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LOVES PARK CHIROPRACTIC CLINIC, S.C.

Company Details

Entity Name: LOVES PARK CHIROPRACTIC CLINIC, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 15 Jun 1999
Company Number: CORP_60541442
File Number: 60541442
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
LOVES PARK CHIROPRACTIC CLINIC, S.C 2011 364297173 2012-05-10 LOVES PARK CHIROPRACTIC CLINIC, S.C 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8156337272
Plan sponsor’s address 421 RIVER LANE, LOVES PARK, IL, 61111

Plan administrator’s name and address

Administrator’s EIN 364297173
Plan administrator’s name LOVES PARK CHIROPRACTIC CLINIC, S.C
Plan administrator’s address 421 RIVER LANE, LOVES PARK, IL, 61111
Administrator’s telephone number 8156337272

Signature of

Role Plan administrator
Date 2012-05-10
Name of individual signing DR. ANDREA K GAYLE KERKHOFF
Valid signature Filed with authorized/valid electronic signature
LOVES PARK CHIROPRACTIC CLINIC, S.C 2010 364297173 2011-06-06 LOVES PARK CHIROPRACTIC CLINIC, S.C 0
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8156337272
Plan sponsor’s address 421 RIVER LANE, LOVES PARK, IL, 61111

Plan administrator’s name and address

Administrator’s EIN 364297173
Plan administrator’s name LOVES PARK CHIROPRACTIC CLINIC, S.C
Plan administrator’s address 421 RIVER LANE, LOVES PARK, IL, 61111
Administrator’s telephone number 8156337272

Signature of

Role Plan administrator
Date 2011-06-06
Name of individual signing DR. ANDREA K GAYLE KERKHOFF
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-06-06
Name of individual signing SUSAN HOGAN
Valid signature Filed with incorrect/unrecognized electronic signature
LOVES PARK CHIROPRACTIC CLINIC, S.C 2010 364297173 2011-07-01 LOVES PARK CHIROPRACTIC CLINIC, S.C 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8156337272
Plan sponsor’s address 421 RIVER LANE, LOVES PARK, IL, 61111

Plan administrator’s name and address

Administrator’s EIN 364297173
Plan administrator’s name LOVES PARK CHIROPRACTIC CLINIC, S.C
Plan administrator’s address 421 RIVER LANE, LOVES PARK, IL, 61111
Administrator’s telephone number 8156337272

Signature of

Role Plan administrator
Date 2011-07-01
Name of individual signing DR. ANDREA K GAYLE KERKHOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-01
Name of individual signing SUSAN HOGAN
Valid signature Filed with authorized/valid electronic signature
LOVES PARK CHIROPRACTIC CLINIC, S.C 2009 364297173 2010-09-02 LOVES PARK CHIROPRACTIC CLINIC, S.C 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8156337272
Plan sponsor’s address 421 RIVER LANE, LOVES PARK, IL, 61111

Plan administrator’s name and address

Administrator’s EIN 364297173
Plan administrator’s name LOVES PARK CHIROPRACTIC CLINIC, S.C
Plan administrator’s address 421 RIVER LANE, LOVES PARK, IL, 61111
Administrator’s telephone number 8156337272

Signature of

Role Plan administrator
Date 2010-09-02
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JARROD STEVEN KERKHOFF, 2826 WOODHILL DR, ROCKFORD, 61114, WINNEBAGO Agent 2008-08-01

President

Name and Address Role
JARROD S. KERKHOFF, 2826 WOODHILL DR, ROCKFORD, IL 61114 President

Secretary

Name and Address Role
ANDREA K GALE KERKHOFF Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000000 1000000 1

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State