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MATHERS MEDICAL ASSOCIATES, S.C.

Company Details

Entity Name: MATHERS MEDICAL ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Dec 2000
Date of Dissolution: 02 May 2005
Company Number: CORP_61377697
File Number: 61377697
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 02 May 2005
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CREATIVE ELEMENTS, INC. EMPLOYEES' PROFIT SHARING PLAN 2012 364040713 2013-04-16 CREATIVE ELEMENTS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541800
Sponsor’s telephone number 8154698103
Plan sponsor’s address 10197 LINCOLN HIGHWAY, FRANKFORT, IL, 60423

Signature of

Role Plan administrator
Date 2013-04-16
Name of individual signing MICHAEL DEAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-16
Name of individual signing MICHAEL DEAM
Valid signature Filed with authorized/valid electronic signature
CREATIVE ELEMENTS, INC. EMPLOYEES PROFIT SHARING PLAN 2011 364040713 2012-02-21 CREATIVE ELEMENTS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541800
Sponsor’s telephone number 8154698103
Plan sponsor’s address 10197 LINCOLN HIGHWAY, FRANKFORT, IL, 60423

Plan administrator’s name and address

Administrator’s EIN 364040713
Plan administrator’s name CREATIVE ELEMENTS, INC.
Plan administrator’s address 10197 LINCOLN HIGHWAY, FRANKFORT, IL, 60423
Administrator’s telephone number 8154698103

Signature of

Role Plan administrator
Date 2012-02-21
Name of individual signing MICHAEL DEAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-21
Name of individual signing MICHAEL DEAM
Valid signature Filed with authorized/valid electronic signature
CREATIVE ELEMENTS, INC. EMPLOYEES PROFIT SHARING PLAN 2010 364040713 2011-03-01 CREATIVE ELEMENTS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541800
Sponsor’s telephone number 8154698103
Plan sponsor’s address 10197 LINCOLN HIGHWAY, FRANKFORT, IL, 60423

Plan administrator’s name and address

Administrator’s EIN 364040713
Plan administrator’s name CREATIVE ELEMENTS, INC.
Plan administrator’s address 10197 LINCOLN HIGHWAY, FRANKFORT, IL, 60423
Administrator’s telephone number 8154698103

Signature of

Role Plan administrator
Date 2011-03-01
Name of individual signing MICHAEL DEAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-01
Name of individual signing MICHAEL DEAM
Valid signature Filed with authorized/valid electronic signature
CREATIVE ELEMENTS, INC. EMPLOYEES PROFIT SHARING PLAN 2009 364040713 2010-07-16 CREATIVE ELEMENTS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541800
Sponsor’s telephone number 8154698103
Plan sponsor’s address 10197 LINCOLN HIGHWAY, FRANKFORT, IL, 60423

Plan administrator’s name and address

Administrator’s EIN 364040713
Plan administrator’s name CREATIVE ELEMENTS, INC.
Plan administrator’s address 10197 LINCOLN HIGHWAY, FRANKFORT, IL, 60423
Administrator’s telephone number 8154698103

Signature of

Role Plan administrator
Date 2010-07-16
Name of individual signing MICHAEL DEAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-16
Name of individual signing MICHAEL DEAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEPHEN M O'BYRNE, 501 W CHURCH, PO BOX 800, CHAMPAIGN, 61824, CHAMPAIGN Agent 2000-12-19

President

Name and Address Role
LESLIE E MATHER III MD 514 N PENNSYLVANIA MORTON 61550 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State