| Entity Name: | MARSHALL CLINIC EFFINGHAM, S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 05 Aug 1994 |
| Date of Dissolution: | 08 Jan 2019 |
| Company Number: | CORP_57924497 |
| File Number: | 57924497 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 08 Jan 2019 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARSHALL CLINIC EFFINGHAM, S.C. EMPLOYEES SAVINGS TRUST | 2016 | 371329873 | 2017-01-28 | MARSHALL CLINIC EFFINGHAM, S.C. | 68 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2017-01-28 |
| Name of individual signing | DEBRA WIEDMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2173424151 |
| Plan sponsor’s address | 300 NORTH MAPLE ST., EFFINGHAM, IL, 62401 |
Signature of
| Role | Plan administrator |
| Date | 2016-09-17 |
| Name of individual signing | DEBRA WIEDMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2173424151 |
| Plan sponsor’s address | 300 NORTH MAPLE ST., EFFINGHAM, IL, 62401 |
Signature of
| Role | Plan administrator |
| Date | 2015-04-20 |
| Name of individual signing | DEBRA WIEDMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2173424151 |
| Plan sponsor’s address | 300 NORTH MAPLE ST., EFFINGHAM, IL, 62401 |
Signature of
| Role | Plan administrator |
| Date | 2014-08-25 |
| Name of individual signing | DEBRA WIEDMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DAVID KOWALSKI, 300 N MAPLE ST, EFFINGHAM, 62401, EFFINGHAM | Agent | 2012-07-25 |
| Name and Address | Role |
|---|---|
| DAVID J KOWALSKI MD 19289 N 1400TH ST EFFINGHAM IL 62401 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 45000 | 100 |
Date of last update: 13 Mar 2025
