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  5. SJL HEALTH SYSTEMS, INC.

SJL HEALTH SYSTEMS, INC.

Company Details

Entity Name: SJL HEALTH SYSTEMS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Bankruptcy
Date Formed: 08 May 1997
Company Number: CORP_59406086
File Number: 59406086
Type of Business: Not for Profit
Date Status Change: 18 Apr 2024
Place of Formation: MISSOURI

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
HDYEBHL9L2L6 2024-02-04 830 W TRAILCREEK DR, PEORIA, IL, 61614, 1862, USA 830 W TRAILCREEK DR, PEORIA, IL, 61614, 1862, USA

Business Information
Doing Business As PRARIE ROSE HEALTH CARE CENTER
Congressional District 18
State/Country of Incorporation IL, USA
Activation Date 2023-02-07
Initial Registration Date 2021-03-19
Entity Start Date 2003-10-06
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MARIKAY SNYDER
Address 830 W TRAILCREEK DR, PEORIA, IL, 61614, USA
Government Business
Title PRIMARY POC
Name MARIKAY SNYDER
Address 830 W TRAILCREEK DR, PEORIA, IL, 61614, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SJL HEALTH SYSTEMS INC DBA PRAIRIE ROSE HEALTH CARE CENTER 401(K) PLAN 2023 431710785 2024-05-10 SJL HEALTH SYSTEMS INC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 623000
Sponsor’s telephone number 3096918113
Plan sponsor’s address 830 WEST TRAILCREEK DR., PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2024-05-10
Name of individual signing MARK B. PETERSEN
Valid signature Filed with authorized/valid electronic signature
SJL HEALTH SYSTEMS INC/PRAIRIE ROSE HLTH CARE CNTR 401K PLAN 2022 431710785 2023-10-12 SJL HEALTH SYSTEMS INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 623000
Sponsor’s telephone number 3096918113
Plan sponsor’s address 830 WEST TRAILCREEK DR., PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing MARK B. PETERSEN
Valid signature Filed with authorized/valid electronic signature
SJL HEALTH SYSTEMS INC/PRAIRIE ROSE HLTH CARE CNTR 401K PLAN 2021 431710785 2022-10-05 SJL HEALTH SYSTEMS INC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 623000
Sponsor’s telephone number 3096918113
Plan sponsor’s address 830 WEST TRAILCREEK DR., PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing MARK B. PETERSEN
Valid signature Filed with authorized/valid electronic signature
SJL HEALTH SYSTEMS INC. DBA PRAIRIE ROSE HEALTH CARE CENTER 2020 431710785 2021-10-15 SJL HEALTH SYSTEMS INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 623000
Sponsor’s telephone number 3096918113
Plan sponsor’s address 830 WEST TRAILCREEK DRIVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing DANNELLE GRAY
Valid signature Filed with authorized/valid electronic signature
SJL HEALTH SYSTEMS INC. DBA PRAIRIE ROSE HEALTH CARE CENTER 2019 431710785 2020-07-09 SJL HEALTH SYSTEMS INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 623000
Sponsor’s telephone number 3096918113
Plan sponsor’s address 830 WEST TRAILCREEK DRIVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2020-07-09
Name of individual signing DANNELLE GRAY
Valid signature Filed with authorized/valid electronic signature
SJL HEALTH SYSTEMS INC. DBA PRAIRIE ROSE HEALTH CARE CENTER 2018 431710785 2019-07-29 SJL HEALTH SYSTEMS INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 623000
Sponsor’s telephone number 3096918113
Plan sponsor’s address 830 WEST TRAILCREEK DRIVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing DANNELLE GRAY
Valid signature Filed with authorized/valid electronic signature
SJL HEALTH SYSTEMS INC. DBA PRAIRIE ROSE HEALTH CARE CENTER 2017 431710785 2018-07-27 SJL HEALTH SYSTEMS INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 623000
Sponsor’s telephone number 3096918113
Plan sponsor’s address 830 WEST TRAILCREEK DRIVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing DANNELLE GRAY
Valid signature Filed with authorized/valid electronic signature
SJL HEALTH SYSTEMS INC. DBA PRAIRIE ROSE HEALTH CARE CENTER 2016 431710785 2017-07-31 SJL HEALTH SYSTEMS INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 623000
Sponsor’s telephone number 3096918113
Plan sponsor’s address 830 WEST TRAILCREEK DRIVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing DANNELLE GRAY
Valid signature Filed with authorized/valid electronic signature
SJL HEALTH SYSTEMS INC. DBA PRAIRIE ROSE HEALTH CARE CENTER 2015 431710785 2016-07-19 SJL HEALTH SYSTEMS INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 623000
Sponsor’s telephone number 3096895852
Plan sponsor’s address 830 WEST TRAILCREEK DRIVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing DANNELLE GRAY
Valid signature Filed with authorized/valid electronic signature
SJL HEALTH SYSTEMS INC. DBA PRAIRIE ROSE HEALTH CARE CENTER 2014 431710785 2015-10-12 SJL HEALTH SYSTEMS INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 623000
Sponsor’s telephone number 3096895852
Plan sponsor’s address 830 WEST TRAILCREEK DRIVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing DANNELLE GRAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARIKAY L SNYDER, 830 W TRAILCREEK DR, PEORIA, 61614, PEORIA Agent 2005-04-27

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PRAIRIE ROSE HEALTH CARE CENTER NFP Assume Name 2004-11-24 No data No data No data

Historical Names

Name Change Date
MIDWEST CARE CENTER I, INC. 2004-01-23

Related by officers

MARIKAY L SNYDER, 830 W TRAILCREEK DR, PEORIA, 61614, PEORIA

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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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