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  5. DISTINCTIVE CARE FOR WOMEN LTD.

DISTINCTIVE CARE FOR WOMEN LTD.

Company Details

Entity Name: DISTINCTIVE CARE FOR WOMEN LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 14 May 2002
Date of Dissolution: 09 Oct 2015
Company Number: CORP_62216298
File Number: 62216298
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 09 Oct 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DISTINCTIVE CARE FOR WOMEN LTD 2017 743044035 2018-04-23 DISTINCTIVE CARE FOR WOMEN LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6186593534
Plan sponsor’s address 12 SUGAR CREEK LN, EDWARDSVILLE, IL, 62025

Signature of
Role Plan administrator
Date 2018-04-23
Name of individual signing PATRICE STATEN
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE CARE FOR WOMEN LTD 2016 743044035 2017-06-30 DISTINCTIVE CARE FOR WOMEN LTD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6186593534
Plan sponsor’s address 12 SUGAR CREEK LN, EDWARDSVILLE, IL, 62025

Signature of
Role Plan administrator
Date 2017-06-30
Name of individual signing PATRICE STATEN
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE CARE FOR WOMEN LTD 2015 743044035 2016-07-29 DISTINCTIVE CARE FOR WOMEN LTD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6182889320
Plan sponsor’s address 2016 VADALABENE DR, LOWER LEVEL SUITE B, MARYVILLE, IL, 62062

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing PATRICE STATEN
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE CARE FOR WOMEN LTD 2014 743044035 2016-07-29 DISTINCTIVE CARE FOR WOMEN LTD 2
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Sponsor’s telephone number 6182889320
Plan sponsor’s address 6801 STATE ROUTE 162, MARYVILLE, IL, 62062

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing PATRICE STATEN
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE CARE FOR WOMEN LTD 2014 743044035 2017-03-24 DISTINCTIVE CARE FOR WOMEN LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6182889320
Plan sponsor’s address 6801 STATE ROUTE 162, MARYVILLE, IL, 62062

Signature of
Role Plan administrator
Date 2017-03-24
Name of individual signing PATRICE STATEN
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE CARE FOR WOMEN LTD 2013 743044035 2017-09-15 DISTINCTIVE CARE FOR WOMEN LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6182889320
Plan sponsor’s address 6801 STATE ROUTE 162, MARYVILLE, IL, 62062

Signature of
Role Plan administrator
Date 2017-09-15
Name of individual signing PATRICE STATEN STORY
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE CARE FOR WOMEN LTD 401(K) P/S PLAN 2012 743044035 2013-10-15 DISTINCTIVE CARE FOR WOMEN LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6182889320
Plan sponsor’s address 6810 STATE ROUTE 162, SUITE 105, MARYVILLE, IL, 62062

Plan administrator’s name and address
Administrator’s EIN 743044035
Plan administrator’s name DISTINCTIVE CARE FOR WOMEN LTD
Plan administrator’s address 6810 STATE ROUTE 162, SUITE 105, MARYVILLE, IL, 62062
Administrator’s telephone number 6182889320

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing DR. PATRICE STATEN
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE CARE FOR WOMEN LTD 401(K) P/S PLAN 2011 743044035 2012-05-15 DISTINCTIVE CARE FOR WOMEN LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Plan sponsor’s address 6810 STATE ROUTE 162, SUITE 105, MARYVILLE, IL, 62062

Plan administrator’s name and address
Administrator’s EIN 743044035
Plan administrator’s name DISTINCTIVE CARE FOR WOMEN LTD
Plan administrator’s address 6810 STATE ROUTE 162, SUITE 105, MARYVILLE, IL, 62062
Administrator’s telephone number 6182889320

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing DR. PATRICE STATEN
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE CARE FOR WOMEN LTD 401(K) P/S PLAN 2010 743044035 2011-04-26 DISTINCTIVE CARE FOR WOMEN LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6182889320
Plan sponsor’s address 6810 STATE ROUTE 162 STE. 202, MARYVILLE, IL, 62062

Plan administrator’s name and address
Administrator’s EIN 743044035
Plan administrator’s name DISTINCTIVE CARE FOR WOMEN LTD
Plan administrator’s address 6810 STATE ROUTE 162 STE. 202, MARYVILLE, IL, 62062
Administrator’s telephone number 6182889320

Signature of
Role Plan administrator
Date 2011-04-26
Name of individual signing DR. PATRICE STATEN
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE CARE FOR WOMEN LTD 401(K) P/S PLAN 2009 743044035 2010-08-03 DISTINCTIVE CARE FOR WOMEN LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6182889320
Plan sponsor’s address 6810 STATE ROUTE 162 STE. 202, MARYVILLE, IL, 62062

Plan administrator’s name and address
Administrator’s EIN 743044035
Plan administrator’s name DISTINCTIVE CARE FOR WOMEN LTD
Plan administrator’s address 6810 STATE ROUTE 162 STE. 202, MARYVILLE, IL, 62062
Administrator’s telephone number 6182889320

Signature of
Role Plan administrator
Date 2010-08-03
Name of individual signing DR. PATRICE STATEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PATRICE LUIS STATEN STORY, 6810 STATE ROUTE 162 STE 105, MARYVILLE, 62062, MADISON Agent 2010-08-02

President

Name and Address Role
PATRICE L. STATEN 6810 STATE ROUTE 162 #105 MARYVILLE 62062 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042617696 No data No data REGISTERED MEDICAL CORPORATION No data 2002-07-15 2002-07-15 2004-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 1

Related by officers

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Related by address

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Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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