| Entity Name: | SANGAMON ASSOCIATED ANESTHESIOLOGISTS, S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 03 May 1982 |
| Date of Dissolution: | 30 Oct 2015 |
| Company Number: | CORP_52721601 |
| File Number: | 52721601 |
| Date Status Change: | 30 Oct 2015 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SANGAMON ASSOCIATED ANESTHESIOLOGISTS, S.C. 401(K) PROFIT SHARING PLAN | 2014 | 371115308 | 2016-03-21 | SANGAMON ASSOCIATED ANESTHESIOLOGISTS, S.C. | 23 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2016-03-21 |
| Name of individual signing | MICHAEL KOVARIK, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1982-05-03 |
| Business code | 621111 |
| Sponsor’s telephone number | 2175255643 |
| Plan sponsor’s address | 800 EAST CARPENTER STREET, SPRINGFIELD, IL, 627025324 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-17 |
| Name of individual signing | MICHAEL KOVARIK, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1982-05-03 |
| Business code | 621111 |
| Sponsor’s telephone number | 2175255643 |
| Plan sponsor’s address | 800 EAST CARPENTER, SPRINGFIELD, IL, 62702 |
Plan administrator’s name and address
| Administrator’s EIN | 371115308 |
| Plan administrator’s name | SANGAMON ASSOCIATED ANESTHESIOLOGISTS, S.C. |
| Plan administrator’s address | 800 EAST CARPENTER, SPRINGFIELD, IL, 62702 |
| Administrator’s telephone number | 2175255643 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-17 |
| Name of individual signing | ANN BAER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| FREERICK C GEHRMANN, 800 E CARPENTER ST, SPRINGFIELD, 62769, SANGAMON | Agent | 2010-04-16 |
| Name and Address | Role |
|---|---|
| FREDERICK GEHRMANN MD 800 E CARPENTER SPRINGFIELD 62769 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 5000 | 1600000 | No data |
Date of last update: 23 Dec 2024
