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  5. MARION OBSTETRICS & GYNECOLOGY, LTD.

MARION OBSTETRICS & GYNECOLOGY, LTD.

Company Details

Entity Name: MARION OBSTETRICS & GYNECOLOGY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 May 1998
Date of Dissolution: 14 Oct 2016
Company Number: CORP_59968041
File Number: 59968041
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 14 Oct 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARION OBSTETRICS & GYNECOLOGY LTD PROFIT SHARING PLAN 2014 371373409 2015-01-23 MARION OBSTETRICS & GYNECOLOGY LTD 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189989888
Plan sponsor’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959

Plan administrator’s name and address
Administrator’s EIN 371373409
Plan administrator’s name MARION OBSTETRICS & GYNECOLOGY LTD
Plan administrator’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959
Administrator’s telephone number 6189989888

Signature of
Role Plan administrator
Date 2015-01-23
Name of individual signing PATRICK SAYAVONG
Valid signature Filed with authorized/valid electronic signature
MARION OBSTETRICS & GYNECOLOGY LTD PROFIT SHARING PLAN 2014 371373409 2015-11-24 MARION OBSTETRICS & GYNECOLOGY LTD 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189989888
Plan sponsor’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959

Signature of
Role Plan administrator
Date 2015-11-24
Name of individual signing PATRICK SAYAVONG
Valid signature Filed with authorized/valid electronic signature
MARION OBSTETRICS & GYNECOLOGY LTD PROFIT SHARING PLAN 2013 371373409 2014-03-04 MARION OBSTETRICS & GYNECOLOGY 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 6189989888
Plan sponsor’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959

Plan administrator’s name and address
Administrator’s EIN 371373409
Plan administrator’s name MARION OBSTETRICS & GYNECOLOGY LTD
Plan administrator’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959
Administrator’s telephone number 6189989888

Signature of
Role Plan administrator
Date 2014-03-04
Name of individual signing PATRICK SAYAVONG
Valid signature Filed with authorized/valid electronic signature
MARION OBSTETRICS & GYNECOLOGY LTD PROFIT SHARING PLAN 2012 371373409 2013-07-16 MARION OBSTETRICS & GYNECOLOGY LTD 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189989888
Plan sponsor’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959

Plan administrator’s name and address
Administrator’s EIN 371373409
Plan administrator’s name MARION OBSTETRICS & GYNECOLOGY LTD
Plan administrator’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959
Administrator’s telephone number 6189989888

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing PATRICK SAYAVONG
Valid signature Filed with authorized/valid electronic signature
MARION OBSTETRICS & GYNECOLOGY LTD PROFIT SHARING PLAN 2012 371373409 2013-04-17 MARION OBSTETRICS & GYNECOLOGY LTD 10
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189989888
Plan sponsor’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959

Plan administrator’s name and address
Administrator’s EIN 371373409
Plan administrator’s name MARION OBSTETRICS & GYNECOLOGY LTD
Plan administrator’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959
Administrator’s telephone number 6189989888

Signature of
Role Plan administrator
Date 2013-04-17
Name of individual signing PATRICK SAYAVONG
Valid signature Filed with authorized/valid electronic signature
MARION OBSTETRICS & GYNECOLOGY LTD PROFIT SHARING PLAN 2011 371373409 2012-04-26 MARION OBSTETRICS & GYNECOLOGY LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189989888
Plan sponsor’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959

Plan administrator’s name and address
Administrator’s EIN 371373409
Plan administrator’s name MARION OBSTETRICS & GYNECOLOGY LTD
Plan administrator’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959
Administrator’s telephone number 6189989888

Signature of
Role Plan administrator
Date 2012-04-26
Name of individual signing PATRICK SAYAVONG
Valid signature Filed with authorized/valid electronic signature
MARION OBSTETRICS & GYNECOLOGY LTD DEFINED BENEFIT PLAN 2010 371373409 2011-12-21 MARION OBSTETRICS & GYNECOLOGY LTD 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6189989888
Plan sponsor’s address 3331 W DEYOUNG ST SUITE 201, MARION, IL, 62959

Plan administrator’s name and address
Administrator’s EIN 371373409
Plan administrator’s name MARION OBSTETRICS & GYNECOLOGY LTD
Plan administrator’s address 3331 W DEYOUNG ST SUITE 201, MARION, IL, 62959
Administrator’s telephone number 6189989888

Signature of
Role Plan administrator
Date 2011-12-21
Name of individual signing PATRICK SAYAVONG DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-12-21
Name of individual signing PATRICK SAYAVONG DO
Valid signature Filed with authorized/valid electronic signature
MARION OBSTETRICS & GYNECOLOGY LTD DEFINED BENEFIT PLAN 2010 371373409 2011-06-08 MARION OBSTETRICS & GYNECOLOGY LTD 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6189989888
Plan sponsor’s address 3331 W DEYOUNG ST SUITE 201, MARION, IL, 62959

Plan administrator’s name and address
Administrator’s EIN 371373409
Plan administrator’s name MARION OBSTETRICS & GYNECOLOGY LTD
Plan administrator’s address 3331 W DEYOUNG ST SUITE 201, MARION, IL, 62959
Administrator’s telephone number 6189989888

Signature of
Role Plan administrator
Date 2011-06-08
Name of individual signing PATRICK SAYAVONG DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-08
Name of individual signing PATRICK SAYAVONG DO
Valid signature Filed with authorized/valid electronic signature
MARION OBSTETRICS & GYNECOLOGY LTD PROFIT SHARING PLAN 2010 371373409 2011-05-16 MARION OBSTETRICS & GYNECOLOGY LTD 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189989888
Plan sponsor’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959

Plan administrator’s name and address
Administrator’s EIN 371373409
Plan administrator’s name MARION OBSTETRICS & GYNECOLOGY LTD
Plan administrator’s address 3331 W DEYOUNG ST STE 201, MARION, IL, 62959
Administrator’s telephone number 6189989888

Signature of
Role Plan administrator
Date 2011-05-16
Name of individual signing PATRICK SAYAVONG DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-16
Name of individual signing PATRICK SAYAVONG DO
Valid signature Filed with authorized/valid electronic signature
MARION OBSTETRICS & GYNECOLOGY LTD DB PLAN 2009 371373409 2010-10-05 MARION OBSTETRICS & GYNECOLOGY LTD 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6189989888
Plan sponsor’s address 3331 W DEYOUNG ST SUITE 201, MARION, IL, 62959

Plan administrator’s name and address
Administrator’s EIN 371373409
Plan administrator’s name MARION OBSTETRICS & GYNECOLOGY LTD
Plan administrator’s address 3331 W DEYOUNG ST SUITE 201, MARION, IL, 62959
Administrator’s telephone number 6189989888

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing PATRICK SAYAVONG DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-05
Name of individual signing PATRICK SAYAVONG DO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PATRICK SAYAVONG, 3331 W DEYOUNG ST STE 201, MARION, 62959, WILLIAMSON Agent 2003-05-16

President

Name and Address Role
PATRICK SAYAVONG, 903 W MAIN MARION IL 62059 President

Shares

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

Related by officers

No related officers

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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