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  5. IRELAND GROVE CENTER FOR SURGERY, LLC

IRELAND GROVE CENTER FOR SURGERY, LLC

Company Details

Entity Name: IRELAND GROVE CENTER FOR SURGERY, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 06 Apr 2005
Company Number: LLC_01475029
File Number: 01475029
Type of Management: Manager Managed
Date Status Change: 03 Mar 2024
Address 3801 IRELAND GROVE RD, BLOOMINGTON, 61704, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2023 202687982 2024-07-18 IRELAND GROVE CENTER FOR SURGERY, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3096640101
Plan sponsor’s address 3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2024-07-18
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-18
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2022 202687982 2023-06-26 IRELAND GROVE CENTER FOR SURGERY, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3096640101
Plan sponsor’s address 3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2023-06-26
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-26
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2021 202687982 2022-06-20 IRELAND GROVE CENTER FOR SURGERY, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3096640101
Plan sponsor’s address 3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2022-06-20
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-20
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2020 202687982 2021-06-09 IRELAND GROVE CENTER FOR SURGERY, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3096640101
Plan sponsor’s address 3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2021-06-09
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-09
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2019 202687982 2020-05-13 IRELAND GROVE CENTER FOR SURGERY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3096640101
Plan sponsor’s address 3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2020-05-13
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-13
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2018 202687982 2019-06-14 IRELAND GROVE CENTER FOR SURGERY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3096640101
Plan sponsor’s address 3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2019-06-14
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-14
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2017 202687982 2018-06-19 IRELAND GROVE CENTER FOR SURGERY, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3096640101
Plan sponsor’s address 3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-19
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2016 202687982 2017-07-20 IRELAND GROVE CENTER FOR SURGERY, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3096640101
Plan sponsor’s address 3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-20
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2015 202687982 2016-06-15 IRELAND GROVE CENTER FOR SURGERY, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3096640101
Plan sponsor’s address 3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-15
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2014 202687982 2015-06-09 IRELAND GROVE CENTER FOR SURGERY, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3096640101
Plan sponsor’s address 3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing EDWARD KOLB
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN L PRATT, 201 E GROVE ST STE 100, BLOOMINGTON, 61701 Agent 2024-01-31

Manager

Name and Address Role Appointment Date
KOLB, EDWARD, 3701 HELEN, BLOOMINGTON, IL, 61704 Manager 2024-03-03
LEE, DENNIS, 5 STONEY CT, BLOOMINGTON, IL, 61704 Manager 2024-03-03

Historical Names

Name Change Date
BLOOMINGTON CENTER FOR SURGERY, LLC 2005-04-14

Related by officers

JOHN L PRATT, 201 E GROVE ST STE 100, BLOOMINGTON, 61701

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KOLB, EDWARD, 3701 HELEN, BLOOMINGTON, IL, 61704

IGCREH ONE LLC

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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