| Entity Name: | OTTAWA MEDICAL CENTER, P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 14 May 1969 |
| Date of Dissolution: | 12 Oct 2012 |
| Company Number: | CORP_49500459 |
| File Number: | 49500459 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Date Status Change: | 12 Oct 2012 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OTTAWA MEDICAL CENTER, P.C. 401(K) PROFIT SHARING | 2010 | 362675518 | 2010-10-27 | OTTAWA MEDICAL CENTER, P.C. | 61 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 362675518 |
| Plan administrator’s name | OTTAWA MEDICAL CENTER, P.C. |
| Plan administrator’s address | 1614 E NORRIS DR, OTTAWA, IL, 61350 |
| Administrator’s telephone number | 8154313265 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-27 |
| Name of individual signing | JILL LOWE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-27 |
| Name of individual signing | BRIAN ROSBOROUGH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1969-08-25 |
| Business code | 621111 |
| Sponsor’s telephone number | 8154313265 |
| Plan sponsor’s address | 1614 E. NORRIS DRIVE, OTTAWA, IL, 61350 |
Plan administrator’s name and address
| Administrator’s EIN | 362675518 |
| Plan administrator’s name | OTTAWA MEDICAL CENTER, P.C. |
| Plan administrator’s address | 1614 E. NORRIS DRIVE, OTTAWA, IL, 61350 |
| Administrator’s telephone number | 8154313265 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-31 |
| Name of individual signing | BRIAN ROSBOROUGH |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-08-31 |
| Name of individual signing | JILL LOWE |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JOHN S DUNCAN, 654 FIRST ST STE 400, LA SALLE, 61301, LA SALLE | Agent | 2002-06-12 |
| Name and Address | Role |
|---|---|
| BRIAN S ROSBOROUGH, 3066 E 1879TH RD OTTAWA 61350 | President |
| Name | Change Date |
|---|---|
| OTTAWA MEDICAL CENTER, S.C. | 1989-03-07 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 10000 | 1200000 | 1 |
Date of last update: 23 Dec 2024
