Search icon

LAMOINE VALLEY CLINIC, S.C.

Company Details

Entity Name: LAMOINE VALLEY CLINIC, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 24 Aug 1990
Date of Dissolution: 01 Dec 2016
Company Number: CORP_56081615
File Number: 56081615
Type of Business: Business Corporations
Date Status Change: 01 Dec 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN 2014 371269402 2015-04-17 LAMOINE VALLEY CLINIC, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-10-01
Business code 621111
Sponsor’s telephone number 3098363387
Plan sponsor’s address 5 DOCTORS LN, MACOMB, IL, 614553369

Signature of

Role Plan administrator
Date 2015-04-17
Name of individual signing DAVID GREATHOUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-17
Name of individual signing DAVID GREATHOUSE
Valid signature Filed with authorized/valid electronic signature
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN 2013 371269402 2014-07-24 LAMOINE VALLEY CLINIC, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-10-01
Business code 621111
Sponsor’s telephone number 3098363387
Plan sponsor’s address 5 DOCTORS LN, MACOMB, IL, 614553369

Signature of

Role Plan administrator
Date 2014-07-24
Name of individual signing DAVID GREATHOUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-24
Name of individual signing DAVID GREATHOUSE
Valid signature Filed with authorized/valid electronic signature
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN 2012 371269402 2013-02-13 LAMOINE VALLEY CLINIC, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-10-01
Business code 621111
Sponsor’s telephone number 3098363387
Plan sponsor’s address 5 DOCTORS LN, MACOMB, IL, 614553369

Signature of

Role Plan administrator
Date 2013-02-13
Name of individual signing DAVID GREATHOUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-13
Name of individual signing DAVID GREATHOUSE
Valid signature Filed with authorized/valid electronic signature
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN 2011 371269402 2012-07-13 LAMOINE VALLEY CLINIC, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-10-01
Business code 621111
Sponsor’s telephone number 3098363387
Plan sponsor’s address 5 DOCTORS LN, MACOMB, IL, 614553369

Plan administrator’s name and address

Administrator’s EIN 371269402
Plan administrator’s name LAMOINE VALLEY CLINIC, S.C.
Plan administrator’s address 5 DOCTORS LN, MACOMB, IL, 614553369
Administrator’s telephone number 3098363387

Signature of

Role Plan administrator
Date 2012-07-13
Name of individual signing DAVID GREATHOUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-13
Name of individual signing DAVID GREATHOUSE
Valid signature Filed with authorized/valid electronic signature
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN 2010 371269402 2011-07-29 LAMOINE VALLEY CLINIC, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-10-01
Business code 621111
Sponsor’s telephone number 3098363387
Plan sponsor’s address 5 DOCTORS LN, MACOMB, IL, 614553369

Plan administrator’s name and address

Administrator’s EIN 371269402
Plan administrator’s name LAMOINE VALLEY CLINIC, S.C.
Plan administrator’s address 5 DOCTORS LN, MACOMB, IL, 614553369
Administrator’s telephone number 3098363387

Signature of

Role Plan administrator
Date 2011-07-29
Name of individual signing DAVID GREATHOUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-29
Name of individual signing DAVID GREATHOUSE
Valid signature Filed with authorized/valid electronic signature
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN 2009 371269402 2010-07-21 LAMOINE VALLEY CLINIC, S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-10-01
Business code 621111
Sponsor’s telephone number 3098363387
Plan sponsor’s address 5 DOCTORS LN, MACOMB, IL, 614553369

Plan administrator’s name and address

Administrator’s EIN 371269402
Plan administrator’s name LAMOINE VALLEY CLINIC, S.C.
Plan administrator’s address 5 DOCTORS LN, MACOMB, IL, 614553369
Administrator’s telephone number 3098363387

Signature of

Role Plan administrator
Date 2010-07-21
Name of individual signing DAVID J GREATHOUSE, DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-21
Name of individual signing DAVID J GREATHOUSE, DO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRUCE J BIAGINI, 32 W SIDE SQUARE, MACOMB, 61455, MC DONOUGH Agent 1991-07-12

President

Name and Address Role
DAVID J GREATHOUSE, PO BOX 111 MACOMB IL 61455 President

Historical Names

Name Change Date
DAVID J. GREATHOUSE, D.O., PH.D., S.C. 1993-10-18

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State