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  5. PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C.

PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C.

Company Details

Entity Name: PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 07 Mar 1983
Company Number: CORP_53017029
File Number: 53017029
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. PROFIT SHARING PLAN 2014 363218088 2015-11-25 PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-03-01
Business code 621112
Sponsor’s telephone number 8153989360
Plan sponsor’s address 6078 PALO VERDE DRIVE, ROCKFORD, IL, 61114
PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. PROFIT SHARING PLAN 2014 363218088 2015-06-12 PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-03-01
Business code 621112
Sponsor’s telephone number 8153989360
Plan sponsor’s address 6078 PALO VERDE DRIVE, ROCKFORD, IL, 61114
PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. PROFIT SHARING PLAN 2012 363218088 2013-07-19 PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-03-01
Business code 621112
Sponsor’s telephone number 8153989360
Plan sponsor’s address 6078 PALO VERDE DRIVE, ROCKFORD, IL, 61114

Signature of
Role Plan administrator
Date 2013-07-19
Name of individual signing ZAFFAR RIZVI
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. PROFIT SHARING PLAN 2011 363218088 2012-11-02 PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-03-01
Business code 621112
Sponsor’s telephone number 8153989360
Plan sponsor’s address 6078 PALO VERDE DRIVE, ROCKFORD, IL, 61114

Plan administrator’s name and address
Administrator’s EIN 363218088
Plan administrator’s name PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C.
Plan administrator’s address 6078 PALO VERDE DRIVE, ROCKFORD, IL, 61114
Administrator’s telephone number 8153989360

Signature of
Role Plan administrator
Date 2012-11-02
Name of individual signing ZAFFAR RIZVI
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. PROFIT SHARING PLAN 2010 363218088 2011-09-02 PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-03-01
Business code 621112
Sponsor’s telephone number 8153989360
Plan sponsor’s address 6078 PALO VERDE DRIVE, ROCKFORD, IL, 61114

Plan administrator’s name and address
Administrator’s EIN 363218088
Plan administrator’s name PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C.
Plan administrator’s address 6078 PALO VERDE DRIVE, ROCKFORD, IL, 61114
Administrator’s telephone number 8153989360

Signature of
Role Plan administrator
Date 2011-09-02
Name of individual signing ZAFFAR RIZVI
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. PROFIT SHARING PLAN 2009 363218088 2010-12-10 PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-03-01
Business code 621112
Sponsor’s telephone number 8153989360
Plan sponsor’s address 6078 PALO VERDE DRIVE, ROCKFORD, IL, 61114

Plan administrator’s name and address
Administrator’s EIN 363218088
Plan administrator’s name PSYCHIATRIC ASSOCIATES OF ROCKFORD, S.C.
Plan administrator’s address 6078 PALO VERDE DRIVE, ROCKFORD, IL, 61114
Administrator’s telephone number 8153989360

Signature of
Role Plan administrator
Date 2010-12-10
Name of individual signing ZAFFAR RIZVI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ERIN E WALSH, 1707 E STATE ST, ROCKFORD, 61104, WINNEBAGO Agent 2015-08-13

President

Name and Address Role
KASIM RIZVI - 12275 DUNHAM DRIVE, ROSCOE, IL 61073 President

Historical Names

Name Change Date
PSYCHIATRIC GROUP OF ROCKFORD, S.C. 1990-07-12

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COM No data Voting Rights 200000 2000000 1

Related by officers

ERIN E WALSH, 1707 E STATE ST, ROCKFORD, 61104, WINNEBAGO

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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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