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  5. ST. MARGARET'S HEALTH-PERU

ST. MARGARET'S HEALTH-PERU

Company Details

Entity Name: ST. MARGARET'S HEALTH-PERU
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Bankruptcy
Date Formed: 09 Dec 1975
Company Number: CORP_50790428
File Number: 50790428
Date Status Change: 02 Oct 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ILLINOIS VALLEY COMMUNITY HOSPITAL 403(B) PLAN 2019 362852553 2020-10-15 ILLINOIS VALLEY COMMUNITY HOSPITAL 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 8157803400
Plan sponsor’s address 925 WEST ST, PERU, IL, 613542757

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing MARYBETH HERRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing MARYBETH HERRON
Valid signature Filed with authorized/valid electronic signature
INSURANCE PLAN 2016 362852553 2017-07-26 ILLINOIS VALLEY COMMUNITY HOSPITAL 337
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1969-09-01
Business code 622000
Sponsor’s telephone number 8157803400
Plan sponsor’s mailing address 925 WEST ST, PERU, IL, 613542757
Plan sponsor’s address 925 WEST ST, PERU, IL, 613542757

Number of participants as of the end of the plan year
Active participants 322

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-26
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
ILLINOIS VALLEY COMMUNITY HOSPITAL HEALTH CARE PLAN 2015 362852553 2016-10-14 ILLINOIS VALLEY COMMUNITY HOSPITAL 445
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1974-07-28
Business code 622000
Sponsor’s telephone number 8157803400
Plan sponsor’s mailing address 925 WEST ST, PERU, IL, 613542757
Plan sponsor’s address 925 WEST ST, PERU, IL, 613542757

Number of participants as of the end of the plan year
Active participants 426

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
SHORT AND LONG TERM DISABILITY 2015 362852553 2016-10-14 ILLINOIS VALLEY COMMUNITY HOSPITAL 330
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1972-05-01
Business code 622000
Sponsor’s telephone number 8157803400
Plan sponsor’s mailing address 925 WEST ST, PERU, IL, 613542757
Plan sponsor’s address 925 WEST ST, PERU, IL, 613542757

Number of participants as of the end of the plan year
Active participants 329
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
SHORT AND LONG TERM DISABILITY 2014 362852553 2015-07-31 ILLINOIS VALLEY COMMUNITY HOSPITAL 321
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1972-05-01
Business code 622000
Sponsor’s telephone number 8157803400
Plan sponsor’s mailing address 925 WEST STREET, PERU, IL, 61354
Plan sponsor’s address 925 WEST STREET, PERU, IL, 61354

Number of participants as of the end of the plan year
Active participants 326
Retired or separated participants receiving benefits 4

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-30
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
ILLINOIS VALLEY COMMUNITY HOSPITAL HEALTH CARE PLAN 2014 362852553 2015-07-31 ILLINOIS VALLEY COMMUNITY HOSPITAL 498
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1974-07-28
Business code 622000
Sponsor’s telephone number 8157803400
Plan sponsor’s mailing address 925 WEST STREET, PERU, IL, 61354
Plan sponsor’s address 925 WEST STREET, PERU, IL, 61354

Number of participants as of the end of the plan year
Active participants 495
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2015-07-31
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-31
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
INSURANCE PLAN 2014 362852553 2015-07-31 ILLINOIS VALLEY COMMUNITY HOSPITAL 325
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1969-09-01
Business code 622000
Sponsor’s telephone number 8157803400
Plan sponsor’s mailing address 925 WEST STREET, PERU, IL, 61354
Plan sponsor’s address 925 WEST STREET, PERU, IL, 61354

Number of participants as of the end of the plan year
Active participants 335

Signature of
Role Plan administrator
Date 2015-07-31
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-31
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
INSURANCE PL 2013 362852553 2014-10-13 ILLINOIS VALLEY COMMUNITY HOSPITAL 315
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1969-09-01
Business code 622000
Sponsor’s telephone number 8157803400
Plan sponsor’s mailing address 925 WEST STREET, PERU, IL, 61354
Plan sponsor’s address 925 WEST STREET, PERU, IL, 61354

Number of participants as of the end of the plan year
Active participants 330

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-13
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
SHORT AND LONG TERM DISABILITY 2013 362852553 2014-10-13 ILLINOIS VALLEY COMMUNITY HOSPITAL 300
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1972-05-01
Business code 622000
Sponsor’s telephone number 8157803400
Plan sponsor’s mailing address 925 WEST STREET, PERU, IL, 61354
Plan sponsor’s address 925 WEST STREET, PERU, IL, 61354

Number of participants as of the end of the plan year
Active participants 316
Retired or separated participants receiving benefits 5

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-13
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
ILLINOIS VALLEY COMMUNITY HOSPITAL HEALTH CARE PLAN 2013 362852553 2014-10-09 ILLINOIS VALLEY COMMUNITY HOSPITAL 450
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1974-07-28
Business code 622000
Sponsor’s telephone number 8157803400
Plan sponsor’s mailing address 925 WEST STREET, PERU, IL, 61354
Plan sponsor’s address 925 WEST STREET, PERU, IL, 61354

Number of participants as of the end of the plan year
Active participants 436
Retired or separated participants receiving benefits 10

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-09
Name of individual signing MARY BETH HERRON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TIMOTHY A MUNTZ, 600 EAST FIRST ST, SPRING VALLEY, 61362, BUREAU Agent 2020-12-30

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054017162 No data No data LICENSED PHARMACY No data 2010-02-04 2022-03-05 2024-03-31
PHARMACY 059005796 No data No data LICENSED DIVISION III PHARMACY No data 1997-01-01 2008-01-10 2010-03-31

Historical Names

Name Change Date
ILLINOIS VALLEY COMMUNITY HOSPITAL 2020-12-31

Related by officers

TIMOTHY A MUNTZ, 600 EAST FIRST ST, SPRING VALLEY, 61362, BUREAU

HYGIENIC INSTITUTE FOR LA SALLE, PERU AND OGLESBY IV HEALTHCORP, INC. ILLINOIS VALLEY COMMUNITY HOSPITAL FOUNDATION

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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