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FAHEY MEDICAL CENTER, S.C.

Company Details

Entity Name: FAHEY MEDICAL CENTER, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 24 Aug 1988
Date of Dissolution: 10 Jan 2015
Company Number: CORP_55203172
File Number: 55203172
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 10 Jan 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAHEY MEDICAL CENTER, S.C. 401K SALARY REDUCTION 2015 363595018 2016-07-25 FAHEY MEDICAL CENTER, S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8476350793
Plan sponsor’s address 2860 S RIVER ROAD, SUITE 350, DES PLAINES, IL, 60018

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing MICHAEL GREAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-25
Name of individual signing DR. MICHAEL GREAR
Valid signature Filed with authorized/valid electronic signature
FAHEY MEDICAL CENTER, S.C. 401(K) SALARY REDUCTION PLAN AND TR 2014 363595018 2015-09-15 FAHEY MEDICAL CENTER, S.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8472972240
Plan sponsor’s address 581 GOLF ROAD, DES PLAINES, IL, 60016

Signature of

Role Plan administrator
Date 2015-09-15
Name of individual signing MICHAEL J GREAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-15
Name of individual signing MICHAEL J GREAR
Valid signature Filed with authorized/valid electronic signature
FAHEY MEDICAL CENTER, S.C. 401(K) SALARY REDUCTION PLAN AND TR 2013 363595018 2014-10-15 FAHEY MEDICAL CENTER, S.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8472972240
Plan sponsor’s address 581 GOLF ROAD, DES PLAINES, IL, 60016

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing MICHAEL J GREAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing MICHAEL J GREAR
Valid signature Filed with authorized/valid electronic signature
FAHEY MEDICAL CENTER, S.C. 401(K) SALARY REDUCTION PLAN AND TR 2012 363595018 2013-07-09 FAHEY MEDICAL CENTER, S.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8472972240
Plan sponsor’s address 581 GOLF ROAD, DES PLAINES, IL, 60016

Signature of

Role Plan administrator
Date 2013-07-09
Name of individual signing MELANIE WESSELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-09
Name of individual signing MICHAEL GREAR
Valid signature Filed with authorized/valid electronic signature
FAHEY MEDICAL CENTER, S.C. 401(K) SALARY REDUCTION PLAN AND TR 2011 363595018 2012-09-27 FAHEY MEDICAL CENTER, S.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8472972240
Plan sponsor’s address 581 GOLF ROAD, DES PLAINES, IL, 60016

Plan administrator’s name and address

Administrator’s EIN 363595018
Plan administrator’s name FAHEY MEDICAL CENTER, S.C.
Plan administrator’s address 581 GOLF ROAD, DES PLAINES, IL, 60016
Administrator’s telephone number 8472972240

Signature of

Role Plan administrator
Date 2012-09-27
Name of individual signing MICHAEL GREAR
Valid signature Filed with authorized/valid electronic signature
FAHEY MEDICAL CENTER, S.C. 401(K) SALARY REDUCTION PLAN AND TR 2010 363595018 2011-07-14 FAHEY MEDICAL CENTER, S.C. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8472972240
Plan sponsor’s address 581 GOLF ROAD, DES PLAINES, IL, 60016

Plan administrator’s name and address

Administrator’s EIN 363595018
Plan administrator’s name FAHEY MEDICAL CENTER, S.C.
Plan administrator’s address 581 GOLF ROAD, DES PLAINES, IL, 60016
Administrator’s telephone number 8472972240

Signature of

Role Plan administrator
Date 2011-07-14
Name of individual signing MICHAEL J. GREAR, M.D.
Valid signature Filed with authorized/valid electronic signature
FAHEY MEDICAL CENTER, S.C. 401K SALARY REDUCTION PLAN AND TR 2009 363595018 2010-10-07 FAHEY MEDICAL CENTER, S.C. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8472972240
Plan sponsor’s address 581 GOLF ROAD, DES PLAINES, IL, 60016

Plan administrator’s name and address

Administrator’s EIN 363595018
Plan administrator’s name FAHEY MEDICAL CENTER, S.C.
Plan administrator’s address 581 GOLF ROAD, DES PLAINES, IL, 60016
Administrator’s telephone number 8472972240

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing MICHAEL J, GREAR, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
EVE IDEC, 581 GOLF RD, DES PLAINES, 60016, COOK-NOT IN CITY OF CHICAGO Agent 2005-08-24

President

Name and Address Role
MICHAEL GREAR, 581 GOLF RD, DES PLAINES, 60016 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BUFFALO GROVE MEDICAL CENTER No data 1992-05-18 2000-11-13 Expired No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 100000 No data

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State