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ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD.

Company Details

Entity Name: ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Jul 1980
Company Number: CORP_52088453
File Number: 52088453
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RGA CASH BALANCE PLAN 2014 363081482 2015-05-06 ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD. 119
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8153977340
Plan sponsor’s address 401 ROXBURY ROAD, ROCKFORD, IL, 611075078

Signature of

Role Plan administrator
Date 2015-05-06
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-06
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
RGA CASH BALANCE PLAN 2013 363081482 2014-05-07 ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD. 119
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8153977340
Plan sponsor’s address 401 ROXBURY ROAD, ROCKFORD, IL, 611075078

Signature of

Role Plan administrator
Date 2014-05-07
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-07
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
RGA CASH BALANCE PLAN 2012 363081482 2013-08-19 ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD. 118
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8153977340
Plan sponsor’s address 401 ROXBURY ROAD, ROCKFORD, IL, 611075078

Signature of

Role Plan administrator
Date 2013-08-19
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-19
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
RGA CASH BALANCE PLAN 2011 363081482 2012-06-11 ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD. 116
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8153977340
Plan sponsor’s address 401 ROXBURY ROAD, ROCKFORD, IL, 611075078

Plan administrator’s name and address

Administrator’s EIN 363081482
Plan administrator’s name ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD.
Plan administrator’s address 401 ROXBURY ROAD, ROCKFORD, IL, 611075078
Administrator’s telephone number 8153977340

Signature of

Role Plan administrator
Date 2012-06-11
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-11
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
RGA CASH BALANCE PLAN 2010 363081482 2011-10-04 ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD. 113
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8153977340
Plan sponsor’s address 401 ROXBURY ROAD, ROCKFORD, IL, 611075078

Plan administrator’s name and address

Administrator’s EIN 363081482
Plan administrator’s name ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD.
Plan administrator’s address 401 ROXBURY ROAD, ROCKFORD, IL, 611075078
Administrator’s telephone number 8153977340

Signature of

Role Plan administrator
Date 2011-10-04
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-04
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
RGA CASH BALANCE PLAN 2009 363081482 2010-09-23 ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD. 112
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8153977340
Plan sponsor’s address 401 ROXBURY ROAD, ROCKFORD, IL, 611075078

Plan administrator’s name and address

Administrator’s EIN 363081482
Plan administrator’s name ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD.
Plan administrator’s address 401 ROXBURY ROAD, ROCKFORD, IL, 611075078
Administrator’s telephone number 8153977340

Signature of

Role Plan administrator
Date 2010-09-22
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing NANCY GARRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PHILIP R FRANKFORT, 800 N CHURCH ST, ROCKFORD, 61103, WINNEBAGO Agent 2019-06-21

President

Name and Address Role
AARON J. SHIELS M.D. 3223 WINDSONG COURT ROCKFORD IL 61114 President

Secretary

Name and Address Role
MATTHEW W STIER M.D. 1347 BROWN HILLS ROAD ROCKFORD IL 61107 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ROCKFORD ENDOSCOPY CENTER Assume Name 2023-03-21 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 13000000 1

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State