| Entity Name: | CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 03 Dec 1999 |
| Date of Dissolution: | 25 Jun 2024 |
| Company Number: | CORP_60788677 |
| File Number: | 60788677 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 25 Jun 2024 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES 401(K) PLAN | 2012 | 371392378 | 2014-12-09 | CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES | 7 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-12-09 |
| Name of individual signing | SUE PATURI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-07-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 3098620064 |
| Plan sponsor’s address | 405 KAYS DR., NORMAL, IL, 61761 |
Plan administrator’s name and address
| Administrator’s EIN | 371392378 |
| Plan administrator’s name | CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES |
| Plan administrator’s address | 405 KAYS DR., NORMAL, IL, 61761 |
| Administrator’s telephone number | 3098620064 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-18 |
| Name of individual signing | RAJU PATURI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-07-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 3098620064 |
| Plan sponsor’s address | 405 KAYS DR., NORMAL, IL, 61761 |
Plan administrator’s name and address
| Administrator’s EIN | 371392378 |
| Plan administrator’s name | CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES |
| Plan administrator’s address | 405 KAYS DR., NORMAL, IL, 61761 |
| Administrator’s telephone number | 3098620064 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-09 |
| Name of individual signing | RAJU N. PATURI. M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-07-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 3098620064 |
| Plan sponsor’s address | 405 KAYS DR., NORMAL, IL, 61761 |
Plan administrator’s name and address
| Administrator’s EIN | 371392378 |
| Plan administrator’s name | CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES |
| Plan administrator’s address | 405 KAYS DR., NORMAL, IL, 61761 |
| Administrator’s telephone number | 3098620064 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-04 |
| Name of individual signing | RAJU PATURI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-04 |
| Name of individual signing | RAJU PATURI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RITA ESHMAN, 326 SUSAN DR STE C, NORMAL, 61761, MC LEAN | Agent | 2022-05-24 |
| Name and Address | Role |
|---|---|
| RAJU PATURI 405 KAYS DRIVE, SUITE B NORMAL IL 61761 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 100000 | No data |
Date of last update: 27 Jan 2025
