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  5. CUSTOM CASEWORK, INC.

CUSTOM CASEWORK, INC.

Company Details

Entity Name: CUSTOM CASEWORK, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 31 May 1984
Date of Dissolution: 01 Oct 1988
Company Number: CORP_53479405
File Number: 53479405
Type of Business: Business Corporations
Date Status Change: 01 Oct 1988
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 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
DAVID L COVER, 207 MAIN ST STE 425, PEORIA, 61602, PEORIA Agent 1987-05-14

President

Name and Address Role
R CLEMENTS, 121 E LAKE AVE PEORIA 61614 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 2000 1000000 No data

Related by officers

DAVID L COVER, 207 MAIN ST STE 425, PEORIA, 61602, PEORIA

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Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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