Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Jefferson
    4. ›
  4. 62864
    5. ›
  5. SOUTHERN ILLINOIS ANESTHESIOLOGY, LTD.

SOUTHERN ILLINOIS ANESTHESIOLOGY, LTD.

Company Details

Entity Name: SOUTHERN ILLINOIS ANESTHESIOLOGY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 23 Sep 2002
Date of Dissolution: 15 Jan 2020
Company Number: CORP_62426403
File Number: 62426403
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 15 Jan 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 401(K) PROFIT 2018 320033621 2019-12-12 SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-04-01
Business code 621111
Sponsor’s telephone number 6182425361
Plan sponsor’s address 4225 LINCOLNSHIRE DRIVE, MOUNT VERNON, IL, 628642157
SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 401(K) PROFIT 2018 320033621 2019-08-12 SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-04-01
Business code 621111
Sponsor’s telephone number 6182425361
Plan sponsor’s address 4225 LINCOLNSHIRE DRIVE, MOUNT VERNON, IL, 628642157
SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 401(K) PROFIT 2017 320033621 2018-06-28 SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-04-01
Business code 621111
Sponsor’s telephone number 6182425361
Plan sponsor’s address 4227 LINCOLNSHIRE DRIVE, MOUNT VERNON, IL, 628642157
SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 401(K) PROFIT SHARING PLAN 2016 320033621 2017-07-17 SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-04-01
Business code 621111
Sponsor’s telephone number 6182425361
Plan sponsor’s address 4227 LINCOLNSHIRE DRIVE, MOUNT VERNON, IL, 62864

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing FRANK EATON
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 401(K) PROFIT SHARING PLAN 2015 320033621 2016-07-28 SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-04-01
Business code 621111
Sponsor’s telephone number 6182411108
Plan sponsor’s address #2 GOOD SAMARITAN WAY, SUITE 205, ANESTHESIOLOGY DEPARTMENT, MOUNT VERNON, IL, 62864

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing FRANK EATON
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 401(K) PROFIT SHARING PLAN 2014 320033621 2015-07-20 SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-04-01
Business code 621111
Sponsor’s telephone number 6182411108
Plan sponsor’s address #2 GOOD SAMARITAN WAY, SUITE 205, ANESTHESIOLOGY DEPARTMENT, MOUNT VERNON, IL, 62864

Signature of
Role Plan administrator
Date 2015-07-10
Name of individual signing FRANK EATON
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 401(K) PROFIT SHARING PLAN 2013 320033621 2014-06-06 SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-04-01
Business code 621111
Sponsor’s telephone number 6182411108
Plan sponsor’s address #2 GOOD SAMARITAN WAY, SUITE 205, ANESTHESIOLOGY DEPARTMENT, MOUNT VERNON, IL, 62864

Signature of
Role Plan administrator
Date 2014-06-06
Name of individual signing FRANK EATON
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 401(K) PROFIT SHARING PLAN 2012 320033621 2013-06-27 SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-04-01
Business code 621111
Sponsor’s telephone number 6182411108
Plan sponsor’s address #2 GOOD SAMARITAN WAY, SUITE 205, ANESTHESIOLOGY DEPARTMENT, MOUNT VERNON, IL, 62864

Signature of
Role Plan administrator
Date 2013-06-26
Name of individual signing FRANK EATON
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 401(K) PROFIT SHARING PLAN 2011 320033621 2012-06-20 SOUTHERN ILLINOIS ANESTHESIOLOGY LTD 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-04-01
Business code 621111
Sponsor’s telephone number 6182411108
Plan sponsor’s address 605 N. 12TH STREET, MT. VERNON, IL, 62864

Plan administrator’s name and address
Administrator’s EIN 320033621
Plan administrator’s name SOUTHERN ILLINOIS ANESTHESIOLOGY LT
Plan administrator’s address 605 N. 12TH STREET, MT. VERNON, IL, 62864
Administrator’s telephone number 6182411108

Signature of
Role Plan administrator
Date 2012-06-15
Name of individual signing FRANK EATON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARK J. BALLARD, 108 S.NINTH ST., MT. VERNON, 62864, JEFFERSON Agent 2002-09-23

President

Name and Address Role
FRANK EATON, 17726 N HAILS LN MT VERNON IL 62864 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042617784 No data No data REGISTERED MEDICAL CORPORATION No data 2002-10-23 2017-02-08 2018-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1200000 No data

Related by officers

FRANK EATON, 17726 N HAILS LN MT VERNON IL 62864

CENTRALIA ANESTHESIOLOGY SERVICES, LTD.

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 ilorg.com, Part of Big Data Integrated