| Entity Name: | LINCOLNLAND LITHOTRIPSY, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Withdrawn |
| Date Formed: | 07 Apr 2004 |
| Company Number: | LLC_01156454 |
| File Number: | 01156454 |
| Type of Management: | Manager Managed |
| Date Status Change: | 30 Jun 2015 |
| Address | 14050 COTTON HILL RD., PAWNEE, 62558, IL |
| Place of Formation: | DELAWARE |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINCOLNLAND LITHOTRIPSY, LLC 401K PROFIT SHARING PLAN | 2015 | 311825683 | 2016-10-03 | LINCOLNLAND LITHOTRIPSY, LLC | 9 | |||||||||||||||||||||||||||||||
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| LINCOLNLAND LITHOTRIPSY, LLC 401K PROFIT SHARING PLAN | 2014 | 311825683 | 2015-10-15 | LINCOLNLAND LITHOTRIPSY, LLC | 11 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-10-15 |
| Name of individual signing | DANIEL G. BOLSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2176252107 |
| Plan sponsor’s address | 14050 COTTON HILL RD, PAWNEE, IL, 625584511 |
Signature of
| Role | Plan administrator |
| Date | 2014-05-29 |
| Name of individual signing | DANIEL G. BOLSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2176252107 |
| Plan sponsor’s address | 14050 COTTON HILL RD, PAWNEE, IL, 625584511 |
Plan administrator’s name and address
| Administrator’s EIN | 311825683 |
| Plan administrator’s name | LINCOLNLAND LITHOTRIPSY, LLC |
| Plan administrator’s address | 14050 COTTON HILL RD, PAWNEE, IL, 625584511 |
| Administrator’s telephone number | 2176252107 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-30 |
| Name of individual signing | DANIEL G. BOLSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| SCN&R REGISTERED AGENT, INC., 233 S WACKER DR #7800, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO | Agent | 2010-03-19 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| O'SHESKY, JAY, 14050 COTTON HILL ROAD, PAWNEE, IL, 62558 | Manager | 2014-03-13 |
| BOLSEN, DANIEL, 14050 COTTON HILL ROAD, PAWNEE, IL, 62558 | Manager | 2014-03-13 |
| GRONOWSKI, MARK, 14050 COTTON HILL ROAD, PAWNEE, IL, 62558 | Manager | 2014-03-13 |
Date of last update: 16 Jan 2025
