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  5. KASKASKIA MEDICAL CENTER, LTD.

KASKASKIA MEDICAL CENTER, LTD.

Company Details

Entity Name: KASKASKIA MEDICAL CENTER, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Oct 1999
Company Number: CORP_60706301
File Number: 60706301
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
KASKASKIA MEDICAL CENTER, LTD 401(K) PLAN 2012 371390168 2013-11-13 KASKASKIA MEDICAL CENTER, LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6182834445
Plan sponsor’s address 1003 NORTH EIGHTH STREET, VANDALIA, IL, 62471

Signature of
Role Plan administrator
Date 2013-11-13
Name of individual signing MICHAEL DARMADI
Valid signature Filed with authorized/valid electronic signature
KASKASKIA MEDICAL CENTER, LTD 401(K) PLAN 2012 371390168 2013-07-16 KASKASKIA MEDICAL CENTER, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6182834445
Plan sponsor’s address 1003 NORTH EIGHTH STREET, VANDALIA, IL, 62471

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing MICHAEL DARMADI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-16
Name of individual signing MICHAEL DARMADI
Valid signature Filed with authorized/valid electronic signature
KASKASKIA MEDICAL CENTER, LTD 401(K) PLAN 2011 371390168 2012-08-08 KASKASKIA MEDICAL CENTER, LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6182834445
Plan sponsor’s address 1003 NORTH EIGHTH STREET, VANDALIA, IL, 62471

Plan administrator’s name and address
Administrator’s EIN 371390168
Plan administrator’s name KASKASKIA MEDICAL CENTER, LTD
Plan administrator’s address 1003 NORTH EIGHTH STREET, VANDALIA, IL, 62471
Administrator’s telephone number 6182834445

Signature of
Role Plan administrator
Date 2012-08-08
Name of individual signing MICHAEL DARMADI
Valid signature Filed with authorized/valid electronic signature
KASKASKIA MEDICAL CENTER, LTD 401(K) PLAN 2010 371390168 2011-06-27 KASKASKIA MEDICAL CENTER, LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6182834445
Plan sponsor’s address 1003 NORTH EIGHTH STREET, VANDALIA, IL, 62471

Plan administrator’s name and address
Administrator’s EIN 371390168
Plan administrator’s name KASKASKIA MEDICAL CENTER, LTD
Plan administrator’s address 1003 NORTH EIGHTH STREET, VANDALIA, IL, 62471
Administrator’s telephone number 6182834445

Signature of
Role Plan administrator
Date 2011-06-27
Name of individual signing MICHAEL DARMADI
Valid signature Filed with authorized/valid electronic signature
KASKASKIA MEDICAL CENTER, LTD 401(K) PLAN 2009 371390168 2010-07-02 KASKASKIA MEDICAL CENTER, LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6182834445
Plan sponsor’s address 1003 NORTH EIGHTH STREET, VANDALIA, IL, 62471

Plan administrator’s name and address
Administrator’s EIN 371390168
Plan administrator’s name KASKASKIA MEDICAL CENTER, LTD
Plan administrator’s address 1003 NORTH EIGHTH STREET, VANDALIA, IL, 62471
Administrator’s telephone number 6182834445

Signature of
Role Plan administrator
Date 2010-07-02
Name of individual signing MICHAEL DARMADI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LAW GROUP REGISTERED AGENTS LLC, 2202 W RANDOLPH ST, VANDALIA, 62471, FAYETTE Agent 2024-09-12

President

Name and Address Role
MICHAEL DARMADI 1003 N EIGHTHST. VANDALIA IL 62471 President

Secretary

Name and Address Role
MICHAEL DARMADI 1003 N EIGHTHST VANDALIA IL 62471 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042616992 No data No data REGISTERED MEDICAL CORPORATION No data 1999-11-08 2024-10-02 2028-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Related by officers

LAW GROUP REGISTERED AGENTS LLC, 2202 W RANDOLPH ST, VANDALIA, 62471, FAYETTE

BOCKHORN PROPERTIES, L.L.C. C & C COOLING, L.L.C. L.E.A.R. ENT., L.L.C. SANITATION SERVICE, INC. OCONEE GRAIN COMPANY WONDER LAND RANCH, INC. LEEDAWAY FARMS, INC. F.H.S. LTD. JOHN E THULL, INCORPORATED HIGHLAND FARMS, INC.

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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