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  5. NULCOR, LLC

NULCOR, LLC

Company Details

Entity Name: NULCOR, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 25 Jan 2007
Company Number: LLC_02095904
File Number: 02095904
Type of Management: Manager Managed
Date Status Change: 08 Jul 2016
Address 3550 N LAKE SHORE DR STE 1613, CHICAGO, 60657, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHWEST HOSPITALS MRI INC. TAX DEFERRED ANNUITY PLAN 2012 363517928 2013-10-08 SOUTHWEST HOSPITALS MRI INC. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-05-06
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-08
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. EMPLOYEES PENSION PLAN 2012 363517928 2013-10-08 SOUTHWEST HOSPITALS MRI INC. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-08
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. TAX DEFERRED ANNUITY PLAN 2011 363517928 2013-08-15 SOUTHWEST HOSPITALS MRI INC. 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-01-01
Business code 621498
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Plan administrator’s name and address
Administrator’s EIN 363517928
Plan administrator’s name SOUTHWEST HOSPITALS MRI INC.
Plan administrator’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Signature of
Role Plan administrator
Date 2013-08-15
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-15
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. EMPLOYEES PENSION PLAN 2011 363517928 2012-10-02 SOUTHWEST HOSPITALS MRI INC. 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Plan administrator’s name and address
Administrator’s EIN 363517928
Plan administrator’s name SOUTHWEST HOSPITALS MRI INC.
Plan administrator’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453
Administrator’s telephone number 7086363290

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-02
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. TAX DEFERRED ANNUITY PLAN 2010 363517928 2011-09-06 SOUTHWEST HOSPITALS MRI INC. 20
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Plan administrator’s name and address
Administrator’s EIN 363517928
Plan administrator’s name SOUTHWEST HOSPITALS MRI INC.
Plan administrator’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453
Administrator’s telephone number 7086363290

Signature of
Role Plan administrator
Date 2011-09-06
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-06
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. EMPLOYEES PENSION PLAN 2010 363517928 2011-09-06 SOUTHWEST HOSPITALS MRI INC. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Plan administrator’s name and address
Administrator’s EIN 363517928
Plan administrator’s name SOUTHWEST HOSPITALS MRI INC.
Plan administrator’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453
Administrator’s telephone number 7086363290

Signature of
Role Plan administrator
Date 2011-09-06
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-06
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. EMPLOYEES PENSION PLAN 2009 363517928 2010-08-19 SOUTHWEST HOSPITALS MRI INC. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Plan administrator’s name and address
Administrator’s EIN 363517928
Plan administrator’s name SOUTHWEST HOSPITALS MRI INC.
Plan administrator’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453
Administrator’s telephone number 7086363290

Signature of
Role Plan administrator
Date 2010-08-19
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-19
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. TAX DEFERRED ANNUITY PLAN 2009 363517928 2010-08-19 SOUTHWEST HOSPITALS MRI INC. 21
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Plan administrator’s name and address
Administrator’s EIN 363517928
Plan administrator’s name SOUTHWEST HOSPITALS MRI INC.
Plan administrator’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453
Administrator’s telephone number 7086363290

Signature of
Role Plan administrator
Date 2010-08-19
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-19
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST HOSPITALS MRI INC. EMPLOYEES PENSION PLAN 2009 363517928 2010-08-19 SOUTHWEST HOSPITALS MRI INC. 18
Three-digit plan number (PN) 003
Effective date of plan 1990-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Plan administrator’s name and address
Administrator’s EIN 363517928
Plan administrator’s name SOUTHWEST HOSPITALS MRI INC.
Plan administrator’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453
Administrator’s telephone number 7086363290

Signature of
Role Plan administrator
Date 2010-08-19
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-19
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with incorrect/unrecognized electronic signature
SOUTHWEST HOSPITALS MRI INC. TAX DEFERRED ANNUITY PLAN 2009 363517928 2010-08-19 SOUTHWEST HOSPITALS MRI INC. 21
Three-digit plan number (PN) 004
Effective date of plan 2009-01-01
Business code 621498
Sponsor’s telephone number 7086363290
Plan sponsor’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453

Plan administrator’s name and address
Administrator’s EIN 363517928
Plan administrator’s name SOUTHWEST HOSPITALS MRI INC.
Plan administrator’s address 5550 WEST 111TH STREET, OAK LAWN, IL, 60453
Administrator’s telephone number 7086363290

Signature of
Role Plan administrator
Date 2010-08-19
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-19
Name of individual signing MICHAEL CEPOLSKI
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
KEVIN J STAUDT, 3550 N LAKE SHORE DR STE 1613, CHICAGO, 60657, COOK-NOT IN CITY OF CHICAGO Agent 2007-01-25

Manager

Name and Address Role Appointment Date
WICHLER GROUP INC 6533 981 1, 3550 N LAKE SHORE DR STE 1613, CHICAGO, IL, 60657 Manager 2015-02-03

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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