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  5. CENTRAL ILLINOIS CANCER CARE CENTER, LLC

CENTRAL ILLINOIS CANCER CARE CENTER, LLC

Company Details

Entity Name: CENTRAL ILLINOIS CANCER CARE CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 21 Jun 2007
Company Number: LLC_02242389
File Number: 02242389
Type of Management: Manager Managed
Date Status Change: 18 Dec 2023
Address 7309 N KNOXVILLE AVE, PEORIA, 61614, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CICCC, LLC RETIREMENT SAVINGS PLAN 2016 261128108 2017-06-26 CENTRAL ILLINOIS CANCER CARE CENTER LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3096725666
Plan sponsor’s address 7309 N KNOXVILLE AVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing TONY MOORE
Valid signature Filed with authorized/valid electronic signature
CICCC, LLC RETIREMENT SAVINGS PLAN 2016 261128108 2017-06-26 CENTRAL ILLINOIS CANCER CARE CENTER LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3096725914
Plan sponsor’s address 221 NE GLEN OAK AVE., PEORIA, IL, 61636

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing TONY MOORE
Valid signature Filed with authorized/valid electronic signature
CICCC, LLC RETIREMENT SAVINGS PLAN 2015 261128108 2016-08-08 CENTRAL ILLINOIS CANCER CARE CENTER LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3096725914
Plan sponsor’s address 221 NE GLEN OAK AVE., PEORIA, IL, 61636

Signature of
Role Plan administrator
Date 2016-08-08
Name of individual signing TONY MOORE
Valid signature Filed with authorized/valid electronic signature
CICCC, LLC RETIREMENT SAVINGS PLAN 2014 261128108 2015-10-02 CENTRAL ILLINOIS CANCER CARE CENTER LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3096725914
Plan sponsor’s address 7309 N KNOXVILLE AVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing TONY MOORE
Valid signature Filed with authorized/valid electronic signature
CICCC, LLC RETIREMENT SAVINGS PLAN 2013 261128108 2014-06-10 CENTRAL ILLINOIS CANCER CARE CENTER LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3096725914
Plan sponsor’s address 7309 N KNOXVILLE AVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing TONY MOORE
Valid signature Filed with authorized/valid electronic signature
CICCC, LLC RETIREMENT SAVINGS PLAN 2012 261128108 2013-10-01 CENTRAL ILLINOIS CANCER CARE CENTER LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3096725914
Plan sponsor’s address 7309 N KNOXVILLE AVE, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2013-10-01
Name of individual signing TONY MOORE
Valid signature Filed with authorized/valid electronic signature
CICCC, LLC RETIREMENT SAVINGS PLAN 2011 261128108 2012-05-01 CENTRAL ILLINOIS CANCER CARE CENTER LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3096725914
Plan sponsor’s address 7309 N KNOXVILLE AVE, PEORIA, IL, 61614

Plan administrator’s name and address
Administrator’s EIN 261128108
Plan administrator’s name CENTRAL ILLINOIS CANCER CARE CENTER LLC
Plan administrator’s address 7309 N KNOXVILLE AVE, PEORIA, IL, 61614
Administrator’s telephone number 3096725666

Signature of
Role Plan administrator
Date 2012-05-01
Name of individual signing TONY MOORE
Valid signature Filed with authorized/valid electronic signature
CICC LLC RETIREMENT SAVINGS PLAN 2010 261128108 2011-07-21 CENTRAL ILLINOIS CANCER CARE CENTER LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3096725666
Plan sponsor’s address 7309 N KNOXVILLE AVE, PEORIA, IL, 61614

Plan administrator’s name and address
Administrator’s EIN 261128108
Plan administrator’s name CENTRAL ILLINOIS CANCER CARE CENTER LLC
Plan administrator’s address 7309 N KNOXVILLE AVE, PEORIA, IL, 61614
Administrator’s telephone number 3096725666

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing TONY MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-21
Name of individual signing TONY MOORE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARCIA BECKER, 221 NE GLEN OAK AVE, PEORIA, 61636 Agent 2022-02-07

Manager

Name and Address Role Appointment Date
THE METHODIST MEDICAL CENTER OF ILLINOIS (N0788-821-0), 221 NE GLEN OAK AVE, PEORIA, IL, 61636 Manager 2023-10-02

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PEORIA RADIATION THERAPY SERVICES Assumed name 2009-03-05 2023-12-18 Voluntary cancellation 2020-04-20

Related by officers

No related officers

Related by address

7309 N KNOXVILLE AVE, PEORIA, 61614, IL

PEORIA UROLOGICAL INVESTMENT GROUP, LLC

Date of last update: 13 Mar 2025

Sources: Illinois Office of the Secretary of State

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