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CRESTWOOD ASSOCIATED MEDICAL CENTER, LTD.

Company Details

Entity Name: CRESTWOOD ASSOCIATED MEDICAL CENTER, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 Apr 2017
Company Number: CORP_71249697
File Number: 71249697
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CRESTWOOD ASSOCIATED MEDICAL CENTER LTD. 401(K) PLAN 2023 821616644 2024-09-13 CRESTWOOD ASSOCIATED MEDICAL CENTER LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 7083854416
Plan sponsor’s address 13705 S CICERO AVE, CRESTWOOD, IL, 60445

Signature of

Role Plan administrator
Date 2024-09-13
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-13
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
CRESTWOOD ASSOCIATED MEDICAL CENTER LTD. 401(K) PLAN 2022 821616644 2023-09-15 CRESTWOOD ASSOCIATED MEDICAL CENTER LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 7083854416
Plan sponsor’s address 13705 S CICERO AVE, CRESTWOOD, IL, 60445

Signature of

Role Plan administrator
Date 2023-09-15
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-15
Name of individual signing JOHN REVELLO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ERIC MILLER, 9441 W 144TH PL, ORLAND PARK, 60462, COOK-NOT IN CITY OF CHICAGO Agent 2017-04-24

President

Name and Address Role
JOHN REVELLO, DC 13705 CICEROAV. CRESTWOOD, IL 60445 President

Secretary

Name and Address Role
JOHN REVELLO, DC 13705 CICEROAV. CRESTWOOD, IL 60445 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State