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  5. CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD.

CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD.

Company Details

Entity Name: CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 23 Oct 2000
Date of Dissolution: 11 Mar 2016
Company Number: CORP_61287728
File Number: 61287728
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 11 Mar 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIOVASCULAR SPECIALISTS OF ILLINOIS LTD. 401(K) PLAN 2013 522273414 2014-03-06 CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6182411350
Plan sponsor’s address 5586 E HOUSTON ROAD, WOODLAWN, IL, 62898

Signature of
Role Plan administrator
Date 2014-03-06
Name of individual signing SUE JONES
Valid signature Filed with authorized/valid electronic signature
CARDIOVASCULAR SPECIALISTS OF ILLINOIS LTD. 401(K) PLAN 2013 522273414 2014-10-07 CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6182411350
Plan sponsor’s address 5586 E HOUSTON ROAD, WOODLAWN, IL, 62898

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing SUE JONES
Valid signature Filed with authorized/valid electronic signature
CARDIOVASCULAR SPECIALISTS OF ILLINOIS LTD. 401(K) PLAN 2012 522273414 2013-09-11 CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6182411350
Plan sponsor’s address 605 NORTH 12TH STREET, MOUNT VERNON, IL, 62864

Signature of
Role Plan administrator
Date 2013-09-11
Name of individual signing BRIAN C JONES MD
Valid signature Filed with authorized/valid electronic signature
CARDIOVASCULAR SPECIALISTS OF ILLINOIS LTD. 401(K) PLAN 2011 522273414 2012-08-08 CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6182411350
Plan sponsor’s address 605 NORTH 12TH STREET, MOUNT VERNON, IL, 62864

Plan administrator’s name and address
Administrator’s EIN 522273414
Plan administrator’s name CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD.
Plan administrator’s address 605 NORTH 12TH STREET, MOUNT VERNON, IL, 62864
Administrator’s telephone number 6182411350

Signature of
Role Plan administrator
Date 2012-08-08
Name of individual signing BRIAN C JONES MD
Valid signature Filed with authorized/valid electronic signature
CARDIOVASCULAR SPECIALISTS OF ILLINOIS LTD. 401(K) PLAN 2010 522273414 2011-06-30 CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6182411350
Plan sponsor’s address 605 NORTH 12TH STREET, MOUNT VERNON, IL, 62864

Plan administrator’s name and address
Administrator’s EIN 522273414
Plan administrator’s name CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD.
Plan administrator’s address 605 NORTH 12TH STREET, MOUNT VERNON, IL, 62864
Administrator’s telephone number 6182411350

Signature of
Role Plan administrator
Date 2011-06-30
Name of individual signing BRIAN C JONES MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-30
Name of individual signing BRIAN C JONES MD
Valid signature Filed with authorized/valid electronic signature
CARDIOVASCULAR SPECIALISTS OF ILLINOIS LTD. 401(K) PLAN 2009 522273414 2010-10-04 CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6182411350
Plan sponsor’s address 605 NORTH 12TH STREET, MOUNT VERNON, IL, 62864

Plan administrator’s name and address
Administrator’s EIN 522273414
Plan administrator’s name CARDIOVASCULAR SPECIALISTS OF ILLINOIS, LTD.
Plan administrator’s address 605 NORTH 12TH STREET, MOUNT VERNON, IL, 62864
Administrator’s telephone number 6182411350

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing BRIAN C JONES MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-04
Name of individual signing BRIAN C JONES MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRIAN C JONES M D, 5586 E HOUSTON RD, WOODLAWN, 62898, JEFFERSON Agent 2013-10-03

President

Name and Address Role
VACANT President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042617241 No data No data REGISTERED MEDICAL CORPORATION No data 2000-11-22 2014-01-03 2015-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 1

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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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