| Entity Name: | ROCKFORD MEDICAL REHABILITATION, S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 04 Jun 2003 |
| Date of Dissolution: | 25 Nov 2019 |
| Company Number: | CORP_62901594 |
| File Number: | 62901594 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 25 Nov 2019 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROZMAN DEFINED BENEFIT PENSION PLAN | 2011 | 611452071 | 2012-10-15 | ROCKFORD MEDICAL REHABILITATION, S. C. | 4 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 611452071 |
| Plan administrator’s name | ROCKFORD MEDICAL REHABILITATION, S. C. |
| Plan administrator’s address | 11800 CARDINAL LANE, CALEDONIA, IL, 61011 |
| Administrator’s telephone number | 8158854329 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-15 |
| Name of individual signing | DAVID GRIFFIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 8158854329 |
| Plan sponsor’s address | 11800 CARDINAL LANE, CALEDONIA, IL, 61011 |
Plan administrator’s name and address
| Administrator’s EIN | 611452071 |
| Plan administrator’s name | ROCKFORD MEDICAL REHABILITATION, S. C. |
| Plan administrator’s address | 11800 CARDINAL LANE, CALEDONIA, IL, 61011 |
| Administrator’s telephone number | 8158854329 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-17 |
| Name of individual signing | DAVID GRIFFIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 8158854329 |
| Plan sponsor’s address | 11800 CARDINAL LANE, CALEDONIA, IL, 61011 |
Plan administrator’s name and address
| Administrator’s EIN | 611452071 |
| Plan administrator’s name | ROCKFORD MEDICAL REHABILITATION, S. C. |
| Plan administrator’s address | 11800 CARDINAL LANE, CALEDONIA, IL, 61011 |
| Administrator’s telephone number | 8158854329 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-18 |
| Name of individual signing | DAVID GRIFFIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| TATIANA BOLOTINA-ROZMAN, 1806 AVALON DR, WHEELING, 60090, COOK-NOT IN CITY OF CHICAGO | Agent | 2019-01-08 |
| Name and Address | Role |
|---|---|
| ANATOLY ROZMAN 1806 AVALON DRWHEELING, IL 60090 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10000 | 1000000 | 1 |
Date of last update: 27 Jan 2025
