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  5. SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C.

SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C.

Company Details

Entity Name: SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 29 Sep 1995
Date of Dissolution: 11 Feb 2011
Company Number: CORP_58528277
File Number: 58528277
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 11 Feb 2011
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C. 401K PROFIT SHARING PLAN 2013 371347579 2014-10-15 SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2173414343
Plan sponsor’s address 3055 SPAULDING ORCHARD ROAD, SPRINGFIELD, IL, 62711

Plan administrator’s name and address
Administrator’s EIN 371347579
Plan administrator’s name SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C.
Plan administrator’s address 3055 SPAULDING ORCHARD ROAD, SPRINGFIELD, IL, 62711
Administrator’s telephone number 2173414343

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing TERRENCE L. PENCEK
Valid signature Filed with authorized/valid electronic signature
SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C. 401K PROFIT SHARING PLAN 2012 371347579 2013-10-15 SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2173414343
Plan sponsor’s address 3055 SPAULDING ORCHARD ROAD, SPRINGFIELD, IL, 62711

Plan administrator’s name and address
Administrator’s EIN 371347579
Plan administrator’s name SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C.
Plan administrator’s address 3055 SPAULDING ORCHARD ROAD, SPRINGFIELD, IL, 62711
Administrator’s telephone number 2173414343

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing TERRENCE L. PENCEK
Valid signature Filed with authorized/valid electronic signature
SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C. 401K PROFIT SHARING PLAN 2010 371347579 2011-10-14 SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2173414343
Plan sponsor’s address 3055 SPAULDING ORCHARD ROAD, SPRINGFIELD, IL, 62711

Plan administrator’s name and address
Administrator’s EIN 371347579
Plan administrator’s name SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C.
Plan administrator’s address 3055 SPAULDING ORCHARD ROAD, SPRINGFIELD, IL, 62711
Administrator’s telephone number 2173414343

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing TERRENCE L. PENCEK
Valid signature Filed with authorized/valid electronic signature
SPRINGFIELD NEUROSURGICAL ASSOCIATES, S.C. 401K PROFIT SHARING PLAN 2009 371347579 2010-10-05 SPRINGFIELD NEUROSURGICAL ASSOCIATES S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2173414343
Plan sponsor’s address 3055 SPAULDING ORCHARD ROAD, SPRINGFIELD, IL, 62711

Plan administrator’s name and address
Administrator’s EIN 371347579
Plan administrator’s name SPRINGFIELD NEUROSURGICAL ASSOCIATES S.C.
Plan administrator’s address 3055 SPAULDING ORCHARD ROAD, SPRINGFIELD, IL, 62711
Administrator’s telephone number 2173414343

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing TERRENCE PENCEK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TERRENCE L PENCEK, 2921 MONTVALE DRIVE, SPRINGFIELD, 62704, SANGAMON Agent 2002-09-24

President

Name and Address Role
TERRENCE PENCEK, 12 RED BUN RUN SPRINGFIELD 62707 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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