| Entity Name: | SOUTHERN ILLINOIS UROLOGY, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 09 Apr 2003 |
| Company Number: | LLC_00895954 |
| File Number: | 00895954 |
| Type of Management: | Member Managed |
| Date Status Change: | 02 Apr 2024 |
| Address | 3401 HEARTLAND ST., MARION, 62959, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHERN ILLINOIS UROLOGY LLC 401K PLAN | 2009 | 364528356 | 2010-12-08 | SOUTHERN ILLINOIS UROLOGY LLC | 11 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 364528356 |
| Plan administrator’s name | SOUTHERN ILLINOIS UROLOGY LLC |
| Plan administrator’s address | 3401 HEARTLAND STREET, MARION, IL, 62959 |
| Administrator’s telephone number | 6189988884 |
Signature of
| Role | Plan administrator |
| Date | 2010-12-08 |
| Name of individual signing | KAYE STEVENSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MATHIS, MARIFIAN & RICHTER, LT, 23 PUBLIC SQ STE 300, BELLEVILLE, 62220, JACKSON | Agent | 2021-10-06 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| HATCHETT, LAWRENCE R M.D., 3401 HEARTLAND ST., MARION, IL, 62959 | Member | 2003-04-09 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248000091 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2011-05-11 | 2014-11-06 | 2016-01-01 |
Date of last update: 23 Dec 2024
