| Entity Name: | CARLE FOUNDATION PHYSICIAN SERVICES, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Voluntary Diss./Terminated |
| Date Formed: | 12 Mar 2004 |
| Company Number: | LLC_01136917 |
| File Number: | 01136917 |
| Type of Management: | Member Managed |
| Date Status Change: | 27 Jul 2015 |
| Address | 611 W. PARK, URBANA, 61801, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DATA EXCHANGE, INC. 401(K) EMPLOYEES' PLAN AND TRUST | 2011 | 363025638 | 2012-03-19 | DATA EXCHANGE, INC. | 13 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 363025638 |
| Plan administrator’s name | DATA EXCHANGE, INC. |
| Plan administrator’s address | 7810 SAWYER ROAD, DARIEN, IL, 60561 |
| Administrator’s telephone number | 6309634424 |
Signature of
| Role | Plan administrator |
| Date | 2012-03-19 |
| Name of individual signing | JOHN SWIDERGAL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1987-07-01 |
| Business code | 443120 |
| Sponsor’s telephone number | 6309634424 |
| Plan sponsor’s address | 5157 THATCHER RD., DOWNERS GROVE, IL, 60515 |
Plan administrator’s name and address
| Administrator’s EIN | 363025638 |
| Plan administrator’s name | DATA EXCHANGE, INC. |
| Plan administrator’s address | 5157 THATCHER RD., DOWNERS GROVE, IL, 60515 |
| Administrator’s telephone number | 6309634424 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-17 |
| Name of individual signing | JOHN SWIDERGAL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1987-07-01 |
| Business code | 423800 |
| Sponsor’s telephone number | 6309634424 |
| Plan sponsor’s address | 5157 THATCHER RD., DOWNERS GROVE, IL, 60515 |
Plan administrator’s name and address
| Administrator’s EIN | 363025638 |
| Plan administrator’s name | DATA EXCHANGE, INC. |
| Plan administrator’s address | 5157 THATCHER RD., DOWNERS GROVE, IL, 60515 |
| Administrator’s telephone number | 6309634424 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-04 |
| Name of individual signing | JOHN SWIDERGAL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JAMES C. LEONARD, 611 W. PARK, URBANA, 61801, CHAMPAIGN | Agent | 2004-03-12 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CARLE HEALTH CARE INC 53141145, 611 W. PARK, URBANA, IL, 61801 | Member | 2015-02-26 |
Date of last update: 20 Jan 2025
