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  5. MIDWEST PHYSICAL THERAPY AND REHAB, LLC

MIDWEST PHYSICAL THERAPY AND REHAB, LLC

Company Details

Entity Name: MIDWEST PHYSICAL THERAPY AND REHAB, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 07 Apr 2004
Company Number: LLC_01158597
File Number: 01158597
Type of Management: Manager Managed
Date Status Change: 12 Oct 2007
Address 6000 W. 79TH ST., BURBANK, 60459, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MMG 401K PROFIT SHARING PLAN 2012 205069394 2013-07-08 MIDWEST MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with authorized/valid electronic signature
MMG 401K PROFIT SHARING PLAN 2011 205069394 2012-05-15 MIDWEST MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with authorized/valid electronic signature
MMG 401K PROFIT SHARING PLAN 2010 205069394 2011-09-26 MIDWEST MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2011-09-26
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with authorized/valid electronic signature
MMG 401K PROFIT SHARING PLAN 2009 205069394 2010-09-24 MIDWEST MEDICAL GROUP, LLC 8
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2010-09-24
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with incorrect/unrecognized electronic signature
MMG 401K PROFIT SHARING PLAN 2009 205069394 2010-07-26 MIDWEST MEDICAL GROUP, LLC 8
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with incorrect/unrecognized electronic signature
MMG 401K PROFIT SHARING PLAN 2009 205069394 2010-10-11 MIDWEST MEDICAL GROUP, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with authorized/valid electronic signature
MMG 401K PROFIT SHARING PLAN 2009 205069394 2010-07-26 MIDWEST MEDICAL GROUP, LLC 8
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with incorrect/unrecognized electronic signature
MMG 401K PROFIT SHARING PLAN 2009 205069394 2010-07-26 MIDWEST MEDICAL GROUP, LLC 8
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
BRUCE N. MENKES, 333 W. WACKER DR., STE. 300, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2005-05-31

Manager

Name and Address Role Appointment Date
ALAWAD, MOHAMMED M.D., 9830 S RIDGELAND AVE, CHICAGO RIDGE, IL, 60415 Manager 2004-04-07

Historical Names

Name Change Date
MIDWEST MEDICAL GROUP, LLC. 2005-05-31

Related by officers

No related officers

Related by address

6000 W. 79TH ST., BURBANK, 60459, IL

OCTAGON INVESTMENT GROUP, LLC.

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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