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MIDWEST EYE CARE, P.C.

Company Details

Entity Name: MIDWEST EYE CARE, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 13 Apr 1994
Date of Dissolution: 11 Sep 2015
Company Number: CORP_57767219
File Number: 57767219
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 11 Sep 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST EYE CARE, P.C. 401(K) PROFIT SHARING PLAN 2013 371325149 2014-09-23 MIDWEST EYE CARE P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-10-01
Business code 621111
Sponsor’s telephone number 3093475115
Plan sponsor’s address 101 N. PARKWAY, PEKIN, IL, 61554

Signature of

Role Plan administrator
Date 2014-09-23
Name of individual signing TRACI BACON
Valid signature Filed with authorized/valid electronic signature
MIDWEST EYE CARE P.C. 401K PROFIT SHARING PLAN 2013 371325149 2014-09-23 MIDWEST EYE CARE P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-10-01
Business code 621111
Sponsor’s telephone number 3093475115
Plan sponsor’s address 101 N. PARKWAY, PEKIN, IL, 61554

Signature of

Role Plan administrator
Date 2014-09-23
Name of individual signing TRACI BACON
Valid signature Filed with authorized/valid electronic signature
MIDWEST EYE CARE P.C. 401K PROFIT SHARING PLAN 2012 371325149 2013-07-19 MIDWEST EYE CARE P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-10-01
Business code 621111
Sponsor’s telephone number 3093475115
Plan sponsor’s address 101 N. PARKWAY, PEKIN, IL, 61554

Signature of

Role Plan administrator
Date 2013-07-19
Name of individual signing TRACI BACON
Valid signature Filed with authorized/valid electronic signature
MIDWEST EYE CARE P.C. 401K PROFIT SHARING PLAN 2011 371325149 2012-07-17 MIDWEST EYE CARE P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-10-01
Business code 621111
Sponsor’s telephone number 3093475115
Plan sponsor’s address 101 N. PARKWAY, PEKIN, IL, 61554

Plan administrator’s name and address

Administrator’s EIN 371325149
Plan administrator’s name MIDWEST EYE CARE P.C.
Plan administrator’s address 101 N. PARKWAY, PEKIN, IL, 61554
Administrator’s telephone number 3093475115

Signature of

Role Plan administrator
Date 2012-07-17
Name of individual signing TRACI BACON
Valid signature Filed with authorized/valid electronic signature
MIDWEST EYE CARE P.C. 401K PROFIT SHARING PLAN 2010 371325149 2011-06-08 MIDWEST EYE CARE P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-10-01
Business code 621111
Sponsor’s telephone number 3093475115
Plan sponsor’s address 101 N. PARKWAY, PEKIN, IL, 61554

Plan administrator’s name and address

Administrator’s EIN 371325149
Plan administrator’s name MIDWEST EYE CARE P.C.
Plan administrator’s address 101 N. PARKWAY, PEKIN, IL, 61554
Administrator’s telephone number 3093475115

Signature of

Role Plan administrator
Date 2011-06-08
Name of individual signing JAMES FARRELL
Valid signature Filed with authorized/valid electronic signature
MIDWEST EYE CARE P.C. 401K PROFIT SHARING PLAN 2009 371325149 2010-07-07 MIDWEST EYE CARE P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-10-01
Business code 621111
Sponsor’s telephone number 3093475115
Plan sponsor’s address 101 N. PARKWAY, PEKIN, IL, 61554

Plan administrator’s name and address

Administrator’s EIN 371325149
Plan administrator’s name MIDWEST EYE CARE P.C.
Plan administrator’s address 101 N. PARKWAY, PEKIN, IL, 61554
Administrator’s telephone number 3093475115

Signature of

Role Plan administrator
Date 2010-07-07
Name of individual signing JAMES W. FARRELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-07
Name of individual signing JAMES W. FARRELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES W FARRELL M.D., 101 N PARKWAY DR, PEKIN, 61554, TAZEWELL Agent 1994-04-13

President

Name and Address Role
JAMES W FARRELL, 2 TANGLEWOOD LANE PEKIN 61554 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 50000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State