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MOKENA FAMILY PHYSICIANS, LLC.

Company Details

Entity Name: MOKENA FAMILY PHYSICIANS, LLC.
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 28 Jul 2003
Company Number: LLC_00966266
File Number: 00966266
Type of Management: Manager Managed
Date Status Change: 08 Jan 2016
Expiration Date: 01 Jul 2102
Address 11243 LAPORTE RD, MOKENA, 60448, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN 2017 200160739 2018-10-10 MOKENA FAMILY PHYSICIANS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 621111
Sponsor’s telephone number 7084794681
Plan sponsor’s address 11243 WEST LAPORTE ROAD, MOKENA, IL, 60448

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing RHONDA DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing RHONDA DAVIS
Valid signature Filed with authorized/valid electronic signature
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN 2016 200160739 2017-09-06 MOKENA FAMILY PHYSICIANS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 621111
Sponsor’s telephone number 7084794681
Plan sponsor’s address 11243 WEST LAPORTE ROAD, MOKENA, IL, 60448

Signature of

Role Plan administrator
Date 2017-08-21
Name of individual signing ROSEMARY MCGRATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-21
Name of individual signing ROSEMARY MCGRATH
Valid signature Filed with authorized/valid electronic signature
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN 2015 200160739 2016-09-06 MOKENA FAMILY PHYSICIANS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 621111
Sponsor’s telephone number 7084794681
Plan sponsor’s address 11243 WEST LAPORTE ROAD, MOKENA, IL, 60448

Signature of

Role Plan administrator
Date 2016-08-31
Name of individual signing ROSEMARY MCGRATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-31
Name of individual signing ROSEMARY MCGRATH
Valid signature Filed with authorized/valid electronic signature
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN 2014 200160739 2015-09-28 MOKENA FAMILY PHYSICIANS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 621111
Sponsor’s telephone number 7084794681
Plan sponsor’s address 11243 WEST LAPORTE ROAD, MOKENA, IL, 60448

Signature of

Role Plan administrator
Date 2015-07-29
Name of individual signing RHONDA DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-29
Name of individual signing RHONDA DAVIS
Valid signature Filed with authorized/valid electronic signature
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN 2013 200160739 2014-06-20 MOKENA FAMILY PHYSICIANS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 621111
Sponsor’s telephone number 7084794681
Plan sponsor’s address 11243 WEST LAPORTE ROAD, MOKENA, IL, 60448

Signature of

Role Plan administrator
Date 2014-06-04
Name of individual signing ROSEMARY MCGRATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-04
Name of individual signing ROSEMARY MCGRATH
Valid signature Filed with authorized/valid electronic signature
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN 2012 200160739 2013-07-24 MOKENA FAMILY PHYSICIANS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 621111
Sponsor’s telephone number 7084794681
Plan sponsor’s address 11243 WEST LAPORTE ROAD, MOKENA, IL, 60448

Signature of

Role Plan administrator
Date 2013-07-24
Name of individual signing RHONDA DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-24
Name of individual signing RHONDA DAVIS
Valid signature Filed with authorized/valid electronic signature
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN 2011 200160739 2012-09-25 MOKENA FAMILY PHYSICIANS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 621111
Sponsor’s telephone number 7084794681
Plan sponsor’s address 11243 WEST LAPORTE ROAD, MOKENA, IL, 60448

Plan administrator’s name and address

Administrator’s EIN 200160739
Plan administrator’s name MOKENA FAMILY PHYSICIANS, LLC
Plan administrator’s address 11243 WEST LAPORTE ROAD, MOKENA, IL, 60448
Administrator’s telephone number 7084794681

Signature of

Role Plan administrator
Date 2012-09-25
Name of individual signing LUCY CANADAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-25
Name of individual signing LUCY CANADAY
Valid signature Filed with authorized/valid electronic signature
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN 2010 200160739 2011-07-08 MOKENA FAMILY PHYSICIANS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 621111
Sponsor’s telephone number 7084794681
Plan sponsor’s address 11243 WEST LAPORTE ROAD, MOKENA, IL, 60448

Plan administrator’s name and address

Administrator’s EIN 200160739
Plan administrator’s name MOKENA FAMILY PHYSICIANS, LLC
Plan administrator’s address 11243 WEST LAPORTE ROAD, MOKENA, IL, 60448
Administrator’s telephone number 7084794681

Signature of

Role Plan administrator
Date 2011-07-08
Name of individual signing LUCY CANADAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-08
Name of individual signing LUCY CANADAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MLF, INC, 2455 GLENWOOD AVE, JOLIET, 60435, WILL Agent 2010-05-03

Manager

Name and Address Role Appointment Date
PRIEBOY,JOSEPH, 11243 LAPORTE RD, MOKENA, IL, 60448 Manager 2014-08-25
MCGRATH, ROSEMARY, 219 SHERLOCK ST, FRANKFORT, IL, 60423 Manager 2014-08-25

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State