| Entity Name: | QUAD-CITIES CARDIOVASCULAR, L.L.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Administratively Dissolved |
| Date Formed: | 06 May 1998 |
| Date of Dissolution: | 01 Apr 2018 |
| Company Number: | LLC_00189286 |
| File Number: | 00189286 |
| Type of Management: | Member Managed |
| Date Status Change: | 02 Apr 2018 |
| Address | 2701 17TH ST, ROCK ISLAND, 61201, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BETHESDA HOME RETIREMENT PLAN | 2011 | 362167819 | 2012-06-26 | NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION | 96 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 362167819 |
| Plan administrator’s name | NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION |
| Plan administrator’s address | 2833 NORTH NORDICA AVENUE, CHICAGO, IL, 60634 |
| Administrator’s telephone number | 7736226144 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-26 |
| Name of individual signing | JULIE BOGGESS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-06-26 |
| Name of individual signing | JULIE BOGGESS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 7736226144 |
| Plan sponsor’s address | 2833 NORTH NORDICA AVENUE, CHICAGO, IL, 60634 |
Plan administrator’s name and address
| Administrator’s EIN | 362167819 |
| Plan administrator’s name | NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION |
| Plan administrator’s address | 2833 NORTH NORDICA AVENUE, CHICAGO, IL, 60634 |
| Administrator’s telephone number | 7736226144 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-14 |
| Name of individual signing | JULIE BOGGESS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-09-14 |
| Name of individual signing | JULIE BOGGESS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 7736226144 |
| Plan sponsor’s address | 2833 NORTH NORDICA AVENUE, CHICAGO, IL, 60634 |
Plan administrator’s name and address
| Administrator’s EIN | 362167819 |
| Plan administrator’s name | NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION |
| Plan administrator’s address | 2833 NORTH NORDICA AVENUE, CHICAGO, IL, 60634 |
| Administrator’s telephone number | 7736226144 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-29 |
| Name of individual signing | JULIE BOGGESS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-29 |
| Name of individual signing | JULIE BOGGESS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| FLORENCE SPYROW, 2701 17TH ST, ROCK ISLAND, 61201, ROCK ISLAND | Agent | 1999-10-05 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| OSF HEALTHCARE SYSTEM, 530 NE GLEN OAK AVE, PEORIA, IL, 61637 | Member | 1998-05-06 |
| ILL CARDIAC SURGERY ASSOCIATES, 515 NE GLEN OAK AVE STE 202, PEORIA, IL, 61603 | Member | 1998-05-06 |
| TRINITY HEART INSTITUTE ASSOCI, 200 PLAZA OFFICE BLDG, ROCK ISLAND, IL, 61201 | Member | 1998-05-06 |
| HEARTCARE MIDWEST S.C., 420 NE GLEN OAK AVE STE 402, PEORIA, IL, 61603 | Member | 1998-05-06 |
| TRINITY MEDICAL CENTER, 2701 SEVENTEENTH ST, ROCK ISLAND, IL, 61201 | Member | 1998-05-06 |
Date of last update: 13 Jan 2025
