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  5. PAIN CONSULTANTS OF CENTRAL ILLINOIS, LLC

PAIN CONSULTANTS OF CENTRAL ILLINOIS, LLC

Company Details

Entity Name: PAIN CONSULTANTS OF CENTRAL ILLINOIS, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 14 Feb 2007
Company Number: LLC_02108119
File Number: 02108119
Type of Management: Manager Managed
Date Status Change: 05 Jan 2025
Address 1800 E LAKE SHORE DR STE 2500, DECATUR, 62521, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN CONSULTANTS OF CENTRAL ILLINOIS PENSION PLAN 2023 208542600 2024-10-02 PAIN CONSULTANTS OF CENTRAL ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2175191685
Plan sponsor’s address 1800 EAST LAKE SHORE DRIVE, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing STACEY FLETCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-01
Name of individual signing STACEY FLETCHER
Valid signature Filed with authorized/valid electronic signature
PAIN CONSULTANTS OF CENTRAL ILLINOIS PENSION PLAN 2022 208542600 2023-09-29 PAIN CONSULTANTS OF CENTRAL ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2175191685
Plan sponsor’s address 1800 EAST LAKE SHORE DRIVE, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2023-09-29
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-29
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
PAIN CONSULTANTS OF CENTRAL ILLINOIS PENSION PLAN 2021 208542600 2022-08-22 PAIN CONSULTANTS OF CENTRAL ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2175191685
Plan sponsor’s address 1800 EAST LAKE SHORE DRIVE, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2022-08-22
Name of individual signing STACEY FLETCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-22
Name of individual signing STACEY FLETCHER
Valid signature Filed with authorized/valid electronic signature
PAIN CONSULTANTS OF CENTRAL ILLINOIS PENSION PLAN 2020 208542600 2021-07-08 PAIN CONSULTANTS OF CENTRAL ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2175191685
Plan sponsor’s address 1800 EAST LAKE SHORE DRIVE, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-07
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
PAIN CONSULTANTS OF CENTRAL ILLINOIS PENSION PLAN 2019 208542600 2020-09-24 PAIN CONSULTANTS OF CENTRAL ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2175191685
Plan sponsor’s address 1800 EAST LAKE SHORE DRIVE, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2020-09-24
Name of individual signing STACEY FLETCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-24
Name of individual signing STACEY FLETCHER
Valid signature Filed with authorized/valid electronic signature
PAIN CONSULTANTS OF CENTRAL ILLINOIS PENSION PLAN 2018 208542600 2019-09-19 PAIN CONSULTANTS OF CENTRAL ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2175191685
Plan sponsor’s address 1800 EAST LAKE SHORE DRIVE, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2019-09-19
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-19
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
PAIN CONSULTANTS OF CENTRAL ILLINOIS PENSION PLAN 2017 208542600 2018-10-03 PAIN CONSULTANTS OF CENTRAL ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2175191685
Plan sponsor’s address 1800 EAST LAKE SHORE DRIVE, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-03
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
PAIN CONSULTANTS OF CENTRAL ILLINOIS PENSION PLAN 2016 208542600 2017-07-14 PAIN CONSULTANTS OF CENTRAL ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2175191685
Plan sponsor’s address 1800 EAST LAKE SHORE DRIVE, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-14
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
PAIN CONSULTANTS OF CENTRAL ILLINOIS PENSION PLAN 2015 208542600 2016-07-26 PAIN CONSULTANTS OF CENTRAL ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2175191685
Plan sponsor’s address 1800 EAST LAKE SHORE DRIVE, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-26
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
PAIN CONSULTANTS OF CENTRAL ILLINOIS 412(E)(3) PENSION PLAN 2014 208542600 2015-10-01 PAIN CONSULTANTS OF CENTRAL ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2175191685
Plan sponsor’s address 1800 EAST LAKE SHORE DRIVE, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-01
Name of individual signing JOHN FURRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN M FURRY, 1800 E LAKE SHORE DR STE 2500, DECATUR, 62521, MACON Agent 2007-02-14

Manager

Name and Address Role Appointment Date
FURRY MD, JOHN M, 1800 E LAKE SHORE DR #2500, DECATUR, IL, 62521 Manager 2025-01-05
SHANE R. FANCHER, M.D., 1800 E. LAKE SHORE DR., STE 2500, DECATUR, IL, 62521 Manager 2025-01-05

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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