., S.C.
Plan administrator’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179
Administrator’s telephone number 8153989386

Signature of
Role Plan administrator
Date 2013-03-29
Name of individual signing CHARLES R. WELFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-29
Name of individual signing CHARLES R. WELFORD
Valid signature Filed with authorized/valid electronic signature
CHARLES R. WELFORD, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2010 363144548 2012-04-17 CHARLES R. WELFORD, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621111
Sponsor’s telephone number 8153989386
Plan sponsor’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179

Plan administrator’s name and address
Administrator’s EIN 363144548
Plan administrator’s name CHARLES R. WELFORD, M.D., S.C.
Plan administrator’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179
Administrator’s telephone number 8153989386

Signature of
Role Plan administrator
Date 2012-04-17
Name of individual signing CHARLES R. WELFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-17
Name of individual signing CHARLES R. WELFORD
Valid signature Filed with authorized/valid electronic signature
CHARLES R. WELFORD, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2009 363144548 2011-02-20 CHARLES R. WELFORD, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621111
Sponsor’s telephone number 8153989386
Plan sponsor’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179

Plan administrator’s name and address
Administrator’s EIN 363144548
Plan administrator’s name CHARLES R. WELFORD, M.D., S.C.
Plan administrator’s address 5707 STRATHMOOR DRIVE, ROCKFORD, IL, 611075179
Administrator’s telephone number 8153989386

Signature of
Role Plan administrator
Date 2011-02-20
Name of individual signing CHARLES R. WELFORD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARK BISCHOFF, 217 N JEFFERSON ST STE 600, CHICAGO, 60661, COOK-NOT IN CITY OF CHICAGO Agent 2002-11-01

President

Name and Address Role
CHARLES R WELFORD, 3779 HERMITAGE ROCKFORD 61114 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 No data

Related by officers

MARK BISCHOFF, 217 N JEFFERSON ST STE 600, CHICAGO, 60661, COOK-NOT IN CITY OF CHICAGO

CANEO, LLC

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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