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  5. ROCKFORD SPINE CENTER, LTD.

ROCKFORD SPINE CENTER, LTD.

Company Details

Entity Name: ROCKFORD SPINE CENTER, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 27 Dec 2002
Company Number: CORP_62542624
File Number: 62542624
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
ROCKFORD SPINE CENTER, LTD. 401(K) PLAN 2023 061671111 2024-03-11 ROCKFORD SPINE CENTER, LTD. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 8153162100
Plan sponsor’s address 2902 MCFARLAND RD., SUITE 300, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2024-03-11
Name of individual signing JACI SPIELMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SPINE CENTER, LTD. 401(K) PLAN 2022 061671111 2023-03-21 ROCKFORD SPINE CENTER, LTD. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 8153162100
Plan sponsor’s address 2902 MCFARLAND RD., SUITE 300, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2023-03-21
Name of individual signing JACI SPIELMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SPINE CENTER, LTD. 401(K) PLAN 2021 061671111 2022-04-22 ROCKFORD SPINE CENTER, LTD. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 8153162100
Plan sponsor’s address 2902 MCFARLAND RD., SUITE 300, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2022-04-22
Name of individual signing JACI SPIELMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SPINE CENTER, LTD. 401(K) PLAN 2020 061671111 2021-05-17 ROCKFORD SPINE CENTER, LTD. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 8153162100
Plan sponsor’s address 2902 MCFARLAND RD., SUITE 300, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2021-05-17
Name of individual signing JACI SPIELMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SPINE CENTER, LTD. 401(K) PLAN 2019 061671111 2020-03-17 ROCKFORD SPINE CENTER, LTD. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 8153162100
Plan sponsor’s address 2902 MCFARLAND RD., SUITE 300, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2020-03-17
Name of individual signing JACI SPIELMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SPINE CENTER, LTD. 401(K) PLAN 2018 061671111 2019-03-11 ROCKFORD SPINE CENTER, LTD. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 8153162100
Plan sponsor’s address 2902 MCFARLAND RD., SUITE 300, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2019-03-11
Name of individual signing JACI SPIELMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SPINE CENTER, LTD. 401(K) PLAN 2017 061671111 2018-03-14 ROCKFORD SPINE CENTER, LTD. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 8153162100
Plan sponsor’s address 2902 MCFARLAND RD., SUITE 300, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2018-03-14
Name of individual signing JACI SPIELMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SPINE CENTER, LTD. 401(K) PLAN 2016 061671111 2017-03-01 ROCKFORD SPINE CENTER, LTD. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 8153162100
Plan sponsor’s address 2902 MCFARLAND RD., SUITE 300, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2017-03-01
Name of individual signing JACI SPIELMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SPINE CENTER, LTD. 401(K) PLAN 2015 061671111 2016-06-13 ROCKFORD SPINE CENTER, LTD. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 8153162100
Plan sponsor’s address 2902 MCFARLAND RD., SUITE 300, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2016-06-13
Name of individual signing JACI SPIELMAN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD SPINE CENTER, LTD. 401(K) PLAN 2014 061671111 2015-05-12 ROCKFORD SPINE CENTER, LTD. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 8153162100
Plan sponsor’s address 2902 MCFARLAND RD., SUITE 300, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2015-05-12
Name of individual signing JACI SPIELMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL DENNING, 120 W. STATE ST., SECOND FLOOR, ROCKFORD, 61101, WINNEBAGO Agent 2022-11-30

President

Name and Address Role
MICHAEL ROH, M.D., 2902 MCFARLAND RD. ROCKFORD IL 61107 President

Secretary

Name and Address Role
JACI SPIELMAN 2902 MCFARLAND RD. ROCKFORD IL 61107 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042617984 No data No data REGISTERED MEDICAL CORPORATION No data 2003-07-09 2022-03-22 2025-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 2000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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