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SOUTHPARK PSYCHOLOGY, LTD.

Company Details

Entity Name: SOUTHPARK PSYCHOLOGY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 11 Dec 2012
Company Number: CORP_68822521
File Number: 68822521
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHPARK PSYCHOLOGY, LTD. 401(K) PROFIT SHARING PLAN 2023 800874368 2024-06-03 SOUTHPARK PSYCHOLOGY, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621330
Sponsor’s telephone number 3097972900
Plan sponsor’s address 2100 52ND AVENUE, MOLINE, IL, 61265
SOUTHPARK PSYCHOLOGY, LTD. 401(K) PROFIT SHARING PLAN 2022 800874368 2023-07-27 SOUTHPARK PSYCHOLOGY, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621330
Sponsor’s telephone number 3097972900
Plan sponsor’s address 2100 52ND AVENUE, MOLINE, IL, 61265
SOUTHPARK PSYCHOLOGY, LTD. 401(K) PROFIT SHARING PLAN 2021 800874368 2022-08-29 SOUTHPARK PSYCHOLOGY, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621330
Sponsor’s telephone number 3097972900
Plan sponsor’s address 2100 52ND AVENUE, MOLINE, IL, 61265
SOUTHPARK PSYCHOLOGY, LTD. 401(K) PROFIT SHARING PLAN 2020 800874368 2021-04-12 SOUTHPARK PSYCHOLOGY, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621330
Sponsor’s telephone number 3097972900
Plan sponsor’s address 2100 52ND AVENUE, MOLINE, IL, 61265
SOUTHPARK PSYCHOLOGY, LTD. 401(K) PROFIT SHARING PLAN 2019 800874368 2020-02-12 SOUTHPARK PSYCHOLOGY, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621330
Sponsor’s telephone number 3097972900
Plan sponsor’s address 2100 52ND AVENUE, MOLINE, IL, 61265
SOUTHPARK PSYCHOLOGY, LTD. 401(K) PROFIT SHARING PLAN 2018 800874368 2019-07-09 SOUTHPARK PSYCHOLOGY, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621330
Sponsor’s telephone number 3097972900
Plan sponsor’s address 2100 52ND AVENUE, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2019-07-09
Name of individual signing CARL VINCENT
Valid signature Filed with authorized/valid electronic signature
SOUTHPARK PSYCHOLOGY, LTD. 401(K) PROFIT SHARING PLAN 2017 800874368 2018-07-05 SOUTHPARK PSYCHOLOGY, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621330
Sponsor’s telephone number 3097972900
Plan sponsor’s address 2100 52ND AVENUE, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2018-07-05
Name of individual signing CARL VINCENT
Valid signature Filed with authorized/valid electronic signature
SOUTHPARK PSYCHOLOGY, LTD. 401(K) PROFIT SHARING PLAN 2016 800874368 2017-07-06 SOUTHPARK PSYCHOLOGY, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621330
Sponsor’s telephone number 3097972900
Plan sponsor’s address 2100 52ND AVENUE, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2017-07-06
Name of individual signing CARL VINCENT
Valid signature Filed with authorized/valid electronic signature
SOUTHPARK PSYCHOLOGY, LTD. 401(K) PROFIT SHARING PLAN 2015 800874368 2016-07-13 SOUTHPARK PSYCHOLOGY, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621330
Sponsor’s telephone number 3097972900
Plan sponsor’s address 2100 52ND AVENUE, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2016-07-13
Name of individual signing CARL VINCCENT
Valid signature Filed with authorized/valid electronic signature
SOUTHPARK PSYCHOLOGY, LTD 401 (K) PLAN 2014 800874368 2015-04-06 SOUTHPARK PSYCHOLOGY, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621330
Sponsor’s telephone number 3097972900
Plan sponsor’s address 2100 52ND AVENUE, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2015-04-06
Name of individual signing CARL D. VINCENT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BNPN AGENT, LLC, 1620 5TH AVE STE 101, MOLINE, 61265, ROCK ISLAND Agent 2020-05-29

President

Name and Address Role
CARL D VINCENT 2100 52ND MOLINE 61265 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060008836 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2005-04-18 2007-10-25 2009-01-01
PROF SERVICE CORP 060006324 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 1995-02-17 2012-12-06 2014-01-01

Historical Names

Name Change Date
VINCENT SOUTHPARK PSYCHOLOGY, LTD. 2014-02-20

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 500000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State