| Entity Name: | THE MEDICAL ASSOCIATES OF JERSEYVILLE, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 06 Jul 1993 |
| Date of Dissolution: | 10 Dec 2021 |
| Company Number: | CORP_57374969 |
| File Number: | 57374969 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 10 Dec 2021 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL ASSOCIATES OF JERSEYVILLE LTD 401K PLAN | 2010 | 371312378 | 2013-01-18 | MEDICAL ASSOCIATES OF JERSEYVILLE LTD | 5 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 371312378 |
| Plan administrator’s name | MEDICAL ASSOCIATES OF JERSEYVILLE LTD |
| Plan administrator’s address | PO BOX 364, 270 MAPLE SUMMIT ROAD, JERSEYVILLE, IL, 62052 |
| Administrator’s telephone number | 6184987108 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-01-18 |
| Name of individual signing | DON MURRAY |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6184987108 |
| Plan sponsor’s mailing address | PO BOX 364, JERSEYVILLE, IL, 62052 |
| Plan sponsor’s address | 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052 |
Plan administrator’s name and address
| Administrator’s EIN | 371312378 |
| Plan administrator’s name | MEDICAL ASSOCIATES OF JERSEYVILLE LTD |
| Plan administrator’s address | PO BOX 364, JERSEYVILLE, IL, 62052 |
| Administrator’s telephone number | 6184987108 |
Signature of
| Role | Plan administrator |
| Date | 2012-12-10 |
| Name of individual signing | DONALD E MURRAY |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6184987108 |
| Plan sponsor’s mailing address | PO BOX 364, 270 MAPLE SUMMIT ROAD, JERSEYVILLE, IL, 62052 |
| Plan sponsor’s address | PO BOX 364, 270 MAPLE SUMMIT ROAD, JERSEYVILLE, IL, 62052 |
Plan administrator’s name and address
| Administrator’s EIN | 371312378 |
| Plan administrator’s name | MEDICAL ASSOCIATES OF JERSEYVILLE LTD |
| Plan administrator’s address | PO BOX 364, 270 MAPLE SUMMIT ROAD, JERSEYVILLE, IL, 62052 |
| Administrator’s telephone number | 6184987108 |
Number of participants as of the end of the plan year
| Other retired or separated participants entitled to future benefits | 5 |
| Number of participants with account balances as of the end of the plan year | 5 |
Signature of
| Role | Plan administrator |
| Date | 2013-01-17 |
| Name of individual signing | DON MURRAY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DONALD E MURRAY, 270 MAPLE SUMMIT RD, POB 364, JERSEYVILLE, 62052, JERSEY | Agent | 1998-12-01 |
| Name and Address | Role |
|---|---|
| DONALD E MURRAY MD, 270 MAPLESUMMIT RD POB 364, JERSEYVILLE | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 50000 | 100000 | 1 |
Date of last update: 27 Jan 2025
