Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Cook
    4. ›
  4. 60805
    5. ›
  5. SOUTHWEST HOSPITALS MRI, INC.

SOUTHWEST HOSPITALS MRI, INC.

Company Details

Entity Name: SOUTHWEST HOSPITALS MRI, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 25 Apr 1986
Date of Dissolution: 22 Jan 2018
Company Number: CORP_54224052
File Number: 54224052
Type of Business: Charitable or benevolent
Date Status Change: 22 Jan 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHWEST HOSPITALS MRI INC. TAX DEFERRED ANNUITY PLAN 2016 363517928 2017-07-12 SOUTHWEST HOSPITALS MRI INC. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing ANN HASKINS
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. TAX DEFERRED ANNUITY PLAN 2016 363517928 2017-10-10 SOUTHWEST HOSPITALS MRI INC. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-01-01
Business code 621498
Sponsor’s telephone number 7082295445
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing ANN HASKINS
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. EMPLOYEES PENSION PLAN 2016 363517928 2017-10-10 SOUTHWEST HOSPITALS MRI INC. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-01-01
Business code 621498
Sponsor’s telephone number 7082295445
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing ANN HASKINS
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. EMPLOYEES PENSION PLAN 2016 363517928 2017-07-12 SOUTHWEST HOSPITALS MRI INC. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing ANN HASKINS
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. TAX DEFERRED ANNUITY PLAN 2015 363517928 2016-09-01 SOUTHWEST HOSPITALS MRI INC. 11
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2016-09-01
Name of individual signing MIKE CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. PENSION PLAN 2015 363517928 2016-09-01 SOUTHWEST HOSPITALS MRI INC. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2016-09-01
Name of individual signing MIKE CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. TAX DEFERRED ANNUITY PLAN 2014 363517928 2015-09-08 SOUTHWEST HOSPITALS MRI INC. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2015-09-08
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-08
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. EMPLOYEES PENSION PLAN 2014 363517928 2015-09-08 SOUTHWEST HOSPITALS MRI INC. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2015-09-08
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-08
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. EMPLOYEES PENSION PLAN 2013 363517928 2014-10-03 SOUTHWEST HOSPITALS MRI INC. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2014-10-03
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-03
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. TAX DEFERRED ANNUITY PLAN 2012 363517928 2013-10-08 SOUTHWEST HOSPITALS MRI INC. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-05-06
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-08
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANN HASKINS, 2800 W 95TH ST, EVERGREEN PARK, 60805, COOK-NOT IN CITY OF CHICAGO Agent 2016-11-18

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

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 ilorg.com, Part of Big Data Integrated