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CORNERSTONE CLINIC, LTD.

Company Details

Entity Name: CORNERSTONE CLINIC, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 25 Nov 1996
Company Number: CORP_59131729
File Number: 59131729
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORNERSTONE CLINIC 401(K) RETIREMENT PLAN 2023 364116386 2024-10-09 CORNERSTONE CLINIC, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8155190546
Plan sponsor’s address 1235 N MULFORD ROAD, SUITE 210, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2024-10-09
Name of individual signing JODI HOLBROOK
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE CLINIC 401(K) RETIREMENT PLAN 2022 364116386 2023-10-16 CORNERSTONE CLINIC, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8155190546
Plan sponsor’s address 1235 N MULFORD ROAD, SUITE 210, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2023-10-17
Name of individual signing JODI HOLBROOK
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE CLINIC 401(K) RETIREMENT PLAN 2021 364116386 2022-10-13 CORNERSTONE CLINIC, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8153782426
Plan sponsor’s address 9721 N. ALPINE ROAD, MACHESNEY PARK, IL, 61115

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing JODI HOLBROOK
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE CLINIC 401(K) RETIREMENT PLAN 2020 364116386 2021-11-10 CORNERSTONE CLINIC, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8153782426
Plan sponsor’s address 9721 N. ALPINE ROAD, MACHESNEY PARK, IL, 61115

Signature of

Role Plan administrator
Date 2021-11-10
Name of individual signing JODI HOLBROOK
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE CLINIC, LTD. 2009 364116386 2010-10-13 CORNERSTONE CLINIC, LTD. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8154846300
Plan sponsor’s address 9721 N. ALPINE ROAD, MACHESNEY PARK, IL, 61115

Plan administrator’s name and address

Administrator’s EIN 364116386
Plan administrator’s name CORNERSTONE CLINIC, LTD.
Plan administrator’s address 9721 N. ALPINE ROAD, MACHESNEY PARK, IL, 61115
Administrator’s telephone number 8154846300

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing WESLEY STREET
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JASON H ROCK, 6833 STALTER DR, FIRST FLR, ROCKFORD, 61108, WINNEBAGO Agent 2005-09-27

President

Name and Address Role
JODI L HOLBROOK, 3521 INGLENOOK LANE, ROCKFORD IL 61114-7350 President

Secretary

Name and Address Role
JODI L HOLBROOK Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060006774 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 1997-01-03 1997-01-03 1998-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
KASHAR MEDISPA No data 2007-10-29 2011-04-01 Involuntary Cancellation No data

Shares

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

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State