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  5. CARDINAL MEDICAL GROUP, LTD.

CARDINAL MEDICAL GROUP, LTD.

Company Details

Entity Name: CARDINAL MEDICAL GROUP, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 23 Apr 1997
Date of Dissolution: 28 Dec 2016
Company Number: CORP_59381156
File Number: 59381156
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 28 Dec 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDINAL MEDICAL GROUP LTD PROFIT SHARING PLAN 2016 364157822 2017-01-26 CARDINAL MEDICAL GROUP LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3096938611
Plan sponsor’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907

Signature of
Role Plan administrator
Date 2017-01-26
Name of individual signing DR LES JOHNSON
Valid signature Filed with authorized/valid electronic signature
CARDINAL MEDICAL GROUP LTD PROFIT SHARING PLAN 2015 364157822 2016-10-24 CARDINAL MEDICAL GROUP LTD 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3096938611
Plan sponsor’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907

Signature of
Role Plan administrator
Date 2016-10-24
Name of individual signing DR LES JOHNSON
Valid signature Filed with authorized/valid electronic signature
CARDINAL MEDICAL GROUP LTD PROFIT SHARING PLAN 2014 364157822 2015-10-19 CARDINAL MEDICAL GROUP LTD 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3096938611
Plan sponsor’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907

Signature of
Role Plan administrator
Date 2015-10-19
Name of individual signing LES JOHNSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-19
Name of individual signing LES JOHNSON, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDINAL MEDICAL GROUP LTD PROFIT SHARING PLAN 2013 364157822 2015-04-14 CARDINAL MEDICAL GROUP LTD 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3096938611
Plan sponsor’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907

Signature of
Role Plan administrator
Date 2015-04-14
Name of individual signing ERIKA LOTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-14
Name of individual signing ERIKA LOTZ
Valid signature Filed with authorized/valid electronic signature
CARDINAL MEDICAL GROUP LTD PROFIT SHARING PLAN 2012 364157822 2014-12-22 CARDINAL MEDICAL GROUP LTD 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3096938611
Plan sponsor’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907

Signature of
Role Plan administrator
Date 2014-12-22
Name of individual signing STANLEY D. LYNALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-12-22
Name of individual signing STANLEY D. LYNALL
Valid signature Filed with authorized/valid electronic signature
CARDINAL MEDICAL GROUP LTD PROFIT SHARING PLAN 2011 364157822 2013-01-30 CARDINAL MEDICAL GROUP LTD 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3096938611
Plan sponsor’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907

Plan administrator’s name and address
Administrator’s EIN 364157822
Plan administrator’s name SAME
Plan administrator’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907
Administrator’s telephone number 3096938611

Signature of
Role Plan administrator
Date 2013-01-30
Name of individual signing MICHAEL SHADLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-30
Name of individual signing MICHAEL SHADLEY
Valid signature Filed with authorized/valid electronic signature
CARDINAL MEDICAL GROUP LTD PROFIT SHARING PLAN 2010 364157822 2012-11-20 CARDINAL MEDICAL GROUP LTD 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3096938611
Plan sponsor’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907

Plan administrator’s name and address
Administrator’s EIN 364157822
Plan administrator’s name SAME
Plan administrator’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907
Administrator’s telephone number 3096938611

Signature of
Role Plan administrator
Date 2012-11-20
Name of individual signing MICHAEL SHADLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-11-20
Name of individual signing MICHAEL SHADLEY
Valid signature Filed with authorized/valid electronic signature
CARDINAL MEDICAL GROUP LTD PROFIT SHARING PLAN 2010 364157822 2012-04-16 CARDINAL MEDICAL GROUP LTD 27
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3096938611
Plan sponsor’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907

Plan administrator’s name and address
Administrator’s EIN 364157822
Plan administrator’s name SAME
Plan administrator’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907
Administrator’s telephone number 3096938611

Signature of
Role Plan administrator
Date 2012-04-16
Name of individual signing CARDINAL MEDICAL GROUP, LTD.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2012-04-16
Name of individual signing CARDINAL MEDICAL GROUP, LTD.
Valid signature Filed with incorrect/unrecognized electronic signature
CARDINAL MEDICAL GROUP LTD PROFIT SHARING PLAN 2009 364157822 2011-04-15 CARDINAL MEDICAL GROUP LTD 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3096938611
Plan sponsor’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907

Plan administrator’s name and address
Administrator’s EIN 364157822
Plan administrator’s name SAME
Plan administrator’s address 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907
Administrator’s telephone number 3096938611

Signature of
Role Plan administrator
Date 2011-04-15
Name of individual signing MICHAEL SHADLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-15
Name of individual signing MICHAEL SHADLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHNSON BUNCE & NOBLE PC, 7800 N SOMMER ST STE 425, PEORIA, 61615, PEORIA Agent 2012-11-09

President

Name and Address Role
HENRY SAN GERMAN 6339 N BIG HOLLOW RD PEORIA IL 61615 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042007981 No data No data REGISTERED MEDICAL CORPORATION No data 1997-05-21 2009-10-28 2011-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 600000 No data

Related by officers

JOHNSON BUNCE & NOBLE PC, 7800 N SOMMER ST STE 425, PEORIA, 61615, PEORIA

FOUNTAIN OF YOUTH LLC CARDINAL BUILDING GROUP, INC. CENTRAL ILLINOIS CABLE, INC. JOHNSON GROUP, LTD. CUSTOM ELECTRICAL ASSEMBLY, INC. ORGANIZATION FOR LOCAL JOURNALISM MARKET VISION FLOOR PLANS & PHOTOGRAPHY, LTD. COLEMAN FAMILY CHARITIES HEARTLAND SOUND...STAGED GIVEVIG.COM, INC.

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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