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ROCKFORD REHABILITATION MEDICINE, S.C.

Company Details

Entity Name: ROCKFORD REHABILITATION MEDICINE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 28 Feb 2001
Date of Dissolution: 13 Jul 2018
Company Number: CORP_61497617
File Number: 61497617
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 13 Jul 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROCKFORD REHABILITATION MEDICINE, S.C. PROFIT SHARING PLAN 2013 364424025 2014-07-14 ROCKFORD REHABILITATION MEDICINE, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159659548
Plan sponsor’s address 1399 EAST RIVERSIDE RD, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2014-07-14
Name of individual signing PETER K PARK
Valid signature Filed with authorized/valid electronic signature
ROCKFORD REHABILITATION MEDICINE, S.C. PROFIT SHARING PLAN 2013 364424025 2014-06-24 ROCKFORD REHABILITATION MEDICINE, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159659548
Plan sponsor’s address 1399 EAST RIVERSIDE RD, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2014-06-24
Name of individual signing PETER K PARK
Valid signature Filed with authorized/valid electronic signature
ROCKFORD REHABILITATION MEDICINE, S.C. PROFIT SHARING PLAN 2012 364424025 2014-01-16 ROCKFORD REHABILITATION MEDICINE, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159659548
Plan sponsor’s address 1399 EAST RIVERSIDE RD, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2014-01-16
Name of individual signing PETER K PARK
Valid signature Filed with authorized/valid electronic signature
ROCKFORD REHABILITATION MEDICINE, S.C. PROFIT SHARING PLAN 2011 364424025 2014-01-16 ROCKFORD REHABILITATION MEDICINE, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159659548
Plan sponsor’s address 1399 EAST RIVERSIDE RD, BELVIDERE, IL, 61008

Plan administrator’s name and address

Administrator’s EIN 364424025
Plan administrator’s name ROCKFORD REHABILITATION MEDICINE, S.C.
Plan administrator’s address 1399 EAST RIVERSIDE RD, BELVIDERE, IL, 61008
Administrator’s telephone number 8159659548

Signature of

Role Plan administrator
Date 2014-01-16
Name of individual signing PETER K PARK
Valid signature Filed with authorized/valid electronic signature
ROCKFORD REHABILITATION MEDICINE, S.C. PROFIT SHARING PLAN 2010 364424025 2011-07-13 ROCKFORD REHABILITATION MEDICINE, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159659548
Plan sponsor’s address 1399 EAST RIVERSIDE RD, BELVIDERE, IL, 61008

Plan administrator’s name and address

Administrator’s EIN 364424025
Plan administrator’s name ROCKFORD REHABILITATION MEDICINE, S.C.
Plan administrator’s address 1399 EAST RIVERSIDE RD, BELVIDERE, IL, 61008
Administrator’s telephone number 8159659548

Signature of

Role Plan administrator
Date 2011-07-13
Name of individual signing PETER K. PARK
Valid signature Filed with authorized/valid electronic signature
ROCKFORD REHABILITATION MEDICINE, S.C. PROFIT SHARING PLAN 2009 364424025 2010-10-04 ROCKFORD REHABILITATION MEDICINE, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159659548
Plan sponsor’s address 1399 EAST RIVERSIDE RD, BELVIDERE, IL, 61008

Plan administrator’s name and address

Administrator’s EIN 364424025
Plan administrator’s name ROCKFORD REHABILITATION MEDICINE, S.C.
Plan administrator’s address 1399 EAST RIVERSIDE RD, BELVIDERE, IL, 61008
Administrator’s telephone number 8159659548

Signature of

Role Plan administrator
Date 2010-10-04
Name of individual signing PETER K. PARK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PIROJNA JANTRA, 2990 N PERRYVILLE RD #2300, ROCKFORD, 61107, WINNEBAGO Agent 2016-07-21

President

Name and Address Role
PIROJNA JANTRA, 4202 YORKSHIRE LN, NORTHBROOK 60062 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 1

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State