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HEARTLAND EMERGENCY SPECIALISTS, LLC

Company Details

Entity Name: HEARTLAND EMERGENCY SPECIALISTS, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 19 Jul 2007
Company Number: LLC_02276496
File Number: 02276496
Type of Management: Member Managed
Date Status Change: 11 Jan 2022
Address 21166 HAWTHORNE RIDGE ROAD, DOWNS, 61736, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2020 260556577 2021-06-14 HEARTLAND EMERGENCY SPECIALISTS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8884370911
Plan sponsor’s address P.O. BOX 608, BLOOMINGTON, IL, 617020608

Signature of

Role Plan administrator
Date 2021-06-14
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-14
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2019 260556577 2020-07-29 HEARTLAND EMERGENCY SPECIALISTS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8884370911
Plan sponsor’s address P.O. BOX 608, BLOOMINGTON, IL, 617020608

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-29
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN 2019 260556577 2020-10-14 HEARTLAND EMERGENCY SPECIALISTS LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8884370911
Plan sponsor’s address P.O. BOX 608, 2200 EAST WASHINGTON STREET, BLOOMINGTON, IL, 617020608

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN 2018 260556577 2019-09-24 HEARTLAND EMERGENCY SPECIALISTS LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8884370911
Plan sponsor’s address P.O. BOX 608, BLOOMINGTON, IL, 617020608

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2018 260556577 2019-07-16 HEARTLAND EMERGENCY SPECIALISTS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8884370911
Plan sponsor’s address P.O. BOX 608, BLOOMINGTON, IL, 617020608

Signature of

Role Plan administrator
Date 2019-07-16
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-16
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN 2017 260556577 2018-10-11 HEARTLAND EMERGENCY SPECIALISTS LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8884370911
Plan sponsor’s address P.O. BOX 608, 2200 EAST WASHINGTON STREET, BLOOMINGTON, IL, 617020608

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2017 260556577 2018-07-24 HEARTLAND EMERGENCY SPECIALISTS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8884370911
Plan sponsor’s address P.O. BOX 608, BLOOMINGTON, IL, 617020608

Signature of

Role Plan administrator
Date 2018-07-24
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-24
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN 2016 260556577 2017-10-09 HEARTLAND EMERGENCY SPECIALISTS LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8884370911
Plan sponsor’s address P.O. BOX 608, BLOOMINGTON, IL, 617020608

Signature of

Role Plan administrator
Date 2017-10-09
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2016 260556577 2017-07-11 HEARTLAND EMERGENCY SPECIALISTS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8884370911
Plan sponsor’s address P.O. BOX 608, BLOOMINGTON, IL, 617020608

Signature of

Role Plan administrator
Date 2017-07-11
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-11
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2015 260556577 2016-06-14 HEARTLAND EMERGENCY SPECIALISTS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8884370911
Plan sponsor’s address P.O. BOX 608, BLOOMINGTON, IL, 617020608

Signature of

Role Plan administrator
Date 2016-06-14
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-14
Name of individual signing DOUGLAS WARD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LYNDEL K ARMSTRONG, 2409 E WASHINGTON ST, STE C, BLOOMINGTON, 61704, MC LEAN Agent 2007-07-19

Manager

Name and Address Role Appointment Date
WARD, M.D., DOUGLAS, 21166 HAWTHORNE RIDGE RD, DOWNS, IL, 61736 Manager 2020-07-01
SABBUN, RICHARD MD, 1301 IRONWOOD DR, NORMAL, IL, 61761 Manager 2020-07-01
LOONEY M.D., DARRELL G, 8 SMOKEY COURT, BLOOMINGTON, IL, 61704 Manager 2020-07-01

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State