| Entity Name: | HARRISBURG FAMILY PRACTICE, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 14 Jan 1997 |
| Date of Dissolution: | 09 Jun 2017 |
| Company Number: | CORP_59218077 |
| File Number: | 59218077 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 09 Jun 2017 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HARRISBURG FAMILY PRACTICE, LTD 401(K) PLAN | 2015 | 371082310 | 2016-07-12 | HARRISBURG FAMILY PRACTICE, LTD | 74 | |||||||||||||||||||||||
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| HARRISBURG FAMILY PRACTICE, LTD 401(K) PLAN | 2014 | 371082310 | 2015-07-30 | HARRISBURG FAMILY PRACTICE, LTD | 82 | |||||||||||||||||||||||
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| HARRISBURG FAMILY PRACTICE, LTD 401(K) PLAN | 2013 | 371082310 | 2014-05-19 | HARRISBURG FAMILY PRACTICE, LTD | 79 | |||||||||||||||||||||||
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| HARRISBURG FAMILY PRACTICE, LTD 401(K) PLAN | 2012 | 371082310 | 2013-06-27 | HARRISBURG FAMILY PRACTICE, LTD | 70 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-06-27 |
| Name of individual signing | MATTHEW WINKLEMAN, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LARRY R JONES, 117 E CLARK ST, HARRISBURG, 62946, SALINE | Agent | 1997-01-14 |
| Name and Address | Role |
|---|---|
| MATTHEW C WINKLEMAN 525 BLUE HOLE RD HARRISBURG IL 62946 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| MEDICAL CORP | 042004024 | No data | No data | REGISTERED MEDICAL CORPORATION | No data | 1980-04-08 | 2016-01-07 | 2017-01-01 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| PRIMARY CARE GROUP | No data | 2010-09-17 | 2017-06-01 | Involuntary Cancellation | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 1000 | 500000 | No data |
Date of last update: 13 Jan 2025
