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  5. MIDWEST MEDICAL GROUP, LLC

MIDWEST MEDICAL GROUP, LLC

Company Details

Entity Name: MIDWEST MEDICAL GROUP, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Revoked
Date Formed: 28 Feb 2017
Company Number: LLC_06026001
File Number: 06026001
Type of Management: Member Managed
Date Status Change: 04 Dec 2020
Address 11 JONES WAY, WOOD RIVER, 62095, IL
Place of Formation: MISSOURI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MMG 401(K) PROFIT SHARING PLAN 2019 205069394 2020-10-16 MIDWEST MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 11 JONES WAY, WOOD RIVER, IL, 62095
MMG 401(K) PROFIT SHARING PLAN 2018 205069394 2019-10-15 MIDWEST MEDICAL GROUP, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 11 JONES WAY, WOOD RIVER, IL, 62095
MMG 401(K) PROFIT SHARING PLAN 2017 205069394 2018-10-15 MIDWEST MEDICAL GROUP, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 11 JONES WAY, WOOD RIVER, IL, 62095
MMG 401(K) PROFIT SHARING PLAN 2016 205069394 2017-10-16 MIDWEST MEDICAL GROUP, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 11 JONES WAY, WOOD RIVER, IL, 62095
MMG 401(K) PROFIT SHARING PLAN 2015 205069394 2016-10-17 MIDWEST MEDICAL GROUP, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 11 JONES WAY, WOOD RIVER, IL, 62095
MMG 401(K) PROFIT SHARING PLAN 2014 205069394 2015-08-10 MIDWEST MEDICAL GROUP, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 11 JONES WAY, WOOD RIVER, IL, 62095

Signature of
Role Plan administrator
Date 2015-08-10
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with authorized/valid electronic signature
MMG 401(K) PROFIT SHARING PLAN 2013 205069394 2014-07-31 MIDWEST MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with authorized/valid electronic signature
MMG 401K PROFIT SHARING PLAN 2012 205069394 2013-07-08 MIDWEST MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with authorized/valid electronic signature
MMG 401K PROFIT SHARING PLAN 2011 205069394 2012-05-15 MIDWEST MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with authorized/valid electronic signature
MMG 401K PROFIT SHARING PLAN 2010 205069394 2011-09-26 MIDWEST MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 423400
Sponsor’s telephone number 6187923539
Plan sponsor’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743

Plan administrator’s name and address
Administrator’s EIN 205069394
Plan administrator’s name MIDWEST MEDICAL GROUP, LLC
Plan administrator’s address 15 LOGGERS TRAIL, EDWARDSVILLE, IL, 620255743
Administrator’s telephone number 6187923539

Signature of
Role Plan administrator
Date 2011-09-26
Name of individual signing THOMAS R. MAXWELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TOM MAXWELL, 11 JONES WAY, WOOD RIVER, 62095 Agent 2017-02-28

Member

Name and Address Role Appointment Date
MAXWELL, TOM, 11 JONES WAY, WOOD RIVER, IL, 62095 Member 2017-02-28

Related by officers

No related officers

Related by address

11 JONES WAY, WOOD RIVER, 62095, IL

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Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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