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  5. DECATUR PSYCHIATRY, LTD.

DECATUR PSYCHIATRY, LTD.

Company Details

Entity Name: DECATUR PSYCHIATRY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 05 Jan 2006
Company Number: CORP_64628488
File Number: 64628488
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
DECATUR PSYCHIATRY, LTD. 401(K) RETIREMENT SAVINGS PLAN 2019 204053902 2020-03-05 DECATUR PSYCHIATRY, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2174220027
Plan sponsor’s address 1900 E. LAKE SHORE DR., STE 201, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2020-03-05
Name of individual signing ANJUM BASHIR
Valid signature Filed with authorized/valid electronic signature
DECATUR PSYCHIATRY, LTD. 401(K) RETIREMENT SAVINGS PLAN 2019 204053902 2020-09-28 DECATUR PSYCHIATRY, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2174220027
Plan sponsor’s address 1900 E. LAKE SHORE DR., STE 201, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2020-09-28
Name of individual signing ANJUM BASHIR
Valid signature Filed with authorized/valid electronic signature
DECATUR PSYCHIATRY, LTD. 401(K) RETIREMENT SAVINGS PLAN 2018 204053902 2019-03-04 DECATUR PSYCHIATRY, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2174220027
Plan sponsor’s address 1900 E. LAKE SHORE DR., STE 201, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2019-03-04
Name of individual signing ANJUM BASHIR
Valid signature Filed with authorized/valid electronic signature
DECATUR PSYCHIATRY, LTD. 401(K) RETIREMENT SAVINGS PLAN 2017 204053902 2018-02-12 DECATUR PSYCHIATRY, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2174220027
Plan sponsor’s address 1900 E. LAKE SHORE DR., STE 201, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2018-02-12
Name of individual signing ANJUM BASHIR
Valid signature Filed with authorized/valid electronic signature
DECATUR PSYCHIATRY, LTD. 401(K) RETIREMENT SAVINGS PLAN 2016 204053902 2017-01-23 DECATUR PSYCHIATRY, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2174220027
Plan sponsor’s address 1900 E. LAKE SHORE DR., STE 201, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2017-01-23
Name of individual signing ANJUM BASHIR
Valid signature Filed with authorized/valid electronic signature
DECATUR PSYCHIATRY, LTD. CASH BALANCE PLAN 2015 204053902 2016-11-14 DECATUR PSYCHIATRY, LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2174220027
Plan sponsor’s address 1900 EAST LAKE SHORE DRIVE, SUITE 201, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2016-11-14
Name of individual signing ANJUM BASHIR, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-11-14
Name of individual signing ANJUM BASHIR, M.D.
Valid signature Filed with authorized/valid electronic signature
DECATUR PSYCHIATRY, LTD. 401(K) RETIREMENT SAVINGS PLAN 2015 204053902 2016-01-22 DECATUR PSYCHIATRY, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2174220027
Plan sponsor’s address 1900 E. LAKE SHORE DR., STE 201, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2016-01-22
Name of individual signing ANJUM BASHIR
Valid signature Filed with authorized/valid electronic signature
DECATUR PSYCHIATRY, LTD. CASH BALANCE PLAN 2015 204053902 2016-05-02 DECATUR PSYCHIATRY, LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2174220027
Plan sponsor’s address 1900 EAST LAKE SHORE DRIVE, SUITE 201, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2016-05-02
Name of individual signing ANJUM BASHIR, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-02
Name of individual signing ANJUM BASHIR, M.D.
Valid signature Filed with authorized/valid electronic signature
DECATUR PSYCHIATRY, LTD. CASH BALANCE PLAN 2014 204053902 2015-08-03 DECATUR PSYCHIATRY, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2174220027
Plan sponsor’s address 1900 EAST LAKE SHORE DRIVE, SUITE 201, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2015-08-03
Name of individual signing ANJUM BASHIR, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-03
Name of individual signing ANJUM BASHIR, M.D.
Valid signature Filed with authorized/valid electronic signature
DECATUR PSYCHIATRY, LTD. 401(K) RETIREMENT SAVINGS PLAN 2014 204053902 2015-03-03 DECATUR PSYCHIATRY, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 2174220027
Plan sponsor’s address 1900 E. LAKE SHORE DR., STE 201, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2015-03-03
Name of individual signing ANJUM BASHIR
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HOLLI NOEL WESTERFIELD, 1900 E LAKE SHORE DR 201, DECATUR, 62521, MACON Agent 2013-12-18

President

Name and Address Role
ANJUM BASHIR M.D.363 S MAIN STSTE 240 DECATUR 62523 President

Shares

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

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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