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  5. ROSE MEDICAL GROUP, LTD.

ROSE MEDICAL GROUP, LTD.

Company Details

Entity Name: ROSE MEDICAL GROUP, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 14 Jan 2000
Date of Dissolution: 09 Jun 2023
Company Number: CORP_60862451
File Number: 60862451
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 09 Jun 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROSE MEDICAL GROUP, LTD. 401(K) PLAN 2020 371393701 2021-07-12 ROSE MEDICAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6182571490
Plan sponsor’s address P.O. BOX 585, MARYVILLE, IL, 62062

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing HARRIET ROSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-12
Name of individual signing HARRIET ROSE
Valid signature Filed with authorized/valid electronic signature
ROSE MEDICAL GROUP, LTD. 401(K) PLAN 2019 371393701 2020-06-23 ROSE MEDICAL GROUP, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6182571490
Plan sponsor’s address 4600 MEMORIAL DR., BLDG. 2, STE 480, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-23
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
ROSE MEDICAL GROUP, LTD. 401(K) PLAN 2018 371393701 2019-06-14 ROSE MEDICAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6182571490
Plan sponsor’s address 4600 MEMORIAL DR., BLDG. 2, STE 480, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2019-06-14
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-14
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
ROSE MEDICAL GROUP, LTD. 401(K) PLAN 2017 371393701 2018-06-21 ROSE MEDICAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6182571490
Plan sponsor’s address 4600 MEMORIAL DR., BLDG. 2, STE 480, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-21
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
ROSE MEDICAL GROUP, LTD. 401(K) PLAN 2016 371393701 2017-06-13 ROSE MEDICAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6182571490
Plan sponsor’s address 4600 MEMORIAL DR., BLDG. 2, STE 480, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-13
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
ROSE MEDICAL GROUP, LTD. 401(K) PLAN 2015 371393701 2016-06-20 ROSE MEDICAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6182571490
Plan sponsor’s address 4600 MEMORIAL DR., BLDG. 2, STE 480, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2016-06-20
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-20
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
ROSE MEDICAL GROUP LTD 401K PLAN 2014 371393701 2015-06-10 ROSE MEDICAL GROUP, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6182571490
Plan sponsor’s address 4600 MEMORIAL DR., BLDG. 2, STE 480, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2015-06-10
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-10
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
ROSE MEDICAL GROUP, LTD. 401(K) PLAN 2013 371393701 2014-07-02 ROSE MEDICAL GROUP, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6182571490
Plan sponsor’s address 4600 MEMORIAL DR., BLDG. 2, STE 480, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2014-07-02
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-02
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
ROSE MEDICAL GROUP, LTD. 401(K) PLAN 2012 371393701 2013-06-11 ROSE MEDICAL GROUP, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6182571490
Plan sponsor’s address 4600 MEMORIAL DR., BLDG 2, STE 480, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2013-06-11
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-11
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
ROSE MEDICAL GROUP, LTD. 401(K) PLAN 2011 371393701 2012-05-25 ROSE MEDICAL GROUP, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6182571490
Plan sponsor’s address 4600 MEMORIAL DR., BLDG 2, STE 480, BELLEVILLE, IL, 62226

Plan administrator’s name and address
Administrator’s EIN 371393701
Plan administrator’s name ROSE MEDICAL GROUP, LTD.
Plan administrator’s address 4600 MEMORIAL DR., BLDG 2, STE 480, BELLEVILLE, IL, 62226
Administrator’s telephone number 6182571490

Signature of
Role Plan administrator
Date 2012-05-25
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-25
Name of individual signing EDWARD P. ROSE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KEVIN J RICHTER, 23 PUBLIC SQ STE 300 POB 307, BELLEVILLE, 62222, ST. CLAIR Agent 2004-05-20

President

Name and Address Role
HARRIET N ROSE; P.O. BOX 585 MARYVILLE, IL 62062 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060007632 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2000-06-02 2017-04-11 2018-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

KEVIN J RICHTER, 23 PUBLIC SQ STE 300 POB 307, BELLEVILLE, 62222, ST. CLAIR

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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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