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  5. BLOOMINGTON PERFUSIONIST, INC.

BLOOMINGTON PERFUSIONIST, INC.

Company Details

Entity Name: BLOOMINGTON PERFUSIONIST, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 29 Dec 1997
Date of Dissolution: 09 May 2014
Company Number: CORP_59735942
File Number: 59735942
Type of Business: All Inclusive Purpose
Date Status Change: 09 May 2014
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLOOMINGTON PERFUSIONIST, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2014 371367190 2015-05-15 BLOOMINGTON PERFUSIONIST, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8474069053
Plan sponsor’s address 3252 W. CULLOM AVENUE, APT. 3W, CHICAGO, IL, 60618

Signature of
Role Plan administrator
Date 2015-05-15
Name of individual signing KRISTIN SHERRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-15
Name of individual signing KRISTIN SHERRICK
Valid signature Filed with authorized/valid electronic signature
BLOOMINGTON PERFUSIONIST, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2013 371367190 2014-05-27 BLOOMINGTON PERFUSIONIST, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8474069053
Plan sponsor’s address 3252 W. CULLOM AVENUE, APT. 3W, CHICAGO, IL, 60618

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing KRISTIN SHERRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-27
Name of individual signing KRISTIN SHERRICK
Valid signature Filed with authorized/valid electronic signature
BLOOMINGTON PERFUSIONIST, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2012 371367190 2013-11-27 BLOOMINGTON PERFUSIONIST, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 3094540824
Plan sponsor’s address 717 CLAIRIDGE GREEN, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2013-11-27
Name of individual signing KRISTIN SHERRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-11-27
Name of individual signing KRISTIN SHERRICK
Valid signature Filed with authorized/valid electronic signature
BLOOMINGTON PERFUSIONIST, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2011 371367190 2012-06-16 BLOOMINGTON PERFUSIONIST, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 3094540824
Plan sponsor’s address 1419 EAST TAMARACK TRAIL, NORMAL, IL, 61761

Plan administrator’s name and address
Administrator’s EIN 371367190
Plan administrator’s name BLOOMINGTON PERFUSIONIST, INC.
Plan administrator’s address 1419 EAST TAMARACK TRAIL, NORMAL, IL, 61761
Administrator’s telephone number 3094540824

Signature of
Role Plan administrator
Date 2012-06-16
Name of individual signing ADAM SHERRICK
Valid signature Filed with authorized/valid electronic signature
BLOOMINGTON PERFUSIONIST, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2010 371367190 2011-07-06 BLOOMINGTON PERFUSIONIST, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 3094540824
Plan sponsor’s address 1419 EAST TAMARACK TRAIL, NORMAL, IL, 61761

Plan administrator’s name and address
Administrator’s EIN 371367190
Plan administrator’s name BLOOMINGTON PERFUSIONIST, INC.
Plan administrator’s address 1419 EAST TAMARACK TRAIL, NORMAL, IL, 61761
Administrator’s telephone number 3094540824

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing ADAM SHERRICK
Valid signature Filed with authorized/valid electronic signature
BLOOMINGTON PERFUSIONIST, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2009 371367190 2010-07-18 BLOOMINGTON PERFUSIONIST, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 3094540824
Plan sponsor’s address 1419 EAST TAMARACK TRAIL, NORMAL, IL, 61761

Plan administrator’s name and address
Administrator’s EIN 371367190
Plan administrator’s name BLOOMINGTON PERFUSIONIST, INC.
Plan administrator’s address 1419 EAST TAMARACK TRAIL, NORMAL, IL, 61761
Administrator’s telephone number 3094540824

Signature of
Role Plan administrator
Date 2010-07-18
Name of individual signing ADAM SHERRICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID C WOCHNER, 308 E WASHINGTON ST, BLOOMINGTON, 61701, MC LEAN Agent 1997-12-29

President

Name and Address Role
ADAM SHERRICK 1419 E TAMARACK TRAIL NORMAL IL 61761 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

DAVID C WOCHNER, 308 E WASHINGTON ST, BLOOMINGTON, 61701, MC LEAN

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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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