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  5. DAVID C. NORMAN, M.D., P.C.

DAVID C. NORMAN, M.D., P.C.

Company Details

Entity Name: DAVID C. NORMAN, M.D., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 17 May 2001
Company Number: CORP_61625402
File Number: 61625402
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID C. NORMAN MD 401(K) PLAN 2023 371410541 2024-05-21 DAVID C. NORMAN, M.D. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6182572550
Plan sponsor’s address 4600 MEMORIAL DRIVE, SUITE 60, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2024-05-21
Name of individual signing DAVID NORMAN MD
Valid signature Filed with authorized/valid electronic signature
DAVID C. NORMAN MD 401(K) PLAN 2022 371410541 2023-05-12 DAVID C. NORMAN, M.D. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6182572550
Plan sponsor’s address 4600 MEMORIAL DRIVE, SUITE 60, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2023-05-12
Name of individual signing DAVID NORMAN MD
Valid signature Filed with authorized/valid electronic signature
DAVID C. NORMAN MD 401(K) PLAN 2021 371410541 2022-04-28 DAVID C. NORMAN, M.D. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6182572550
Plan sponsor’s address 4600 MEMORIAL DRIVE, SUITE 60, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing DAVID NORMAN MD
Valid signature Filed with authorized/valid electronic signature
DAVID C. NORMAN MD 401(K) PLAN 2020 371410541 2021-04-13 DAVID C. NORMAN, M.D. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6182572550
Plan sponsor’s address 4600 MEMORIAL DRIVE, SUITE 60, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2021-04-13
Name of individual signing DAVID NORMAN MD
Valid signature Filed with authorized/valid electronic signature
DAVID C. NORMAN MD 401(K) PLAN 2019 371410541 2020-03-27 DAVID C. NORMAN, M.D. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6182572550
Plan sponsor’s address 4600 MEMORIAL DRIVE, SUITE 60, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2020-03-27
Name of individual signing DAVID NORMAN MD
Valid signature Filed with authorized/valid electronic signature
DAVID C. NORMAN MD 401(K) PLAN 2018 371410541 2019-03-12 DAVID C. NORMAN, M.D. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6182572550
Plan sponsor’s address 4600 MEMORIAL DRIVE, SUITE 60, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing DAVID NORMAN MD
Valid signature Filed with authorized/valid electronic signature
DAVID C. NORMAN MD 401(K) PLAN 2017 371410541 2018-06-05 DAVID C. NORMAN, M.D. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6182572550
Plan sponsor’s address 4600 MEMORIAL DRIVE, SUITE 60, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2018-06-05
Name of individual signing DAVID NORMAN MD
Valid signature Filed with authorized/valid electronic signature
DAVID C. NORMAN MD 401(K) PLAN 2016 371410541 2017-05-26 DAVID C. NORMAN, M.D. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6182572550
Plan sponsor’s address 4600 MEMORIAL DRIVE, SUITE 60, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2017-05-26
Name of individual signing DAVID NORMAN MD
Valid signature Filed with authorized/valid electronic signature
DAVID C. NORMAN MD 401(K) PLAN 2015 371410541 2016-07-19 DAVID C. NORMAN, M.D. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6182572550
Plan sponsor’s address 4600 MEMORIAL DRIVE, SUITE 60, BELLEVILLE, IL, 62226
DAVID C. NORMAN MD 401(K) PLAN 2014 371410541 2015-05-06 DAVID C. NORMAN, M.D. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6182572550
Plan sponsor’s address 4600 MEMORIAL DRIVE, SUITE 60, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2015-05-06
Name of individual signing DR. DAVID C. NORMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN L GILBERT, 101 W VANDALIA ST, 3RD FLOOR, EDWARDSVILLE, 62025, MADISON Agent 2014-05-27

President

Name and Address Role
DAVID NORMAN MD 3030 FRANK SCOTT PKWY WEST STE 1 BELLEVILLE President

Secretary

Name and Address Role
IL 62223 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 1

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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