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  5. JAMES M. KOHLMANN, M.D.,S.C.

JAMES M. KOHLMANN, M.D.,S.C.

Company Details

Entity Name: JAMES M. KOHLMANN, M.D.,S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 08 Apr 1996
Date of Dissolution: 08 Sep 2017
Company Number: CORP_58801429
File Number: 58801429
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 08 Sep 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMES KOHLMANN M. D. S. C. 401(K) PROFIT SHARING PLAN 2017 371355619 2018-03-13 JAMES M. KOHLMANN M.D. S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2173599335
Plan sponsor’s address 100 DEERPATH ROAD, CHARLESTON, IL, 61920

Signature of
Role Plan administrator
Date 2018-03-13
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-13
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
JAMES KOHLMANN M.D. S.C. 401(K) PROFIT SHARING PLAN 2016 371355619 2017-03-23 JAMES M. KOHLMANN M.D. S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2173599335
Plan sponsor’s address 100 DEERPATH ROAD, CHARLESTON, IL, 61920

Signature of
Role Plan administrator
Date 2017-03-23
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-23
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
JAMES KOHLMANN M.D. S.C. 401(K) PROFIT SHARING PLAN 2016 371355619 2018-01-02 JAMES M. KOHLMANN, M.D. S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2173452727
Plan sponsor’s address 100 DEERPATH RD., CHARLESTON, IL, 61920

Signature of
Role Plan administrator
Date 2018-01-02
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-02
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
JAMES KOHLMANN M.D. S.C. 401(K) PROFIT SHARING PLAN 2015 371355619 2016-06-06 JAMES M. KOHLMANN M.D. S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2173599335
Plan sponsor’s address 100 DEERPATH ROAD, CHARLESTON, IL, 61920

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-06
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
JAMES KOHLMANN M.D. S.C. 401(K) PROFIT SHARING PLAN 2014 371355619 2015-06-18 JAMES M. KOHLMANN M.D. S.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2173599335
Plan sponsor’s address 100 DEERPATH ROAD, CHARLESTON, IL, 61920

Signature of
Role Plan administrator
Date 2015-06-18
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-18
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
JAMES KOHLMANN M.D. S.C. 401(K) PROFIT SHARING PLAN 2013 371355619 2014-10-07 JAMES M. KOHLMANN M.D. S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2173599335
Plan sponsor’s address 100 DEERPATH ROAD, CHARLESTON, IL, 61920

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-07
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
JAMES KOHLMANN MD SC 401K PROFIT SHARING PLAN 2012 371355619 2013-08-19 JAMES M. KOHLMANN, M.D., S.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-05-01
Business code 621210
Sponsor’s telephone number 2173452727
Plan sponsor’s mailing address 100 DEERPATH RD., CHARLESTON, IL, 61920
Plan sponsor’s address 100 DEERPATH RD., CHARLESTON, IL, 61920

Plan administrator’s name and address
Administrator’s EIN 371355619
Plan administrator’s name JAMES KOHLMANN, M.D.
Plan administrator’s address 100 DEERPATH RD., CHARLESTON, IL, 61920
Administrator’s telephone number 2173452727

Number of participants as of the end of the plan year
Active participants 9
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 10

Signature of
Role Plan administrator
Date 2013-08-01
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
JAMES KOHLMANN MD SC 401K PROFIT SHARING PLAN 2011 371355619 2012-07-12 JAMES M. KOHLMANN, M.D., S.C 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-05-01
Business code 621210
Sponsor’s telephone number 2173452727
Plan sponsor’s mailing address 100 DEERPATH RD., CHARLESTON, IL, 61920
Plan sponsor’s address 100 DEERPATH RD., CHARLESTON, IL, 61920

Plan administrator’s name and address
Administrator’s EIN 371355619
Plan administrator’s name JAMES KOHLMANN, M.D.
Plan administrator’s address 100 DEERPATH RD., CHARLESTON, IL, 61920
Administrator’s telephone number 2173452727

Number of participants as of the end of the plan year
Active participants 9
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 10

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
JAMES KOHLMANN MD SC 401K PROFIT SHARING PLAN 2010 371355619 2011-08-01 JAMES M. KOHLMANN, M.D., S.C 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-05-01
Business code 621210
Sponsor’s telephone number 2173452727
Plan sponsor’s mailing address 100 DEERPATH RD., CHARLESTON, IL, 61920
Plan sponsor’s address 100 DEERPATH RD., CHARLESTON, IL, 61920

Plan administrator’s name and address
Administrator’s EIN 371355619
Plan administrator’s name JAMES KOHLMANN, M.D.
Plan administrator’s address 100 DEERPATH RD., CHARLESTON, IL, 61920
Administrator’s telephone number 2173452727

Number of participants as of the end of the plan year
Active participants 10
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 11

Signature of
Role Plan administrator
Date 2011-07-30
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature
JAMES KOHLMANN MD SC 401K PROFIT SHARING PLAN 2009 371355619 2010-10-08 JAMES M. KOHLMANN, M.D., S.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-05-01
Business code 621210
Sponsor’s telephone number 2173452727
Plan sponsor’s mailing address 100 DEERPATH RD., CHARLESTON, IL, 61920
Plan sponsor’s address 100 DEERPATH RD., CHARLESTON, IL, 61920

Plan administrator’s name and address
Administrator’s EIN 371355619
Plan administrator’s name JAMES KOHLMANN, M.D.
Plan administrator’s address 100 DEERPATH RD., CHARLESTON, IL, 61920
Administrator’s telephone number 2173452727

Number of participants as of the end of the plan year
Active participants 9
Other retired or separated participants entitled to future benefits 3
Number of participants with account balances as of the end of the plan year 12

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing JAMES KOHLMANN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES M KOHLMANN, 100 DEERPATH ROAD, CHARLESTON, 61920, COLES Agent 1996-04-08

President

Name and Address Role
JAMES M KOHLMANN, 100 DEERPATH ROAD CHARLESTON 61920 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ORTHOPEDIC PARTNERS No data 2013-07-01 2015-09-01 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 1

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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