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MITCHELL FAMILY CHIROPRACTIC, P.C.

Company Details

Entity Name: MITCHELL FAMILY CHIROPRACTIC, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 22 Oct 2004
Company Number: CORP_63837822
File Number: 63837822
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
MITCHELL FAMILY CHIROPRACTIC P.C.401(K) PLAN 2014 201779966 2015-01-15 MITCHELL FAMILY CHIROPRACTIC P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621310
Sponsor’s telephone number 3098286200
Plan sponsor’s address 1210 TOWANDA AVE STE 17, BLOOMINGTON, IL, 617017415

Plan administrator’s name and address

Administrator’s EIN 201779966
Plan administrator’s name MITCHELL FAMILY CHIROPRACTIC P.C.
Plan administrator’s address 1210 TOWANDA AVE, STE 17, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3092750181

Signature of

Role Plan administrator
Date 2015-01-15
Name of individual signing SUSAN L MITCHELL
Valid signature Filed with authorized/valid electronic signature
MITCHELL FAMILY CHIROPRACTIC P.C.401(K) PLAN 2013 201779966 2014-06-01 MITCHELL FAMILY CHIROPRACTIC P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621310
Sponsor’s telephone number 3098286200
Plan sponsor’s address 1210 TOWANDA AVE STE 17, BLOOMINGTON, IL, 617017415

Plan administrator’s name and address

Administrator’s EIN 201779966
Plan administrator’s name MITCHELL FAMILY CHIROPRACTIC P.C.
Plan administrator’s address 1210 TOWANDA AVE, STE 17, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3092750181

Signature of

Role Plan administrator
Date 2014-06-01
Name of individual signing SUSAN L MITCHELL
Valid signature Filed with authorized/valid electronic signature
MITCHELL FAMILY CHIROPRACTIC P.C.401(K) PLAN 2012 201779966 2013-09-30 MITCHELL FAMILY CHIROPRACTIC P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621310
Sponsor’s telephone number 3098286200
Plan sponsor’s address 1210 TOWANDA AVE STE 17, BLOOMINGTON, IL, 617017415

Plan administrator’s name and address

Administrator’s EIN 201779966
Plan administrator’s name MITCHELL FAMILY CHIROPRACTIC P.C.
Plan administrator’s address 1210 TOWANDA AVE, STE 17, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3092750181

Signature of

Role Plan administrator
Date 2013-09-30
Name of individual signing SUSAN L MITCHELL
Valid signature Filed with authorized/valid electronic signature
MITCHELL FAMILY CHIROPRACTIC P.C.401(K) PLAN 2011 201779966 2012-07-30 MITCHELL FAMILY CHIROPRACTIC P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621310
Sponsor’s telephone number 3092750181
Plan sponsor’s address 1210 TOWANDA AVE, STE 17, BLOOMINGTON, IL, 61701

Plan administrator’s name and address

Administrator’s EIN 201779966
Plan administrator’s name MITCHELL FAMILY CHIROPRACTIC P.C.
Plan administrator’s address 1210 TOWANDA AVE, STE 17, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3092750181

Signature of

Role Plan administrator
Date 2012-07-30
Name of individual signing SUSAN L MITCHELL
Valid signature Filed with authorized/valid electronic signature
MITCHELL FAMILY CHIROPRACTIC P.C.401(K) PLAN 2010 201779966 2011-10-16 MITCHELL FAMILY CHIROPRACTIC P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621310
Sponsor’s telephone number 3092750181
Plan sponsor’s address 1210 TOWANDA AVE, STE 17, BLOOMINGTON, IL, 61701

Plan administrator’s name and address

Administrator’s EIN 201779966
Plan administrator’s name MITCHELL FAMILY CHIROPRACTIC P.C.
Plan administrator’s address 1210 TOWANDA AVE, STE 17, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3092750181

Signature of

Role Plan administrator
Date 2011-10-16
Name of individual signing SUSAN L MITCHELL
Valid signature Filed with authorized/valid electronic signature
MITCHELL FAMILY CHIROPRACTIC P.C.401(K) PLAN 2009 201779966 2011-06-08 MITCHELL FAMILY CHIROPRACTIC P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621310
Sponsor’s telephone number 3098286200
Plan sponsor’s address 1210 TOWANDA AVE STE 17, BLOOMINGTON, IL, 617017415

Plan administrator’s name and address

Administrator’s EIN 201779966
Plan administrator’s name MITCHELL FAMILY CHIROPRACTIC P.C.
Plan administrator’s address 1210 TOWANDA AVE STE 17, BLOOMINGTON, IL, 617017415
Administrator’s telephone number 3098286200

Signature of

Role Plan administrator
Date 2011-06-08
Name of individual signing SUSAN L MITCHELL
Valid signature Filed with authorized/valid electronic signature
MITCHELL FAMILY CHIROPRACTIC P.C.401(K) PLAN 2009 201779966 2011-04-25 MITCHELL FAMILY CHIROPRACTIC P.C. 6
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621310
Sponsor’s telephone number 3098286200
Plan sponsor’s address 1210 TOWANDA AVE STE 17, BLOOMINGTON, IL, 617017415

Plan administrator’s name and address

Administrator’s EIN 201779966
Plan administrator’s name MITCHELL FAMILY CHIROPRACTIC P.C.
Plan administrator’s address 1210 TOWANDA AVE STE 17, BLOOMINGTON, IL, 617017415
Administrator’s telephone number 3098286200

Signature of

Role Plan administrator
Date 2011-04-25
Name of individual signing SUSAN L MITCHELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL D. GIFFORD, 7707 N KNOXVILLE AVE STE 200, PEORIA, 61614, PEORIA Agent 2023-04-26

President

Name and Address Role
SUSAN MITCHELL 1228 TOWANDA AVE., #2, BLOOMINGTON, IL, 61701 President

Secretary

Name and Address Role
SUSAN MITCHELL 1228 TOWANDA AVE., #2, BLOOMINGTON, IL, 61701 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State