| Entity Name: | GIBSON HEALTH SERVICES, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 18 Aug 1987 |
| Date of Dissolution: | 03 Dec 2018 |
| Company Number: | CORP_54771282 |
| File Number: | 54771282 |
| Type of Business: | Business Corporations |
| Date Status Change: | 03 Dec 2018 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GIBSON HEALTH SERVICES RETIREMENT PLAN | 2011 | 371222775 | 2012-01-18 | GIBSON HEALTH SERVICES, INC. | 21 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 371222775 |
| Plan administrator’s name | GIBSON HEALTH SERVICES, INC. |
| Plan administrator’s address | 1468 STATE STREET, P. O. BOX 368, EAST SAINT LOUIS, IL, 622020368 |
| Administrator’s telephone number | 6182746026 |
Signature of
| Role | Plan administrator |
| Date | 2012-01-18 |
| Name of individual signing | PATRICIA GIBSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1993-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 6182746026 |
| Plan sponsor’s address | 1468 STATE STREET, P.O. BOX 368, EAST SAINT LOUIS, IL, 622020368 |
Plan administrator’s name and address
| Administrator’s EIN | 371222775 |
| Plan administrator’s name | GIBSON HEALTH SERVICES, INC. |
| Plan administrator’s address | 1468 STATE STREET, P. O. BOX 368, EAST SAINT LOUIS, IL, 622020368 |
| Administrator’s telephone number | 6182746026 |
Signature of
| Role | Plan administrator |
| Date | 2011-03-30 |
| Name of individual signing | PATRICIA GIBSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1993-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 6182746026 |
| Plan sponsor’s address | 1468 STATE STREET, P.O. BOX 368, EAST SAINT LOUIS, IL, 622020368 |
Plan administrator’s name and address
| Administrator’s EIN | 371222775 |
| Plan administrator’s name | GIBSON HEALTH SERVICES, INC. |
| Plan administrator’s address | 1468 STATE STREET, P. O. BOX 368, EAST SAINT LOUIS, IL, 622020368 |
| Administrator’s telephone number | 6182746026 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-04 |
| Name of individual signing | PATRICIA GIBSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| PATRICIA GIBSON, 312 W WATERS EDGE DR, BELLEVILLE, 62221, ST. CLAIR | Agent | 2017-08-24 |
| Name and Address | Role |
|---|---|
| PATRICIA A GIBSON 312 WEST WATERS EDGE DR SHILOH IL 62221 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 50000 | 1000000 | 1 |
Date of last update: 27 Jan 2025
