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WEST CENTRAL PATHOLOGY SPECIALISTS, S.C.

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C.

Company Details

Entity Name:	WEST CENTRAL PATHOLOGY SPECIALISTS, S.C.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Goodstanding
Date Formed:	05 Apr 2007
Company Number:	CORP_65363836
File Number:	65363836
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

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C. 401(K) PLAN

2023

208792025

2024-04-30

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621111
Sponsor’s telephone number	2172238400
Plan sponsor’s address	4000 CATAMARAN COURT, QUINCY, IL, 62305

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C. 401(K) PLAN

2022

208792025

2023-04-28

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621111
Sponsor’s telephone number	2172238400
Plan sponsor’s address	4000 CATAMARAN COURT, QUINCY, IL, 62305

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C. 401(K) PLAN

2021

208792025

2022-09-13

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621111
Sponsor’s telephone number	2172238400
Plan sponsor’s address	4000 CATAMARAN COURT, QUINCY, IL, 62305

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C. 401(K) PLAN

2020

208792025

2021-05-25

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621111
Sponsor’s telephone number	2172238400
Plan sponsor’s address	4000 CATAMARAN COURT, QUINCY, IL, 62305

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C. DEFINED BENEFIT PENSION PLAN

2010

208792025

2011-07-21

WEST CENTRAL PATHOLOGY SPECIALISTS, S.C.

3

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2008-01-01
Business code	621111
Sponsor’s telephone number	2172238400
Plan sponsor’s address	4000 CATAMARAN COURT, QUINCY, IL, 62305

Plan administrator’s name and address

Administrator’s EIN	208792025
Plan administrator’s name	WEST CENTRAL PATHOLOGY SPECIALISTS, S.C.
Plan administrator’s address	4000 CATAMARAN COURT, QUINCY, IL, 62305
Administrator’s telephone number	2172238400

Signature of

Role	Plan administrator
Date	2011-07-21
Name of individual signing	JAY W. DIECKHOFF
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
JAMES A HANSEN, 525 JERSEY ST, QUINCY, 62301, ADAMS	Agent	2017-10-10

Secretary

Name and Address	Role
KIRK HILL MD 3132 EVANGELINE RD QUINCY IL 62305	Secretary

President

Name and Address	Role
REX SCHULZ MD 4000 CATAMARAN CT QUINCY 62305	President

License

License Type	License Number	Status	License Code	License Description	Business Activity	Date Issued	Effective Date	Expiration Date
MEDICAL CORP	042620903	No data	No data	REGISTERED MEDICAL CORPORATION	No data	2019-01-23	2021-12-15	2025-01-01

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	100000	1500000	No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State