Search icon

DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.

Company Details

Entity Name: DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 30 Aug 1999
Date of Dissolution: 11 Oct 2018
Company Number: CORP_60655839
File Number: 60655839
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 11 Oct 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 401(K) PROFIT SHARING PLAN AND TRUST #001 2015 371390126 2016-03-07 DECATUR EMERGENCY MEDICAL SERVICES-II, S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178763000
Plan sponsor’s address 4401 LYNHURST ROAD, SPRINGFIELD, IL, 62711

Signature of

Role Plan administrator
Date 2016-03-07
Name of individual signing DENNIS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 401(K) PROFIT SHARING PLAN AND TRUST #001 2015 371390126 2016-03-07 DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178011003
Plan sponsor’s address 2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521

Signature of

Role Plan administrator
Date 2016-03-07
Name of individual signing DENNIS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 401(K) PROFIT SHARING PLAN AND TRUST #001 2014 371390126 2015-08-04 DECATUR EMERGENCY MEDICAL SERVICES-II, S.C. 16
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178763000
Plan sponsor’s address 4401 LYNHURST ROAD, SPRINGFIELD, IL, 62711

Signature of

Role Plan administrator
Date 2015-08-04
Name of individual signing DENNIS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 401(K) PROFIT SHARING PLAN AND TRUST #001 2014 371390126 2016-03-07 DECATUR EMERGENCY MEDICAL SERVICES-II, S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178763000
Plan sponsor’s address 4401 LYNHURST ROAD, SPRINGFIELD, IL, 62711

Signature of

Role Plan administrator
Date 2016-03-07
Name of individual signing DENNIS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003 2013 371390126 2014-09-16 DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2178763000
Plan sponsor’s address 2 POWERS LANE PLACE, DECATUR, IL, 62522

Signature of

Role Plan administrator
Date 2014-09-16
Name of individual signing GABRIEL MUNOZ
Valid signature Filed with authorized/valid electronic signature
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 401(K) PROFIT SHARING PLAN AND TRUST #001 2013 371390126 2014-08-23 DECATUR EMERGENCY MEDICAL SERVICES-II, S.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178763000
Plan sponsor’s address 4401 LYNHURST ROAD, SPRINGFIELD, IL, 62711

Signature of

Role Plan administrator
Date 2014-08-23
Name of individual signing DENNIS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
DECATUR EMERGENCY MEDICAL SERVICES-II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003 2013 371390126 2014-09-16 DECATUR EMERGENCY MEDICAL SERVICES-II, S.C. 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2178763000
Plan sponsor’s address 2 POWERS LANE PLACE, DECATUR, IL, 62522

Signature of

Role Plan administrator
Date 2014-09-16
Name of individual signing GABRIEL MUNOZ
Valid signature Filed with authorized/valid electronic signature
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003 2012 371390126 2013-10-10 DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2178763000
Plan sponsor’s address 2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing GABRIEL MUNOZ
Valid signature Filed with authorized/valid electronic signature
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003 2011 371390126 2012-09-26 DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2178763000
Plan sponsor’s address 2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521

Plan administrator’s name and address

Administrator’s EIN 371390126
Plan administrator’s name DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
Plan administrator’s address 2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521
Administrator’s telephone number 2178763000

Signature of

Role Plan administrator
Date 2012-09-26
Name of individual signing GABRIEL MUNOZ
Valid signature Filed with authorized/valid electronic signature
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003 2010 371390126 2011-04-13 DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2178763000
Plan sponsor’s address 2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521

Plan administrator’s name and address

Administrator’s EIN 371390126
Plan administrator’s name DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
Plan administrator’s address 2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521
Administrator’s telephone number 2178763000

Signature of

Role Plan administrator
Date 2011-04-13
Name of individual signing GABRIEL MUNOZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DENNIS GOLDBERG, 5309 SUMTER LN, SPRINGFIELD, 62711, SANGAMON Agent 2018-07-20

President

Name and Address Role
TERRY J. BALAGNA, 2300 N EDWARDS, DECATUR IL 62526 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 700000 1

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State