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  5. MICHAEL E. LONGEVIN, M.D. S.C.

MICHAEL E. LONGEVIN, M.D. S.C.

Company Details

Entity Name: MICHAEL E. LONGEVIN, M.D. S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 11 Jul 1986
Date of Dissolution: 08 Dec 2017
Company Number: CORP_54312393
File Number: 54312393
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 08 Dec 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL E. LONGEVIN M.D., S.C. PROFIT SHARING PLAN 2015 371200311 2016-10-13 MICHAEL E. LONGEVIN M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-21
Business code 621111
Sponsor’s telephone number 3096925828
Plan sponsor’s address 5401 N. KNOXVILLE, STE. 112, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing DR. MICHAEL E. LONGEVIN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LONGEVIN M.D., S.C. PROFIT SHARING PLAN 2014 371200311 2015-09-28 MICHAEL E. LONGEVIN M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-21
Business code 621111
Sponsor’s telephone number 3096925828
Plan sponsor’s address 5401 N. KNOXVILLE, STE. 112, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing DR. MICHAEL E. LONGEVIN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LONGEVIN M.D., S.C. PROFIT SHARING PLAN 2013 371200311 2014-10-09 MICHAEL E. LONGEVIN M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-21
Business code 621111
Sponsor’s telephone number 3096925828
Plan sponsor’s address 5401 N. KNOXVILLE, STE. 112, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing DR. MICHAEL E. LONGEVIN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LONGEVIN M.D., S.C. PROFIT SHARING PLAN 2012 371200311 2013-10-15 MICHAEL E. LONGEVIN M.D., S.C. 3
Three-digit plan number (PN) 001
Effective date of plan 1992-09-21
Business code 621111
Sponsor’s telephone number 3096925828
Plan sponsor’s address 5401 N. KNOXVILLE, STE. 112, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing DR. MICHAEL E. LONGEVIN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LONGEVIN M.D., S.C. PROFIT SHARING PLAN 2012 371200311 2014-10-09 MICHAEL E. LONGEVIN M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-21
Business code 621111
Sponsor’s telephone number 3096925828
Plan sponsor’s address 5401 N. KNOXVILLE, STE. 112, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing DR. MICHAEL E. LONGEVIN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LONGEVIN M.D., S.C. PROFIT SHARING PLAN 2011 371200311 2012-07-20 MICHAEL E. LONGEVIN M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-21
Business code 621111
Sponsor’s telephone number 3096925828
Plan sponsor’s address 5401 N. KNOXVILLE, STE. 112, PEORIA, IL, 61614

Plan administrator’s name and address
Administrator’s EIN 371200311
Plan administrator’s name MICHAEL E. LONGEVIN M.D., S.C.
Plan administrator’s address 5401 N. KNOXVILLE STE. 112, PEORIA, IL, 61614
Administrator’s telephone number 3096925828

Signature of
Role Plan administrator
Date 2012-07-20
Name of individual signing DR. MICHAEL E. LONGEVIN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LONGEVIN M.D., S.C. PROFIT SHARING PLAN 2010 371200311 2011-04-11 MICHAEL E. LONGEVIN M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-21
Business code 621111
Sponsor’s telephone number 3096925828
Plan sponsor’s address 5401 N. KNOXVILLE, PEORIA, IL, 61614

Plan administrator’s name and address
Administrator’s EIN 371200311
Plan administrator’s name MICHAEL E. LONGEVIN M.D., S.C.
Plan administrator’s address 5401 N. KNOXVILLE, PEORIA, IL, 61614
Administrator’s telephone number 3096925828

Signature of
Role Plan administrator
Date 2011-04-11
Name of individual signing MICHAEL E. LONGEVIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-11
Name of individual signing MICHAEL E. LONGEVIN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LONGEVIN M.D., S.C. PROFIT SHARING PLAN 2009 371200311 2010-07-21 MICHAEL E. LONGEVIN M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-09-21
Business code 621111
Sponsor’s telephone number 3096925828
Plan sponsor’s address 5401 N. KNOXVILLE, PEORIA, IL, 61614

Plan administrator’s name and address
Administrator’s EIN 371200311
Plan administrator’s name MICHAEL E. LONGEVIN M.D., S.C.
Plan administrator’s address 5401 N. KNOXVILLE, PEORIA, IL, 61614
Administrator’s telephone number 3096925828

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing MICHAEL LONGEVIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-21
Name of individual signing MICHAEL LONGEVIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEROLD I HORN, 401 MAIN ST STE 1650, PEORIA, 61602, PEORIA Agent 2015-06-01

President

Name and Address Role
MICHAEL E LONGEVIN, 5401 N KNOXVILLE PEORIA 61614 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000 No data

Related by officers

JEROLD I HORN, 401 MAIN ST STE 1650, PEORIA, 61602, PEORIA

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Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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