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  5. CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.

CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.

Company Details

Entity Name: CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 May 1984
Company Number: CORP_53471927
File Number: 53471927
Type of Business: Business Corporations
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. HEALTH PLAN 2023 371160364 2024-07-26 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. 178
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2178766600
Plan sponsor’s mailing address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858
Plan sponsor’s address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858

Number of participants as of the end of the plan year
Active participants 183

Signature of
Role Plan administrator
Date 2024-07-26
Name of individual signing THOMAS PRATT
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. HEALTH PLAN 2021 371160364 2022-08-03 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C 197
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2178766600
Plan sponsor’s mailing address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858
Plan sponsor’s address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858

Number of participants as of the end of the plan year
Active participants 178

Signature of
Role Plan administrator
Date 2022-08-03
Name of individual signing DAWN FOLLOWELL
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. HEALTH PLAN 2020 371160364 2021-07-13 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. 183
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2178766600
Plan sponsor’s mailing address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858
Plan sponsor’s address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858

Number of participants as of the end of the plan year
Active participants 197

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing DAWN FOLLOWELL
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. HEALTH PLAN 2019 371160364 2020-07-28 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. 146
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2178766600
Plan sponsor’s mailing address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858
Plan sponsor’s address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858

Number of participants as of the end of the plan year
Active participants 183

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing DAWN FOLLOWELL
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. HEALTH PLAN 2018 371160364 2019-07-01 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. 145
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2178766600
Plan sponsor’s mailing address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858
Plan sponsor’s address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858

Number of participants as of the end of the plan year
Active participants 146

Signature of
Role Plan administrator
Date 2019-07-01
Name of individual signing DAWN FOLLOWELL
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. HEALTH PLAN 2017 371160364 2018-06-11 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. 131
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2178766600
Plan sponsor’s mailing address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858
Plan sponsor’s address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858

Number of participants as of the end of the plan year
Active participants 145

Signature of
Role Plan administrator
Date 2018-06-11
Name of individual signing DAWN FOLLOWELL
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. HEALTH PLAN 2016 371160364 2017-06-30 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. 118
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2178766600
Plan sponsor’s mailing address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858
Plan sponsor’s address 210 W MCKINLEY AVE STE 1, DECATUR, IL, 625265858

Number of participants as of the end of the plan year
Active participants 131

Signature of
Role Plan administrator
Date 2017-06-27
Name of individual signing DAWN FOLLOWELL
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. HEALTH PLAN 2015 371160364 2016-07-22 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. 111
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2178766600
Plan sponsor’s mailing address 201 W. MCKINLEY AVE., SUITE 1, DECATUR, IL, 62526
Plan sponsor’s address 201 W. MCKINLEY AVE., SUITE 1, DECATUR, IL, 62526

Number of participants as of the end of the plan year
Active participants 118

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing DAWN FOLLOWELL
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. HEALTH PLAN 2014 371160364 2015-07-23 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. 103
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2178766600
Plan sponsor’s mailing address 210 W. MCKINLEY AVE., SUITE 1, DECATUR, IL, 62526
Plan sponsor’s address 210 W. MCKINLEY AVE., SUITE 1, DECATUR, IL, 62526

Number of participants as of the end of the plan year
Active participants 110

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing JAMES WADE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-22
Name of individual signing JAMES WADE
Valid signature Filed with authorized/valid electronic signature
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. HEALTH PLAN 2013 371160364 2014-07-31 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. 102
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2178766600
Plan sponsor’s mailing address 210 W. MCKINLEY AVE., SUITE 1, DECATUR, IL, 62526
Plan sponsor’s address 210 W. MCKINLEY AVE., SUITE 1, DECATUR, IL, 62526

Number of participants as of the end of the plan year
Active participants 104

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing JAMES WADE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES L WADE III, 210 W MCKINLEY STE 1, DECATUR, 62526, MACON Agent 2010-04-30

President

Name and Address Role
JUSTIN D FLOYD, 210 W MCKINLEY AVE #1, DECATUR 62526 President

Secretary

Name and Address Role
BENJAMIN T. ESPARAZ, 210 W MCKINLEY AVE #1, DECATUR, 62526 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CANCER CARE SPECIALISTS Assume Name 2019-10-22 No data No data No data
CANCER CARE SPECIALISTS OF ILLINOIS, S.C. Assume Name 2017-03-01 No data No data No data
CANCER CARE SPECIALISTS OF ILLINOIS Assume Name 2014-06-05 No data No data No data
CANCER CARE SPECIALISTS OF BELLEVILLE No data 2014-04-02 2020-05-27 Voluntary Cancellation No data
CROSSROADS CANCER CENTER Assume Name 1997-12-26 No data No data No data

Historical Names

Name Change Date
DECATUR ONCOLOGY SERVICE CORPORATION 1989-07-20

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 50000 18000000 No data

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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