| Entity Name: | CARLINVILLE MEDICAL CLINIC, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 26 Jan 2001 |
| Company Number: | CORP_61452745 |
| File Number: | 61452745 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UT9AJKBKLTZ2 | 2024-02-28 | 604 N BROAD ST, CARLINVILLE, IL, 62626, 1021, USA | 604 N BROAD ST, CARLINVILLE, IL, 62626, 1021, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 13 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-03-02 |
| Initial Registration Date | 2021-05-20 |
| Entity Start Date | 1981-07-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CISSY DEVRIES |
| Address | 604 N BROAD, CARLINVILLE, IL, 62626, USA |
| Title | ALTERNATE POC |
| Name | MARGIE BUSBY |
| Address | 604 N BROAD, CARLINVILLE, IL, 62626, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CISSY DEVRIES |
| Address | 604 N BROAD, CARLINVILLE, IL, 62626, USA |
| Past Performance | |
|---|---|
| Title | ALTERNATE POC |
| Name | MARGIE BUSBY |
| Address | 604 N BROAD, CARLINVILLE, IL, 62626, USA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAROL FOX & ASSOCIATES 401(K) PSP | 2011 | 364049004 | 2012-06-01 | CAROL FOX & ASSOCIATES, INC. | 12 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 364049004 |
| Plan administrator’s name | CAROL FOX & ASSOCIATES, INC. |
| Plan administrator’s address | 1412 WEST BELMONT AVENUE, CHICAGO, IL, 60657 |
| Administrator’s telephone number | 7733273830 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-01 |
| Name of individual signing | CAROL FOX |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 541800 |
| Sponsor’s telephone number | 7733273830 |
| Plan sponsor’s address | 1412 WEST BELMONT AVENUE, CHICAGO, IL, 60657 |
Plan administrator’s name and address
| Administrator’s EIN | 364049004 |
| Plan administrator’s name | CAROL FOX & ASSOCIATES, INC. |
| Plan administrator’s address | 1412 WEST BELMONT AVENUE, CHICAGO, IL, 60657 |
| Administrator’s telephone number | 7733273830 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-20 |
| Name of individual signing | CAROL FOX |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 541800 |
| Sponsor’s telephone number | 7733273830 |
| Plan sponsor’s address | 1412 WEST BELMONT AVENUE, CHICAGO, IL, 60657 |
Plan administrator’s name and address
| Administrator’s EIN | 364049004 |
| Plan administrator’s name | CAROL FOX & ASSOCIATES, INC. |
| Plan administrator’s address | 1412 WEST BELMONT AVENUE, CHICAGO, IL, 60657 |
| Administrator’s telephone number | 7733273830 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-03 |
| Name of individual signing | CAROL FOX |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KAMAL K CHOPRA, 604 N BROAD, CARLINVILLE, 62626, MACOUPIN | Agent | 2001-01-26 |
| Name and Address | Role |
|---|---|
| KAMAL K CHOPRA, 604 N BROAD, CARLINVILLE IL 62626 | President |
| Name and Address | Role |
|---|---|
| KAMAL K CHOPRA, 604 N BROAD, CARLINVILLE IL 62626 | Secretary |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10 | 2000 | No data |
Date of last update: 23 Dec 2024
