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  5. FAMILY PHYSICIANS OF MADISON COUNTY, LTD.

FAMILY PHYSICIANS OF MADISON COUNTY, LTD.

Company Details

Entity Name: FAMILY PHYSICIANS OF MADISON COUNTY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 08 Oct 1986
Date of Dissolution: 18 Nov 2020
Company Number: CORP_54405235
File Number: 54405235
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 18 Nov 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY PHYSICIANS OF MADISON COUNTY 401(K) PROFIT SHARING PLAN 2017 371205888 2018-11-09 FAMILY PHYSICIANS OF MADISON COUNTY, LTD 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-20
Business code 621111
Sponsor’s telephone number 6182885088
Plan sponsor’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 620342916
FAMILY PHYSICIANS OF MADISON COUNTY 401(K) PROFIT SHARING PLAN 2017 371205888 2018-06-08 FAMILY PHYSICIANS OF MADISON COUNTY, LTD 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-20
Business code 621111
Sponsor’s telephone number 6182885088
Plan sponsor’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2018-06-08
Name of individual signing RAYMOND K WEBER
Valid signature Filed with authorized/valid electronic signature
FAMILY PHYSICIANS OF MADISON COUNTY 401(K) PROFIT SHARING PLAN 2016 371205888 2017-06-22 FAMILY PHYSICIANS OF MADISON COUNTY, LTD 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-20
Business code 621111
Sponsor’s telephone number 6182885088
Plan sponsor’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034

Plan administrator’s name and address
Administrator’s EIN 371205888
Plan administrator’s name FAMILY PHYSICIANS OF MADISON COUNTY, LTD
Plan administrator’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034
Administrator’s telephone number 6182885088

Signature of
Role Plan administrator
Date 2017-06-22
Name of individual signing RAYMOND K WEBER
Valid signature Filed with authorized/valid electronic signature
FAMILY PHYSICIANS OF MADISON COUNTY 401(K) PROFIT SHARING PLAN 2015 371205888 2016-07-04 FAMILY PHYSICIANS OF MADISON COUNTY, LTD 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-20
Business code 621111
Sponsor’s telephone number 6182885088
Plan sponsor’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034

Plan administrator’s name and address
Administrator’s EIN 371205888
Plan administrator’s name FAMILY PHYSICIANS OF MADISON COUNTY, LTD
Plan administrator’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034
Administrator’s telephone number 6182885088

Signature of
Role Plan administrator
Date 2016-07-04
Name of individual signing RAYMOND K WEBER
Valid signature Filed with authorized/valid electronic signature
FAMILY PHYSICIANS OF MADISON COUNTY 401(K) PROFIT SHARING PLAN 2014 371205888 2015-06-15 FAMILY PHYSICIANS OF MADISON COUNTY, LTD 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-20
Business code 621111
Sponsor’s telephone number 6182885088
Plan sponsor’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034

Plan administrator’s name and address
Administrator’s EIN 371205888
Plan administrator’s name FAMILY PHYSICIANS OF MADISON COUNTY, LTD
Plan administrator’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034
Administrator’s telephone number 6182885088

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing RAYMOND K WEBER
Valid signature Filed with authorized/valid electronic signature
FAMILY PHYSICIANS OF MADISON COUNTY 401(K) PROFIT SHARING PLAN 2013 371205888 2014-07-24 FAMILY PHYSICIANS OF MADISON COUNTY, LTD 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-20
Business code 621111
Sponsor’s telephone number 6182885088
Plan sponsor’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034

Plan administrator’s name and address
Administrator’s EIN 371205888
Plan administrator’s name FAMILY PHYSICIANS OF MADISON COUNTY, LTD
Plan administrator’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034
Administrator’s telephone number 6182885088

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing RAYMOND K WEBER
Valid signature Filed with authorized/valid electronic signature
FAMILY PHYSICIANS OF MADISON COUNTY 401(K) PROFIT SHARING PLAN 2012 371205888 2013-06-10 FAMILY PHYSICIANS OF MADISON COUNTY, LTD 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-20
Business code 621111
Sponsor’s telephone number 6182885088
Plan sponsor’s address 3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2013-06-10
Name of individual signing RAYMOND K WEBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-10
Name of individual signing K MAX EAKIN
Valid signature Filed with incorrect/unrecognized electronic signature
FAMILY PHYSICIANS OF MADISON COUNTY 401(K) PROFIT SHARING PLAN 2011 371205888 2012-06-25 FAMILY PHYSICIANS OF MADISON COUNTY, LTD 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-20
Business code 621111
Sponsor’s telephone number 6182885088
Plan sponsor’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034

Plan administrator’s name and address
Administrator’s EIN 371205888
Plan administrator’s name FAMILY PHYSICIANS OF MADISON COUNTY, LTD
Plan administrator’s address #3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034
Administrator’s telephone number 6182885088

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing RAYMOND WEBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-25
Name of individual signing K MAX EAKIN
Valid signature Filed with incorrect/unrecognized electronic signature
FAMILY PHYSICIANS OF MADISON COUNTY 401(K) PROFIT SHARING PLAN 2010 371205888 2011-06-23 FAMILY PHYSICIANS OF MADISON COUNTY, LTD 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-20
Business code 621111
Sponsor’s telephone number 6182885088
Plan sponsor’s address # 3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034

Plan administrator’s name and address
Administrator’s EIN 371205888
Plan administrator’s name FAMILY PHYSICIANS OF MADISON COUNTY, LTD
Plan administrator’s address # 3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034
Administrator’s telephone number 6182885088

Signature of
Role Plan administrator
Date 2011-06-23
Name of individual signing RAYMOND K WEBER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-23
Name of individual signing K MAX EAKIN, MD
Valid signature Filed with incorrect/unrecognized electronic signature
FAMILY PHYSICIANS OF MADISON COUNTY 401(K) / PROFIT SHARING PLAN 2009 371205888 2010-07-09 FAMILY PHYSICIANS OF MADISON COUNTY, LTD 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-11-20
Business code 621111
Sponsor’s telephone number 6182885088
Plan sponsor’s address # 3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034

Plan administrator’s name and address
Administrator’s EIN 371205888
Plan administrator’s name FAMILY PHYSICIANS OF MADISON COUNTY, LTD
Plan administrator’s address # 3 JUNCTION DRIVE WEST, GLEN CARBON, IL, 62034
Administrator’s telephone number 6182885088

Signature of
Role Plan administrator
Date 2010-07-09
Name of individual signing RAYMOND K WEBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-09
Name of individual signing KENNETH MAX EAKIN
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
RAYMOND K WEBER, 3 JUNCTION DR WEST, GLEN CARBON, 62034, MADISON Agent 1997-11-18

President

Name and Address Role
RAYMOND WEBER, 360 BARNETT EDWARDSVILLE IL 62025 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042006117 No data No data REGISTERED MEDICAL CORPORATION No data 1987-01-23 2017-04-13 2018-01-01

Historical Names

Name Change Date
EDWARDSVILLE FAMILY PHYSICIANS, LTD. 1986-11-12

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 300000 No data
COMM No data No Voting Rights 10000 1235110 No data

Related by officers

No related officers

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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