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PEDIATRIC ASSOCIATES OF ROCKFORD, S.C.

Company Details

Entity Name: PEDIATRIC ASSOCIATES OF ROCKFORD, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 31 May 1994
Date of Dissolution: 07 Sep 2017
Company Number: CORP_57838752
File Number: 57838752
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 07 Sep 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC ASSOCIATES OF ROCKFORD, S. C. PROFIT SHARING 401(K) PLAN 2016 363960537 2018-11-14 PEDIATRIC ASSOCIATES OF ROCKFORD, S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8153981527
Plan sponsor’s address 5757 STRATHMOOR DRIVE, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2018-11-14
Name of individual signing JOHN ALAN HART, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-11-14
Name of individual signing JOHN ALAN HART, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES OF ROCKFORD, S. C. PROFIT SHARING 401(K) PLAN 2015 363960537 2016-08-22 PEDIATRIC ASSOCIATES OF ROCKFORD, S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8153981527
Plan sponsor’s address 5757 STRATHMOOR DRIVE, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2016-08-22
Name of individual signing JOHN ALAN HART, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES OF ROCKFORD, S. C. PROFIT SHARING 401(K) PLAN 2014 363960537 2015-07-13 PEDIATRIC ASSOCIATES OF ROCKFORD, S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8153981527
Plan sponsor’s address 5757 STRATHMOOR DRIVE, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2015-07-13
Name of individual signing JOHN ALAN HART, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TIMOTHY J ROLLINS, 120 W STATE ST #400, ROCKFORD, 61101, WINNEBAGO Agent 2007-02-05

President

Name and Address Role
PATRICIA M PANZICA MD, 9325 STEEPLE BUSH DR BELVIDERE, 61008 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State