| Entity Name: | NATIONAL SURGICAL HOSPITALS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Foreign BCA |
| Status: | Withdrawn |
| Date Formed: | 18 Dec 2012 |
| Company Number: | CORP_68775051 |
| File Number: | 68775051 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 28 Mar 2019 |
| Address | 250 S WACKER DR 5TH 500, CHICAGO, IL, 60606 |
| Place of Formation: | DELAWARE |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | NATIONAL SURGICAL HOSPITALS, INC., KENTUCKY | 0988674 | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NATIONAL SURGICAL HOSPITALS EMPLOYEE BENEFIT PLAN | 2015 | 364266956 | 2016-07-06 | NATIONAL SURGICAL HOSPITALS, INC. | 1616 | |||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||
| Active participants | 1707 |
| Retired or separated participants receiving benefits | 8 |
| Other retired or separated participants entitled to future benefits | 30 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-06 |
| Name of individual signing | BERNARD PRESUTTI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2000-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 3126278400 |
| Plan sponsor’s mailing address | 250 S. WACKER DRIVE, SUITE 500, CHICAGO, IL, 606065897 |
| Plan sponsor’s address | 250 S. WACKER DRIVE, SUITE 500, CHICAGO, IL, 606065897 |
Plan administrator’s name and address
| Administrator’s EIN | 364266956 |
| Plan administrator’s name | NATIONAL SURGICAL HOSPITALS, INC. |
| Plan administrator’s address | 250 S. WACKER DRIVE, SUITE 500, CHICAGO, IL, 606065897 |
| Administrator’s telephone number | 3126278400 |
Number of participants as of the end of the plan year
| Active participants | 1279 |
| Retired or separated participants receiving benefits | 12 |
Signature of
| Role | Plan administrator |
| Date | 2015-06-17 |
| Name of individual signing | BERNARD PRESUTTI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2015-06-17 |
| Name of individual signing | BERNARD PRESUTTI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2000-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 3126278400 |
| Plan sponsor’s mailing address | 250 S. WACKER DRIVE, SUITE 500, CHICAGO, IL, 606065897 |
| Plan sponsor’s address | 250 S. WACKER DRIVE, SUITE 500, CHICAGO, IL, 606065897 |
Plan administrator’s name and address
| Administrator’s EIN | 364266956 |
| Plan administrator’s name | NATIONAL SURGICAL HOSPITALS, INC. |
| Plan administrator’s address | 250 S. WACKER DRIVE, SUITE 500, CHICAGO, IL, 606065897 |
| Administrator’s telephone number | 3126278400 |
Number of participants as of the end of the plan year
| Active participants | 1772 |
| Retired or separated participants receiving benefits | 14 |
Signature of
| Role | Plan administrator |
| Date | 2014-04-24 |
| Name of individual signing | BERNARD PRESUTTI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ILLINOIS CORPORATION SERVICE C, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON | Agent | 2013-03-28 |
| Name and Address | Role | Account Number |
|---|---|---|
| TOM COWHEY, 310 SEVEN SPRINGS WAY BRENTWOOD TN 37027 | President | No data |
| BRYAN S FISHER | President | 328738 |
| Name and Address | Role | Account Number |
|---|---|---|
| DENNIS D SOLHEIM | Vice president | 328738 |
| Name and Address | Role | Account Number |
|---|---|---|
| DAVID CRANE | CEO | 328738 |
| Name and Address | Role | Account Number |
|---|---|---|
| LOUIS ROBERT GUENTHNER | Secretary | 328738 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2055050 | Issued | 1010 | Limited Business License | No data | 2016-08-05 | 2016-09-16 | 2018-09-15 |
| BUSINESS LICENSE | 1894297 | Cancelled | 1010 | Limited Business License | No data | 2008-08-13 | 2008-09-16 | 2010-09-15 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| NATIONAL SURGICAL HEALTHCARE | No data | 2014-06-19 | 2019-03-28 | Voluntary Cancellation | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 100 | 100000 | No data |
Date of last update: 16 Jan 2025
