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LOAMI EMERGENCY SQUAD

Company Details

Entity Name: LOAMI EMERGENCY SQUAD
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 17 Jun 1980
Date of Dissolution: 09 Oct 1997
Company Number: CORP_52081416
File Number: 52081416
Date Status Change: 09 Oct 1997
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STEPHEN M. WILLENBORG PROFIT SHARING 2011 371042795 2012-09-28 STEPHEN M WILLENBORG DMD LTD 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-04-01
Business code 621210
Sponsor’s telephone number 2173477021
Plan sponsor’s address 610 N KELLER DR, EFFINGHAM, IL, 624011814

Plan administrator’s name and address

Administrator’s EIN 371042795
Plan administrator’s name STEPHEN M WILLENBORG DMD LTD
Plan administrator’s address 610 N KELLER DR, EFFINGHAM, IL, 624011814
Administrator’s telephone number 2173477021

Signature of

Role Plan administrator
Date 2012-09-28
Name of individual signing HELGA TOWLER
Valid signature Filed with authorized/valid electronic signature
STEPHEN M. WILLENBORG PROFIT SHARING 2010 371042795 2011-09-15 STEPHEN M WILLENBORG DMD LTD 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-04-01
Business code 621210
Sponsor’s telephone number 2173477021
Plan sponsor’s address 610 N KELLER DR, EFFINGHAM, IL, 624011814

Plan administrator’s name and address

Administrator’s EIN 371042795
Plan administrator’s name STEPHEN M WILLENBORG DMD LTD
Plan administrator’s address 610 N KELLER DR, EFFINGHAM, IL, 624011814
Administrator’s telephone number 2173477021

Signature of

Role Plan administrator
Date 2011-09-15
Name of individual signing HELGA TOWLER
Valid signature Filed with authorized/valid electronic signature
STEPHEN M. WILLENBORG PROFIT SHARING 2009 371042795 2010-10-26 STEPHEN M WILLENBORG DMD LTD 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-04-01
Business code 621210
Sponsor’s telephone number 2173477021
Plan sponsor’s address 610 N KELLER DR, EFFINGHAM, IL, 624011814

Plan administrator’s name and address

Administrator’s EIN 371042795
Plan administrator’s name STEPHEN M WILLENBORG DMD LTD
Plan administrator’s address 610 N KELLER DR, EFFINGHAM, IL, 624011814
Administrator’s telephone number 2173477021

Signature of

Role Plan administrator
Date 2010-10-26
Name of individual signing HELGA J TOWLER
Valid signature Filed with authorized/valid electronic signature
STEPHEN M WILLENBORG DMD LTD EMPLOYEE RETIREMENT PLAN 2009 371042795 2010-10-26 STEPHEN M WILLENBORG DMD LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-01
Business code 621210
Sponsor’s telephone number 2173477021
Plan sponsor’s address 610 N KELLER DR, EFFINGHAM, IL, 624011814

Plan administrator’s name and address

Administrator’s EIN 371042795
Plan administrator’s name STEPHEN M WILLENBORG DMD LTD
Plan administrator’s address 610 N KELLER DR, EFFINGHAM, IL, 624011814
Administrator’s telephone number 2173477021

Signature of

Role Plan administrator
Date 2010-10-26
Name of individual signing HELGA J TOWLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BERT JACHINO, S MAIN PO BOX 235, LOAMI, 62661, SANGAMON Agent 1996-01-10

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State