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ANESTHESIA ASSOCIATES OF BELLEVILLE, LTD.

Company Details

Entity Name: ANESTHESIA ASSOCIATES OF BELLEVILLE, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 08 Jan 1993
Date of Dissolution: 06 Nov 2023
Company Number: CORP_57137134
File Number: 57137134
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 06 Nov 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANESTHESIA ASSOCIATES OF BELLEVILLE 401(K) PLAN 2022 371302851 2023-05-10 ANESTHESIA ASSOCIATES OF BELLEVILLE, LTD. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 6182575162
Plan sponsor’s address 3636 NORTH BELT WEST, BELLEVILLE, IL, 62226

Signature of

Role Plan administrator
Date 2023-05-10
Name of individual signing KENNETH BLUESTONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-10
Name of individual signing KENNETH BLUESTONE
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF BELLEVILLE 401(K) PLAN 2022 371302851 2023-05-05 ANESTHESIA ASSOCIATES OF BELLEVILLE, LTD. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 6182575162
Plan sponsor’s address 3636 NORTH BELT WEST, BELLEVILLE, IL, 62226

Signature of

Role Plan administrator
Date 2023-05-05
Name of individual signing KENNETH BLUESTONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-05
Name of individual signing KENNETH BLUESTONE
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF BELLEVILLE 401(K) PLAN 2021 371302851 2022-07-20 ANESTHESIA ASSOCIATES OF BELLEVILLE, LTD. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 6182575162
Plan sponsor’s address 3636 NORTH BELT WEST, BELLEVILLE, IL, 62226

Signature of

Role Plan administrator
Date 2022-07-20
Name of individual signing KENNETH BLUESTONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-20
Name of individual signing KENNETH BLUESTONE
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF BELLEVILLE 401(K) PLAN 2020 371302851 2021-07-05 ANESTHESIA ASSOCIATES OF BELLEVILLE, LTD. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 6182575162
Plan sponsor’s address 4500 MEMORIAL DR., BELLEVILLE, IL, 62226

Signature of

Role Plan administrator
Date 2021-07-05
Name of individual signing KENNETH BLUESTONE
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF BELLEVILLE 401(K) PLAN 2019 371302851 2020-06-26 ANESTHESIA ASSOCIATES OF BELLEVILLE, LTD. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 6182575162
Plan sponsor’s address 4500 MEMORIAL DR., BELLEVILLE, IL, 62226

Signature of

Role Plan administrator
Date 2020-06-26
Name of individual signing TIM SANBORN
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF BELLEVILLE 401(K) PLAN 2018 371302851 2019-07-30 ANESTHESIA ASSOCIATES OF BELLEVILLE, LTD. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 6182575162
Plan sponsor’s address 4500 MEMORIAL DR, BELLEVILLE, IL, 62226

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing KENNETH BLUESTONE
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF BELLEVILLE 401(K) PLAN 2017 371302851 2018-04-28 ANESTHESIA ASSOCIATES OF BELLEVILLE, LTD. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 6182575162
Plan sponsor’s address 4500 MEMORIAL DR, BELLEVILLE, IL, 62226

Signature of

Role Plan administrator
Date 2018-04-28
Name of individual signing KENNETH BLUESTONE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MATHIS, MARIFIAN & RICHTER, LTD, 23 PUBLIC SQ STE 300, BELLEVILLE, 62220, ST. CLAIR Agent 2022-03-18

President

Name and Address Role
H&P, SHELLY LEE President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042007157 No data No data REGISTERED MEDICAL CORPORATION No data 1993-03-18 2021-11-03 2025-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 180000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State