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  5. MIDWEST SURGERY, S.C.

MIDWEST SURGERY, S.C.

Company Details

Entity Name: MIDWEST SURGERY, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 30 Oct 1991
Date of Dissolution: 10 Mar 2023
Company Number: CORP_56588906
File Number: 56588906
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 10 Mar 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST SURGERY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN & TRUST 2019 363788779 2020-08-31 MIDWEST SURGERY, S.C. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303775300
Plan sponsor’s address 2210 DEAN STREET, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2020-08-28
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-28
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
MIDWEST SURGERY, S.C. CASH BALANCE PENSION PLAN & TRUST 2019 363788779 2020-08-25 MIDWEST SURGERY, S.C. 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303775300
Plan sponsor’s address 2210 DEAN STREET, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2020-08-25
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-25
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
MIDWEST SURGERY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN & TRUST 2019 363788779 2020-08-25 MIDWEST SURGERY, S.C. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303775300
Plan sponsor’s address 2210 DEAN STREET, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2020-08-25
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-25
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
MIDWEST SURGERY, S.C. CASH BALANCE PENSION PLAN & TRUST 2019 363788779 2020-08-31 MIDWEST SURGERY, S.C. 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303775300
Plan sponsor’s address 2210 DEAN STREET, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2020-08-28
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-28
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
MIDWEST SURGERY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN & TRUST 2018 363788779 2019-09-16 MIDWEST SURGERY, S.C. 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303775300
Plan sponsor’s address 2210 DEAN STREET, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2019-09-14
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-14
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
MIDWEST SURGERY, S.C. CASH BALANCE PENSION PLAN & TRUST 2018 363788779 2019-09-16 MIDWEST SURGERY, S.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303775300
Plan sponsor’s address 2210 DEAN STREET, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2019-09-14
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-14
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
MIDWEST SURGERY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN & TRUST 2017 363788779 2018-10-15 MIDWEST SURGERY, S.C. 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303775300
Plan sponsor’s address 2210 DEAN STREET, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
MIDWEST SURGERY, S.C. CASH BALANCE PENSION PLAN & TRUST 2017 363788779 2018-10-15 MIDWEST SURGERY, S.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303775300
Plan sponsor’s address 2210 DEAN STREET, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
MIDWEST SURGERY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN & TRUST 2016 363788779 2017-10-05 MIDWEST SURGERY, S.C. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303775300
Plan sponsor’s address 2210 DEAN STREET, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-05
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
MIDWEST SURGERY, S.C. CASH BALANCE PENSION PLAN & TRUST 2016 363788779 2017-10-05 MIDWEST SURGERY, S.C. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303775300
Plan sponsor’s address 2210 DEAN STREET, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-05
Name of individual signing JOHN WHITE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN H WHITE, 2210 DEAN ST STE B, ST CHARLES, 60175, KANE Agent 2005-01-10

President

Name and Address Role
JOHN H WHITE MD, 2210 DEAN STSTE B, ST CHARLES IL, 60175 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000000 1000000 1

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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