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  5. EDWARD W. PEGG, M.D., LLC

EDWARD W. PEGG, M.D., LLC

Company Details

Entity Name: EDWARD W. PEGG, M.D., LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: NGS
Date Formed: 20 Dec 2005
Company Number: LLC_01712691
File Number: 01712691
Type of Management: Member Managed
Date Status Change: 01 Dec 2024
Address 17192 E. 2450 NORTH ROAD, HUDSON, 61748, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDWARD W. PEGG, M.D., LLC DEFINED BENEFIT PENSION PLAN 2018 830444457 2019-07-26 EDWARD W. PEGG, M.D., LLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3096617344
Plan sponsor’s address 1505 EASTLAND DRIVE, SUITE 2400, BLOOMINGTON, IL, 61701
EDWARD W. PEGG, M.D., LLC DEFINED BENEFIT PENSION PLAN 2017 830444457 2018-10-04 EDWARD W. PEGG, M.D., LLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3096617344
Plan sponsor’s address 1505 EASTLAND DRIVE, SUITE 2400, BLOOMINGTON, IL, 61701
EDWARD W. PEGG, M.D., LLC DEFINED BENEFIT PENSION PLAN 2016 830444457 2017-10-16 EDWARD W. PEGG, M.D., LLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3096617344
Plan sponsor’s address 1505 EASTLAND DRIVE, SUITE 2400, BLOOMINGTON, IL, 61701
EDWARD W. PEGG, M.D., LLC DEFINED BENEFIT PENSION PLAN 2015 830444457 2016-10-14 EDWARD W. PEGG, M.D., LLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3096617344
Plan sponsor’s address 1505 EASTLAND DRIVE, SUITE 2400, BLOOMINGTON, IL, 61701
EDWARD W. PEGG, M.D., LLC DEFINED BENEFIT PENSION PLAN 2014 830444457 2015-10-05 EDWARD W. PEGG, M.D., LLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3096617344
Plan sponsor’s address 1505 EASTLAND DRIVE, SUITE 2400, BLOOMINGTON, IL, 61701

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing EDWARD W. PEGG
Valid signature Filed with authorized/valid electronic signature
EDWARD W. PEGG, M.D., LLC DEFINED BENEFIT PENSION PLAN 2013 830444457 2014-10-10 EDWARD W. PEGG, M.D., LLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3096617344
Plan sponsor’s address 1505 EASTLAND DRIVE, SUITE 2400, BLOOMINGTON, IL, 61701

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing EDWARD W. PEGG
Valid signature Filed with authorized/valid electronic signature
EDWARD W. PEGG, M.D., LLC DEFINED BENEFIT PENSION PLAN 2012 830444457 2013-10-03 EDWARD W. PEGG, M.D., LLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3096617344
Plan sponsor’s address 1505 EASTLAND DRIVE, SUITE 2400, BLOOMINGTON, IL, 61701

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing EDWARD W. PEGG
Valid signature Filed with authorized/valid electronic signature
EDWARD W. PEGG, M.D., LLC DEFINED BENEFIT PENSION PLAN 2011 830444457 2012-10-08 EDWARD W. PEGG, M.D., LLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3096617344
Plan sponsor’s address 1505 EASTLAND DRIVE, SUITE 2400, BLOOMINGTON, IL, 61701

Plan administrator’s name and address
Administrator’s EIN 830444457
Plan administrator’s name EDWARD W. PEGG, M.D., LLC
Plan administrator’s address 1505 EASTLAND DRIVE, SUITE 2400, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3096617344

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing CHRISTINA SALACINA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRUCE G. HOLTZ, 1907 JUMER DR STE A, BLOOMINGTON, 61704, MC LEAN Agent 2021-12-22

Manager

Name and Address Role Appointment Date
PEGG, M.D., EDWARD W., 17192 E. 2450 NORTH ROAD, HUDSON, IL, 61748 Manager 2019-11-21

Related by officers

BRUCE G. HOLTZ, 1907 JUMER DR STE A, BLOOMINGTON, 61704, MC LEAN

ROBERT S. BALLER, LTD. SPRING RIDGE HOMEOWNERS ASSOCIATION

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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