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  5. PREMIER PATHOLOGY SERVICES, LLC

PREMIER PATHOLOGY SERVICES, LLC

Headquarter

Company Details

Entity Name: PREMIER PATHOLOGY SERVICES, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 06 May 2005
Company Number: LLC_01504746
File Number: 01504746
Type of Management: Member Managed
Date Status Change: 08 Nov 2024
Address 1 ST ELIZABETH'S BLVD STE 240, O'FALLON, 62226, IL
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of PREMIER PATHOLOGY SERVICES, LLC, NEW YORK 3621236 NEW YORK

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GPM1U4SJF566 2024-05-21 211 S 3RD ST, BELLEVILLE, IL, 62220, 1915, USA 5700 SOUTHWYCK BLVD, TOLEDO, OH, 43614, 1509, USA

Business Information
Congressional District 13
State/Country of Incorporation IL, USA
Activation Date 2023-05-24
Initial Registration Date 2008-06-09
Entity Start Date 2005-07-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621511
Product and Service Codes AN41

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DOLPH D HAEGE
Address 4313 ALDER PL, BELLEVILLE, IL, 62226, 7851, USA
Title ALTERNATE POC
Name JOYCE HAEGE
Address 102 N 9TH ST, MASCOUTAH, IL, 62258, 1118, USA
Government Business
Title PRIMARY POC
Name DOLPH D HAEGE
Address 4313 ALDER PL, BELLEVILLE, IL, 62226, 7851, USA
Title ALTERNATE POC
Name JOYCE HAEGE
Address 102 N. 9TH ST, MASCOUTAH, IL, 62258, 1118, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER PATHOLOGY SERVICES LLC PENSION PLAN 2023 202842166 2024-08-16 PREMIER PATHOLOGY SERVICES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184075072
Plan sponsor’s address 4313 ALDER PLACE, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2024-08-16
Name of individual signing DOLPH HAEGE
Valid signature Filed with authorized/valid electronic signature
PREMIER PATHOLOGY SERVICES LLC PENSION PLAN 2022 202842166 2023-10-11 PREMIER PATHOLOGY SERVICES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184075072
Plan sponsor’s address 4313 ALDER PLACE, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing DOLPH HAEGE
Valid signature Filed with authorized/valid electronic signature
PREMIER PATHOLOGY SERVICES LLC PENSION PLAN 2021 202842166 2022-10-03 PREMIER PATHOLOGY SERVICES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184075072
Plan sponsor’s address 4313 ALDER PLACE, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing DOLPH HAEGE
Valid signature Filed with authorized/valid electronic signature
PREMIER PATHOLOGY SERVICES LLC PENSION PLAN 2020 202842166 2021-10-04 PREMIER PATHOLOGY SERVICES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184075072
Plan sponsor’s address 4313 ALDER PLACE, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing DOLPH HAEGE
Valid signature Filed with authorized/valid electronic signature
PREMIER PATHOLOGY SERVICES LLC PENSION PLAN 2019 202842166 2020-09-25 PREMIER PATHOLOGY SERVICES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184075072
Plan sponsor’s address 4313 ALDER PLACE, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2020-09-25
Name of individual signing DOLPH HAEGE
Valid signature Filed with authorized/valid electronic signature
PREMIER PATHOLOGY SERVICES LLC PENSION PLAN 2018 202842166 2019-04-30 PREMIER PATHOLOGY SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184075072
Plan sponsor’s address 4313 ALDER PLACE, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2019-04-30
Name of individual signing DOLPH HAEGE
Valid signature Filed with authorized/valid electronic signature
PREMIER PATHOLOGY SERVICES LLC PENSION PLAN 2017 202842166 2018-06-15 PREMIER PATHOLOGY SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184075072
Plan sponsor’s address 4313 ALDER PLACE, BELLEVILLE, IL, 62220

Signature of
Role Plan administrator
Date 2018-06-15
Name of individual signing DOLPH HAEGE
Valid signature Filed with authorized/valid electronic signature
PREMIER PATHOLOGY SERVICES LLC PENSION PLAN 2016 202842166 2017-06-19 PREMIER PATHOLOGY SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184075072
Plan sponsor’s address 4313 ALDER PLACE, BELLEVILLE, IL, 62220

Signature of
Role Plan administrator
Date 2017-06-19
Name of individual signing DOLPH HAEGE
Valid signature Filed with authorized/valid electronic signature
PREMIER PATHOLOGY SERVICES LLC PENSION PLAN 2015 202842166 2016-10-14 PREMIER PATHOLOGY SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184075072
Plan sponsor’s address 4313 ALDER PLACE, BELLEVILLE, IL, 62220

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DOLPH HAEGE
Valid signature Filed with authorized/valid electronic signature
PREMIER PATHOLOGY SERVICES LLC PENSION PLAN 2014 202842166 2015-10-15 PREMIER PATHOLOGY SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184075072
Plan sponsor’s address 4313 ALDER PLACE, BELLEVILLE, IL, 62220

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing DOLPH HAEGE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRIAN A. OTTEN, 222 E. MAIN ST., BELLEVILLE, 62220 Agent 2019-03-19

Member

Name and Address Role Appointment Date
HAEGE M.D., DOLPH D., 4313 ALDER PLACE, BELLEVILLE, IL, 62226 Member 2005-05-06

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000083 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2011-05-10 2018-11-30 2022-01-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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