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  5. CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC

CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC

Company Details

Entity Name: CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 16 Jan 2007
Company Number: LLC_02080176
File Number: 02080176
Type of Management: Manager Managed
Date Status Change: 22 Nov 2024
Address 1001 MAIN STREET, SUITE 500A, PEORIA, 61606, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 401(K) PLAN 2023 208243285 2024-07-03 CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3094951144
Plan sponsor’s address 1001 MAIN ST., SUITE 500 B, PEORIA, IL, 61606

Signature of
Role Plan administrator
Date 2024-07-03
Name of individual signing ANDY PAULSON
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 401(K) PLAN 2023 208243285 2024-04-30 CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3094951144
Plan sponsor’s address 1001 MAIN ST., SUITE 500 B, PEORIA, IL, 61606

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing ANDY PAULSON
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 401(K) PLAN 2022 208243285 2023-03-31 CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3094951144
Plan sponsor’s address 1001 MAIN ST., SUITE 500 B, PEORIA, IL, 61606

Signature of
Role Plan administrator
Date 2023-03-31
Name of individual signing ANDY PAULSON
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 401(K) PLAN 2021 208243285 2022-07-13 CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3094951144
Plan sponsor’s address 1001 MAIN ST., SUITE 500 B, PEORIA, IL, 61606

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing ANDY PAULSON
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 401(K) PLAN 2020 208243285 2021-04-29 CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3094951144
Plan sponsor’s address 1001 MAIN ST., SUITE 500 B, PEORIA, IL, 61606

Signature of
Role Plan administrator
Date 2021-04-29
Name of individual signing ANDY PAULSON
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 401(K) PLAN 2019 208243285 2020-03-31 CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3094951144
Plan sponsor’s address 1001 MAIN ST., SUITE 500 B, PEORIA, IL, 61606

Signature of
Role Plan administrator
Date 2020-03-31
Name of individual signing ROBERT A QUIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 401(K) PLAN 2018 208243285 2019-02-17 CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3094951144
Plan sponsor’s address 1001 MAIN ST., SUITE 500 B, PEORIA, IL, 61606

Signature of
Role Plan administrator
Date 2019-02-17
Name of individual signing ROBERT A QUIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 401(K) PLAN 2017 208243285 2018-03-01 CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3094951144
Plan sponsor’s address 1001 MAIN ST., SUITE 500 B, PEORIA, IL, 61606

Signature of
Role Plan administrator
Date 2018-03-01
Name of individual signing ROBERT A QUIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 401(K) PLAN 2016 208243285 2017-02-15 CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3094951144
Plan sponsor’s address 1001 MAIN ST., SUITE 500 B, PEORIA, IL, 61606

Signature of
Role Plan administrator
Date 2017-02-15
Name of individual signing ROBERT A QUIN
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS ENDOSCOPY CENTER LLC 401K PLAN 2015 208243285 2016-10-10 CENTRAL ILLINOIS ENDOSCOPY CENTER LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3094951144
Plan sponsor’s address 1001 MAIN ST, SUITE 500 B, PEORIA, IL, 61606

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing ROBERT A QUIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KEITH E. KNEPP, 221 NE GLEN OAK, PEORIA, 61636, PEORIA Agent 2024-08-01

Manager

Name and Address Role Appointment Date
DEBBIE SIMON, RN, BSN, MBA, NEA-BC, 221 NE GLAN OAK AVE., PEORIA, IL, 61636 Manager 2024-11-22
DIRK ROECKER, 221 NE GLAN OAK AVE., PEORIA, IL, 61636 Manager 2024-11-22
MELISSA YODER, 221 NE GLAN OAK AVE., PEORIA, IL, 61636 Manager 2024-11-22
KEITH KNEPP, MD, 221 NE GLAN OAK AVE., PEORIA, IL, 61636 Manager 2024-11-22
JAMIE STEVENSON, 221 NE GLAN OAK AVE., PEORIA, IL, 61636 Manager 2024-11-22
DENNIS TRIGGS, JD, 221 NE GLAN OAK AVE., PEORIA, IL, 61636 Manager 2024-11-22

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CARLE HEALTH ENDOSCOPY CENTER PEORIA Assumed name 2024-04-09 No data No data 2024-11-22

Related by officers

KEITH E. KNEPP, 221 NE GLEN OAK, PEORIA, 61636, PEORIA

THE METHODIST MEDICAL CENTER OF ILLINOIS CARLE HEALTH - WEST REGION METHODIST SERVICES, INC. PROVIDER RESOURCE MANAGEMENT, INC.

Related by address

1001 MAIN STREET, SUITE 500A, PEORIA, 61606, IL

IGI ENTERPRISES, LLC ANESTHESIA SERVICES OF PEORIA, LLC

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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