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  5. CHICAGOLAND MEDICAL BILLING SPECIALISTS, INC.

CHICAGOLAND MEDICAL BILLING SPECIALISTS, INC.

Company Details

Entity Name: CHICAGOLAND MEDICAL BILLING SPECIALISTS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Aug 2007
Company Number: CORP_65670542
File Number: 65670542
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 401(K) PLAN 2016 260680560 2017-03-24 CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 561410
Sponsor’s telephone number 8159864444
Plan sponsor’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388

Signature of
Role Plan administrator
Date 2017-03-24
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 401(K) 2015 260680560 2016-07-19 CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 561410
Sponsor’s telephone number 8159864444
Plan sponsor’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-19
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 401K PLAN 2014 260680560 2015-07-23 CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 561410
Sponsor’s telephone number 8159864444
Plan sponsor’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-23
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 401K PLAN 2013 260680560 2014-07-21 CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 561410
Sponsor’s telephone number 8159864444
Plan sponsor’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388

Signature of
Role Plan administrator
Date 2014-07-21
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-21
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 401K PLAN 2012 260680560 2013-07-29 CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 561410
Sponsor’s telephone number 8158748888
Plan sponsor’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-29
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 401K PLAN 2011 260680560 2012-07-11 CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 561410
Sponsor’s telephone number 8158748888
Plan sponsor’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388

Plan administrator’s name and address
Administrator’s EIN 260680560
Plan administrator’s name CHICAGOLAND MEDICAL BILLING SPECIALISTS INC
Plan administrator’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388
Administrator’s telephone number 8158748888

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-11
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 401K PLAN 2010 260680560 2011-07-13 CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 561410
Sponsor’s telephone number 8158748888
Plan sponsor’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388

Plan administrator’s name and address
Administrator’s EIN 260680560
Plan administrator’s name CHICAGOLAND MEDICAL BILLING SPECIALISTS INC
Plan administrator’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388
Administrator’s telephone number 8158748888

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-13
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 401K PLAN 2009 260680560 2010-07-23 CHICAGOLAND MEDICAL BILLING SPECIALISTS INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 561410
Sponsor’s telephone number 8158748888
Plan sponsor’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388

Plan administrator’s name and address
Administrator’s EIN 260680560
Plan administrator’s name CHICAGOLAND MEDICAL BILLING SPECIALISTS INC
Plan administrator’s address 5301 E STATE ST STE 117, ROCKFORD, IL, 611082388
Administrator’s telephone number 8158748888

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-23
Name of individual signing REBECCA BROTCKE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFFREY H. POWELL, 2902 MCFARLAND RD STE 400, ROCKFORD, 61107, WINNEBAGO Agent 2022-01-12

President

Name and Address Role
REBECCA BROTCKE, 4619 BAMBURGAVE, ROCKFORD IL 61109 President

Secretary

Name and Address Role
REBECCA BROTCKE, 4619 BAMBURGAVE, ROCKFORD IL 61109 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1500 1500000 No data

Related by officers

JEFFREY H. POWELL, 2902 MCFARLAND RD STE 400, ROCKFORD, 61107, WINNEBAGO

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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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