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MODERT FAMILY PRACTICE, LTD.

Company Details

Entity Name: MODERT FAMILY PRACTICE, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 Nov 1998
Company Number: CORP_60228868
File Number: 60228868
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MODERT FAMILY PRACTICE 401(K)PLAN 2023 371379742 2024-10-08 MODERT FAMILY PRACTICE, LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6182441234
Plan sponsor’s address P.O. BOX 802, 1 DOCTORS PARK ROAD, SUITE C, MT. VERNON, IL, 62864
MODERT FAMILY PRACTICE, LTD 401(K) PLAN 2023 371379742 2024-10-08 MODERT FAMILY PRACTICE, LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6182441234
Plan sponsor’s address P.O. BOX 802, 1 DOCTORS PARK ROAD, SUITE C, MT. VERNON, IL, 62864
MODERT FAMILY PRACTICE 401(K)PLAN 2022 371379742 2023-09-11 MODERT FAMILY PRACTICE, LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6182441234
Plan sponsor’s address P.O. BOX 802, 1 DOCTORS PARK ROAD, SUITE C, MT. VERNON, IL, 62864
MODERT FAMILY PRACTICE 401(K)PLAN 2021 371379742 2022-10-11 MODERT FAMILY PRACTICE, LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6182441234
Plan sponsor’s address P.O. BOX 802, 1 DOCTORS PARK ROAD, SUITE C, MT. VERNON, IL, 62864
MODERT FAMILY PRACTICE 401(K) PLAN 2020 371379742 2021-09-08 MODERT FAMILY PRACTICE, LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6182441234
Plan sponsor’s address P.O. BOX 802, 1 DOCTORS PARK ROAD, SUITE C, MT. VERNON, IL, 62864
MODERT FAMILY PRACTICE 401(K) PLAN 2019 371379742 2020-07-28 MODERT FAMILY PRACTICE, LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6182441234
Plan sponsor’s address P.O. BOX 2280, 1 DOCTORS PARK ROAD, SUITE C, MT. VERNON, IL, 62864
MODERT FAMILY PRACTICE 401(K) PLAN 2018 371379742 2019-10-15 MODERT FAMILY PRACTICE, LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6182441234
Plan sponsor’s address P.O. BOX 2280, 1 DOCTORS PARK ROAD, SUITE C, MT. VERNON, IL, 62864
MODERT FAMILY PRACTICE 401(K) PLAN 2017 371379742 2018-08-31 MODERT FAMILY PRACTICE, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6182441234
Plan sponsor’s address P.O. BOX 2280, 1708 JEFFERSON AVE., MT. VERNON, IL, 62864
MODERT FAMILY PRACTICE 401(K) PLAN 2016 371379742 2017-09-30 MODERT FAMILY PRACTICE, LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6182441234
Plan sponsor’s address P.O. BOX 2280, 1708 JEFFERSON AVE., MT. VERNON, IL, 62864
MODERT FAMILY PRACTICE 401(K) PLAN 2015 371379742 2016-04-27 MODERT FAMILY PRACTICE, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6182441234
Plan sponsor’s address P.O. BOX 2280, 1708 JEFFERSON AVE., MT. VERNON, IL, 62864

Signature of

Role Plan administrator
Date 2016-04-27
Name of individual signing SARA MODERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SARA MODERT, #1 DOCTORS PARK RD #C POB 802, MOUNT VERNON, 62864, JEFFERSON Agent 2020-11-24

President

Name and Address Role
SARA K MODERT 2411 RICHVIEW RDMT VERNON 62864 President

Secretary

Name and Address Role
CHRISTOPHER MODERT Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042616859 No data No data REGISTERED MEDICAL CORPORATION No data 1999-01-29 2022-01-02 2025-01-01

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State