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  5. M. DIVE INC.

M. DIVE INC.

Company Details

Entity Name: M. DIVE INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 17 Sep 1982
Date of Dissolution: 02 Feb 1987
Company Number: CORP_52849624
File Number: 52849624
Date Status Change: 02 Feb 1987
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LINCOLN SURGICAL ASSOCIATES, LTD. MONEY PURCHASE PLAN 2011 010971970 2012-10-11 LINCOLN SURGICAL ASSOCIATES, LTD. 30
Three-digit plan number (PN) 002
Effective date of plan 2005-04-01
Sponsor’s telephone number 6182777400
Plan sponsor’s address 340 WEST LINCOLN STREET, SUITE 500, BELLEVILLE, IL, 62220

Plan administrator’s name and address
Administrator’s EIN 010971970
Plan administrator’s name LINCOLN SURGICAL ASSOCIATES, LTD.
Plan administrator’s address 340 WEST LINCOLN STREET, SUITE 500, BELLEVILLE, IL, 62220
Administrator’s telephone number 6182777400

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing JAMES CLANAHAN
Valid signature Filed with authorized/valid electronic signature
LINCOLN SURGICAL ASSOCIATES, LTD. 401K PROFIT SHARING PLAN 2011 010971970 2012-10-11 LINCOLN SURGICAL ASSOCIATES, LTD. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 621111
Sponsor’s telephone number 6182777400
Plan sponsor’s address 340 W. LINCOLN, SUITE 500, BELLEVILLE, IL, 622201900

Plan administrator’s name and address
Administrator’s EIN 010971970
Plan administrator’s name LINCOLN SURGICAL ASSOCIATES, LTD.
Plan administrator’s address 340 W. LINCOLN, SUITE 500, BELLEVILLE, IL, 622201900
Administrator’s telephone number 6182777400

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing JAMES CLANAHAN
Valid signature Filed with authorized/valid electronic signature
LINCOLN SURGICAL ASSOCIATES, LTD. MONEY PURCHASE PLAN 2011 010971970 2014-03-27 LINCOLN SURGICAL ASSOCIATES, LTD. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-04-01
Business code 621111
Sponsor’s telephone number 6182777400
Plan sponsor’s address 340 WEST LINCOLN STREET, SUITE 500, BELLEVILLE, IL, 62220

Plan administrator’s name and address
Administrator’s EIN 010971970
Plan administrator’s name LINCOLN SURGICAL ASSOCIATES, LTD.
Plan administrator’s address 340 WEST LINCOLN STREET, SUITE 500, BELLEVILLE, IL, 62220
Administrator’s telephone number 6182777400

Signature of
Role Plan administrator
Date 2014-03-27
Name of individual signing JAMES CLANAHAN
Valid signature Filed with authorized/valid electronic signature
LINCOLN SURGICAL ASSOCIATES, LTD. 401K PLAN 2010 010971970 2011-08-19 LINCOLN SURGICAL ASSOCIATES, LTD. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 621111
Sponsor’s telephone number 6182343173
Plan sponsor’s address 340 W. LINCOLN, SUITE 500, BELLEVILLE, IL, 622201900

Plan administrator’s name and address
Administrator’s EIN 010971970
Plan administrator’s name LINCOLN SURGICAL ASSOCIATES, LTD.
Plan administrator’s address 340 W. LINCOLN, SUITE 500, BELLEVILLE, IL, 622201900
Administrator’s telephone number 6182343173

Signature of
Role Plan administrator
Date 2011-08-19
Name of individual signing JAY W. HAINES, MD
Valid signature Filed with authorized/valid electronic signature
LINCOLN SURGICAL ASSOCIATES, LTD. 401K PLAN 2010 010971970 2011-08-19 LINCOLN SURGICAL ASSOCIATES, LTD. 25
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 621111
Sponsor’s telephone number 6182343173
Plan sponsor’s address 340 W. LINCOLN, SUITE 500, BELLEVILLE, IL, 622201900

Plan administrator’s name and address
Administrator’s EIN 010971970
Plan administrator’s name LINCOLN SURGICAL ASSOCIATES, LTD.
Plan administrator’s address 340 W. LINCOLN, SUITE 500, BELLEVILLE, IL, 622201900
Administrator’s telephone number 6182343173

Signature of
Role Plan administrator
Date 2011-08-19
Name of individual signing JAY W. HAINES, MD
Valid signature Filed with authorized/valid electronic signature
LINCOLN SURGICAL ASSOCIATES, LTD. MONEY PURCHASE PLAN 2010 010971970 2011-08-19 LINCOLN SURGICAL ASSOCIATES, LTD. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-04-01
Business code 621111
Sponsor’s telephone number 6182343173
Plan sponsor’s address 340 W. LINCOLN, SUITE 500, BELLEVILLE, IL, 622201900

Plan administrator’s name and address
Administrator’s EIN 010971970
Plan administrator’s name LINCOLN SURGICAL ASSOCIATES, LTD.
Plan administrator’s address 340 W. LINCOLN, SUITE 500, BELLEVILLE, IL, 622201900
Administrator’s telephone number 6182343173

Signature of
Role Plan administrator
Date 2011-08-19
Name of individual signing JAY W. HAINES, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role
ROBERT G VEIHL JR, 819 KELLY ST, JOLIET, 60435, WILL Agent

President

Name and Address Role
ROBERT G VEIHL JR, 819 KELLY, JOLIET, 60435 President

Related by officers

No related officers

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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