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  5. SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD.

SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD.

Company Details

Entity Name: SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 25 Mar 2002
Company Number: CORP_62126418
File Number: 62126418
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
SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 401K PROFIT SHARING PLAN 2023 020574359 2024-06-05 SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 8156750675
Plan sponsor’s address 2100 ROUTE 12, SUITE 101, SPRING GROVE, IL, 60081

Signature of
Role Plan administrator
Date 2024-06-05
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-05
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 401K PROFIT SHARING PLAN 2022 020574359 2023-07-19 SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 8156750675
Plan sponsor’s address 2100 ROUTE 12, SUITE 101, SPRING GROVE, IL, 60081

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-19
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 401K PROFIT SHARING PLAN 2021 020574359 2022-06-24 SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 8156750675
Plan sponsor’s address 2100 ROUTE 12, SUITE 101, SPRING GROVE, IL, 60081

Signature of
Role Plan administrator
Date 2022-06-24
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-24
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 401K PROFIT SHARING PLAN 2020 020574359 2021-07-16 SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 8156750675
Plan sponsor’s address 2100 ROUTE 12, SUITE 101, SPRING GROVE, IL, 60081

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-16
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 401K PROFIT SHARING PLAN 2019 020574359 2020-06-10 SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 8156750675
Plan sponsor’s address 2100 ROUTE 12, SUITE 101, SPRING GROVE, IL, 60081

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-10
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 401K PROFIT SHARING PLAN 2018 020574359 2019-06-26 SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 8156750675
Plan sponsor’s address 2100 ROUTE 12, SUITE 101, SPRING GROVE, IL, 60081

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 401K PROFIT SHARING PLAN 2017 020574359 2018-07-07 SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 8156750675
Plan sponsor’s address 2100 ROUTE 12, SUITE 101, SPRING GROVE, IL, 60081

Signature of
Role Plan administrator
Date 2018-07-07
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-07
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 401K PROFIT SHARING PLAN 2016 020574359 2017-05-01 SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 8156750675
Plan sponsor’s address 2100 ROUTE 12, SUITE 101, SPRING GROVE, IL, 60081

Signature of
Role Plan administrator
Date 2017-05-01
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-01
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 401K PROFIT SHARING PLAN 2015 020574359 2016-07-18 SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 8156750675
Plan sponsor’s address 2100 ROUTE 12, SUITE 101, SPRING GROVE, IL, 60081

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-18
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION LTD 401K PROFIT SHARING PLAN 2014 020574359 2015-07-12 SPRING GROVE PHYSICAL MEDICINE AND REHABILITATION, LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 8156750675
Plan sponsor’s address 2100 ROUTE 12, SUITE 101, SPRING GROVE, IL, 60081

Signature of
Role Plan administrator
Date 2015-07-12
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-12
Name of individual signing RALPH DESTEPHANO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANDREW P. TECSON, 120 S RIVERSIDE PLZ STE 1700, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2022-05-16

President

Name and Address Role
RALPH DESTEPHANO D.C. 2100 RTE 12 SPRING GROVE IL 60081 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

Related by officers

RALPH DESTEPHANO D.C. 2100 RTE 12 SPRING GROVE IL 60081

SPRING GROVE MEDICAL OFFICES, LTD.

ANDREW P. TECSON, 120 S RIVERSIDE PLZ STE 1700, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO

THE SOCIETY FOR THE DANISH OLD PEOPLE'S HOME 5849 SOUTH BISHOP STREET, LLC BUREAU CREEK BLUFF, L.L.C. ILLINOIS CHAPTER OF THE AMERICAN ACADEMY OF MEDICAL ACUPUNCTURE SPRING GROVE MEDICAL OFFICES, LTD. CLARKE CONSUMER PRODUCTS, INC. SAINT LUKE HOUSING MINISTRIES CLARKE SOLUTIONS, INC. THE DANISH ASSOCIATION THE INSTITUTE OF NEUROBEHAVIORAL SERVICES, S.C.

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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