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  5. NEUROLOGY OF SOUTHERN ILLINOIS, LTD.

NEUROLOGY OF SOUTHERN ILLINOIS, LTD.

Company Details

Entity Name: NEUROLOGY OF SOUTHERN ILLINOIS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 19 Feb 2004
Company Number: CORP_63347507
File Number: 63347507
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
NEUROLOGY OF SOUTHERN ILLINOIS PROFIT SHARING PLAN 2023 200771990 2024-05-08 NEUROLOGY OF SOUTHERN ILLINOIS, LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189930444
Plan sponsor’s address 3301 LOGAN DRIVE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2024-05-08
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-08
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY OF SOUTHERN ILLINOIS PROFIT SHARING PLAN 2022 200771990 2023-06-21 NEUROLOGY OF SOUTHERN ILLINOIS, LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189930444
Plan sponsor’s address 3301 LOGAN DRIVE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-21
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY OF SOUTHERN ILLINOIS PROFIT SHARING PLAN 2021 200771990 2022-07-18 NEUROLOGY OF SOUTHERN ILLINOIS, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189930444
Plan sponsor’s address 3301 LOGAN DRIVE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-18
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY OF SOUTHERN ILLINOIS PROFIT SHARING PLAN 2020 200771990 2021-04-19 NEUROLOGY OF SOUTHERN ILLINOIS, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189930444
Plan sponsor’s address 3301 LOGAN DRIVE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2021-04-19
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-19
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY OF SOUTHERN ILLINOIS PROFIT SHARING PLAN 2019 200771990 2020-07-02 NEUROLOGY OF SOUTHERN ILLINOIS, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189930444
Plan sponsor’s address 3301 LOGAN DRIVE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2020-07-02
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-02
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY OF SOUTHERN ILLINOIS PROFIT SHARING PLAN 2018 200771990 2019-10-01 NEUROLOGY OF SOUTHERN ILLINOIS, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189930444
Plan sponsor’s address 3301 LOGAN DRIVE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY OF SOUTHERN ILLINOIS PROFIT SHARING PLAN 2017 200771990 2018-06-06 NEUROLOGY OF SOUTHERN ILLINOIS, LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189930444
Plan sponsor’s address 3301 LOGAN DRIVE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-06
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY OF SOUTHERN ILLINOIS PROFIT SHARING PLAN 2016 200771990 2017-04-04 NEUROLOGY OF SOUTHERN ILLINOIS, LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189930444
Plan sponsor’s address 3301 LOGAN DRIVE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2017-04-04
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-04
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY OF SOUTHERN ILLINOIS PROFIT SHARING PLAN 2015 200771990 2016-10-03 NEUROLOGY OF SOUTHERN ILLINOIS, LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189930444
Plan sponsor’s address 3301 LOGAN DRIVE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-03
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY OF SOUTHERN ILLINOIS PROFIT SHARING PLA 2014 200771990 2015-10-01 NEUROLOGY OF SOUTHERN ILLINOIS, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6189930444
Plan sponsor’s address 3301 LOGAN DRIVE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-01
Name of individual signing LORI M. GUYTON, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANGELA M POVOLISH, 2001 W MAIN, POB 1570, CARBONDALE, 62903, JACKSON Agent 2021-07-21

President

Name and Address Role
LORI M GUYTON, 806 WOODLAND DRCARTERVILLE 62918 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042618286 No data No data REGISTERED MEDICAL CORPORATION No data 2004-06-26 2022-10-01 2025-01-01

Shares

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

Related by officers

ANGELA M POVOLISH, 2001 W MAIN, POB 1570, CARBONDALE, 62903, JACKSON

J & B FOODS OF CARBONDALE, INC. BISHOP & ELWELL INSURANCE AGENCY, INC. EASTERN STATES ROCK ART RESEARCH ASSOCIATION (ESRARA)

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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