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HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C.

Company Details

Entity Name: HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 Jul 1999
Company Number: CORP_60605629
File Number: 60605629
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
HEART OF ILLINOIS OB-GYN PROFIT SHARING PLAN 2023 371388054 2024-05-15 HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3094543456
Plan sponsor’s address 1505 EASTLAND DR., SUITE 2200, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2024-05-15
Name of individual signing RACHEL DALTON
Valid signature Filed with authorized/valid electronic signature
HEART OF ILLINOIS OB-GYN PROFIT SHARING PLAN 2022 371388054 2023-07-27 HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3094543456
Plan sponsor’s address 1505 EASTLAND DR, SUITE 2200, BLOOMINGTON, IL, 61761

Signature of

Role Plan administrator
Date 2023-07-27
Name of individual signing RACHEL DALTON
Valid signature Filed with authorized/valid electronic signature
HEART OF ILLINOIS OB-GYN PROFIT SHARING PLAN 2021 371388054 2022-05-11 HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3094543456
Plan sponsor’s address 1505 EASTLAND DR, SUITE 2200, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2022-05-11
Name of individual signing RACHEL DALTON
Valid signature Filed with authorized/valid electronic signature
HEART OF ILLINOIS OB-GYN PROFIT SHARING PLAN 2020 371388054 2021-03-18 HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3094543456
Plan sponsor’s address 1302 FRANKLIN AVE SUITE 2800, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2021-03-18
Name of individual signing RACHEL DALTON
Valid signature Filed with authorized/valid electronic signature
HEART OF ILLINOIS OB-GYN PROFIT SHARING PLAN 2019 371388054 2020-05-11 HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3094543456
Plan sponsor’s address 1302 FRANKLIN AVE SUITE 2800, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2020-05-11
Name of individual signing RACHEL DALTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RICHARD T MARVEL, 221 E FRONT ST, BLOOMINGTON, 61701, MC LEAN Agent 2019-06-28

President

Name and Address Role
RACHEL M. DALTON 1505 EASTLANDDR., STE. 2200, BLOOMINGTON President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY Assume Name 2019-07-26 No data No data No data
HEART OF ILLINOIS OB-GYN Assume Name 2019-07-26 No data No data No data

Historical Names

Name Change Date
HAROLD A. NORD OBSTETRICS AND GYNECOLOGY, S.C. 2019-04-11

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 2000000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State