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ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C.

Company Details

Entity Name: ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 05 Jul 1990
Date of Dissolution: 28 Jun 2024
Company Number: CORP_56024824
File Number: 56024824
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 28 Jun 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. MONEY PURCHASE PLAN 2023 363713885 2024-03-27 ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8157594178
Plan sponsor’s address 213 FRONT STREET, SUITE 2, MCHENRY, IL, 60050
ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. MONEY PURCHASE PLAN 2022 363713885 2023-06-09 ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8157594178
Plan sponsor’s address 213 FRONT STREET, SUITE 2, MCHENRY, IL, 60050
ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. MONEY PURCHASE PLAN 2021 363713885 2022-04-28 ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8157594178
Plan sponsor’s address 213 FRONT STREET, SUITE 2, MCHENRY, IL, 60050
ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. MONEY PURCHASE PLAN 2020 363713885 2021-05-25 ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8157594178
Plan sponsor’s address 213 FRONT STREET, SUITE 2, MCHENRY, IL, 60050
ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. MONEY PURCHASE PLAN 2019 363713885 2020-07-23 ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8157594178
Plan sponsor’s address 213 FRONT STREET, SUITE 2, MCHENRY, IL, 60050
ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. MONEY PURCHASE PLAN 2018 363713885 2019-06-04 ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8157594178
Plan sponsor’s address 213 FRONT STREET, SUITE 2, MCHENRY, IL, 60050
ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. MONEY PURCHASE PLAN 2017 363713885 2018-10-10 ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8157594178
Plan sponsor’s address 213 FRONT STREET, MCHENRY, IL, 60050
ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. MONEY PURCHASE PLAN 2016 363713885 2017-10-04 ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8153850084
Plan sponsor’s address 4309 MEDICAL CENTER DRIVE STE A 201, MCHENRY, IL, 60050
ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. MONEY PURCHASE PLAN 2015 363713885 2016-09-19 ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8153850084
Plan sponsor’s address 4309 MEDICAL CENTER DRIVE STE A 201, MCHENRY, IL, 60050
ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. MONEY PURCHASE PLAN 2014 363713885 2015-08-25 ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8153850084
Plan sponsor’s address 4309 MEDICAL CENTER DRIVE STE A 201, MCHENRY, IL, 60050

Signature of

Role Plan administrator
Date 2015-08-25
Name of individual signing KENNETH JUSTESEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-25
Name of individual signing KENNETH JUSTESEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID L WAGGONER, 4 N WALKUP AVE, CRYSTAL LAKE, 60014, MC HENRY Agent 1995-09-14

President

Name and Address Role
KENNETH P JUSTESEN (DI) 213 FRONT ST/#2, MCHENRY, IL, 60050 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 20000 15000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State