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MATHERS CLINIC, LLC

MATHERS CLINIC, LLC

Company Details

Entity Name:	MATHERS CLINIC, LLC
Jurisdiction:	Illinois
Entity Type:	Limited Liability Company
Status:	Goodstanding
Date Formed:	09 Dec 2004
Company Number:	LLC_01365436
File Number:	01365436
Type of Management:	Member Managed
Date Status Change:	31 Oct 2024
Address	145 S. VIRGINIA ST, CRYSTAL LAKE, 60012, IL
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

COPPERTREE OUTDOOR LIFESTYLES 401(K) PLAN

2011

205257221

2012-07-13

COPPERTREE OUTDOOR LIFESTYLES

14

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-01-01
Business code	812990
Sponsor’s telephone number	2177930900
Plan sponsor’s address	3111 COCKRELL LN, ATTN LAURIE MCWILLIAMS, SPRINGFIELD, IL, 627119433

Plan administrator’s name and address

Administrator’s EIN	205257221
Plan administrator’s name	COPPERTREE OUTDOOR LIFESTYLES
Plan administrator’s address	3111 COCKRELL LN, ATTN LAURIE MCWILLIAMS, SPRINGFIELD, IL, 627119433
Administrator’s telephone number	2177930900

Signature of

Role	Plan administrator
Date	2012-07-13
Name of individual signing	AMY OKEEFE
Valid signature	Filed with authorized/valid electronic signature

COPPERTREE OUTDOOR LIFESTYLES 401(K) PLAN

2010

205257221

2011-07-26

COPPERTREE OUTDOOR LIFESTYLES

14

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-01-01
Business code	812990
Sponsor’s telephone number	2177930900
Plan sponsor’s address	3111 COCKRELL LN, SPRINGFIELD, IL, 627119433

Plan administrator’s name and address

Administrator’s EIN	205257221
Plan administrator’s name	COPPERTREE OUTDOOR LIFESTYLES
Plan administrator’s address	3111 COCKRELL LN, SPRINGFIELD, IL, 627119433
Administrator’s telephone number	2177930900

Signature of

Role	Plan administrator
Date	2011-07-26
Name of individual signing	MARK PIPER
Valid signature	Filed with authorized/valid electronic signature

COPPERTREE OUTDOOR LIFESTYLES 401(K) PLAN

2009

205257221

2010-09-17

COPPERTREE OUTDOOR LIFESTYLES

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-01-01
Business code	812990
Sponsor’s telephone number	2177930900
Plan sponsor’s address	3111 COCKRELL LN, SPRINGFIELD, IL, 627119433

Plan administrator’s name and address

Administrator’s EIN	205257221
Plan administrator’s name	COPPERTREE OUTDOOR LIFESTYLES
Plan administrator’s address	3111 COCKRELL LN, SPRINGFIELD, IL, 627119433
Administrator’s telephone number	2177930900

Signature of

Role	Plan administrator
Date	2010-09-17
Name of individual signing	LAURIE MCWILLIAMS
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
SRIHARI VEMURI, 145 S VIRGINIA ST STE 2, CRYSTAL LAKE, 60014	Agent	2021-11-29

Manager

Name and Address	Role	Appointment Date
VEMURI MD, RAMESH B, 145 S. VIRGINIA ST, CRYSTAL LAKE, IL, 60012	Manager	2024-10-31
MARTIN, JEFFREY, 145 S. VIRGINIA ST, CRYSTAL LAKE, IL, 60012	Manager	2024-10-31
ROBERT L. MEYER, 145 S. VIRGINIA ST, CRYSTAL LAKE, IL, 60012	Manager	2024-10-31

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State