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  5. NORTH PEORIA INTERNAL MEDICINE, S.C.

NORTH PEORIA INTERNAL MEDICINE, S.C.

Company Details

Entity Name: NORTH PEORIA INTERNAL MEDICINE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 13 May 2003
Date of Dissolution: 13 Apr 2015
Company Number: CORP_62867183
File Number: 62867183
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 13 Apr 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH PEORIA INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN 2015 421591133 2016-10-14 NORTH PEORIA INTERNAL MEDICINE, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3093030355
Plan sponsor’s address 5401 W. KNOXVILLE AVE., SUITE #207, PEORIA, IL, 61614
NORTH PEORIA INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN 2013 421591133 2014-10-14 NORTH PEORIA INTERNAL MEDICINE, S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3093030355
Plan sponsor’s address 5401 W. KNOXVILLE AVE., SUITE #207, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing SHARON KENNEDY, APA, QPA, QKA, ERPA
Valid signature Filed with authorized/valid electronic signature
NORTH PEORIA INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN 2012 421591133 2014-10-14 NORTH PEORIA INTERNAL MEDICINE, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3093030355
Plan sponsor’s address 5401 W. KNOXVILLE AVE., SUITE #207, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing SHARON KENNEDY, APA, QPA, QKA, ERPA
Valid signature Filed with authorized/valid electronic signature
NORTH PEORIA INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN 2012 421591133 2013-10-15 NORTH PEORIA INTERNAL MEDICINE, S.C. 6
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3093030355
Plan sponsor’s address 5401 W. KNOXVILLE AVE., SUITE #207, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing SHARON KENNEDY, APA, QPA, QKA, ERPA
Valid signature Filed with authorized/valid electronic signature
NORTH PEORIA INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN 2011 421591133 2012-10-09 NORTH PEORIA INTERNAL MEDICINE, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3093030355
Plan sponsor’s address 5401 W. KNOXVILLE AVE., SUITE #207, PEORIA, IL, 61614

Plan administrator’s name and address
Administrator’s EIN 421591133
Plan administrator’s name NORTH PEORIA INTERNAL MEDICINE, S.C.
Plan administrator’s address 5401 W. KNOXVILLE AVE., SUITE #207, PEORIA, IL, 61614
Administrator’s telephone number 3093030355

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing SHARON KENNEDY, APA, QPA, QKA, ERPA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KARL B KUPPLER, 4600 N BRANDYWINE DR #200, PEORIA, 61614, PEORIA Agent 2003-05-13

President

Name and Address Role
ANITA SABHARWAL, 5401 N KNOXVILLE AVE #207 PEORIA IL 61614 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

KARL B KUPPLER, 4600 N BRANDYWINE DR #200, PEORIA, 61614, PEORIA

RFM ASSOCIATES, LLC MIDWEST ART PRINTS, INC. MORTON MENTAL HEALTH, S.C. ILLINI IMAGING, INC. FRYE CROSSING MONUMENT SIGN ASSOCIATION

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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