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NONA FULK, M.D., S.C.

Company Details

Entity Name: NONA FULK, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Jun 2009
Company Number: CORP_66536106
File Number: 66536106
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
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2023 270304120 2024-07-30 NONA FULK, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3098080940
Plan sponsor’s address 1300 FRANKLIN AVENUE, SUITE 330, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2024-07-30
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-30
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2022 270304120 2023-10-17 NONA FULK, M.D., S.C. 3
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3098080940
Plan sponsor’s address 1300 FRANKLIN AVENUE, SUITE 330, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2021 270304120 2022-09-27 NONA FULK, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3098080940
Plan sponsor’s address 1300 FRANKLIN AVENUE, SUITE 330, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2022-09-27
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-27
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2020 270304120 2021-10-05 NONA FULK, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3098080940
Plan sponsor’s address 1300 FRANKLIN AVENUE, SUITE 330, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2021-10-05
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-05
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2019 270304120 2020-07-29 NONA FULK, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3098080940
Plan sponsor’s address 1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-29
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2018 270304120 2019-09-16 NONA FULK, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3098080940
Plan sponsor’s address 1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2019-09-16
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-16
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2017 270304120 2018-10-11 NONA FULK, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3098080940
Plan sponsor’s address 1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2016 270304120 2017-09-13 NONA FULK, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3098080940
Plan sponsor’s address 1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2017-09-13
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-13
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2015 270304120 2016-09-19 NONA FULK, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3098080940
Plan sponsor’s address 1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2016-09-19
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-19
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2014 270304120 2015-06-01 NONA FULK, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3098080940
Plan sponsor’s address 1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761

Signature of

Role Plan administrator
Date 2015-06-01
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-01
Name of individual signing NONA FULK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
A CLAY COX, 202 N CENTER ST, BLOOMINGTON, 61701, MC LEAN Agent 2009-06-01

President

Name and Address Role
NONA FULK MD, 1 WINDSONG WAY BLOOMINGTON 61704 President

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State