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SOUTHERN ILLINOIS VEIN CENTER, LLC

Headquarter

Company Details

Entity Name: SOUTHERN ILLINOIS VEIN CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 26 Jul 2007
Company Number: LLC_02285657
File Number: 02285657
Type of Management: Member Managed
Date Status Change: 12 Sep 2019
Address 8000 AVIATION DR, MARION, 62959, IL
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of SOUTHERN ILLINOIS VEIN CENTER, LLC, KENTUCKY 0756306 KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN ILLINOIS VEIN CENTER, LLC 401(K) AND PROFIT SHARING PLAN 2017 260609415 2018-06-09 SOUTHERN ILLINOIS VEIN CENTER, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6188418825
Plan sponsor’s address 8000 AVIATION DRIVE, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2018-06-09
Name of individual signing JAMES V. ROBELEN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS VEIN CENTER, LLC CASH BALANCE PENSION PLAN 2017 260609415 2018-06-07 SOUTHERN ILLINOIS VEIN CENTER, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6188418825
Plan sponsor’s address 8000 AVIATION DRIVE, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2018-06-07
Name of individual signing JAMES V. ROBELEN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS VEIN CENTER, LLC 401(K) AND PROFIT SHARING PLAN (FINAL) 2017 260609415 2018-10-02 SOUTHERN ILLINOIS VEIN CENTER, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6188418825
Plan sponsor’s address 8000 AVIATION DRIVE, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2018-10-02
Name of individual signing JAMES V. ROBELEN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS VEIN CENTER, LLC CASH BALANCE PENSION PLAN 2017 260609415 2018-08-01 SOUTHERN ILLINOIS VEIN CENTER, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6188418825
Plan sponsor’s address 8000 AVIATION DRIVE, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2018-08-01
Name of individual signing JAMES V. ROBELEN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS VEIN CENTER, LLC CASH BALANCE PENSION PLAN 2016 260609415 2017-06-06 SOUTHERN ILLINOIS VEIN CENTER, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6188418825
Plan sponsor’s address 8000 AVIATION DRIVE, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2017-06-06
Name of individual signing JAMES V. ROBELEN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS VEIN CENTER, LLC 401(K) AND PROFIT SHARING PLAN 2016 260609415 2017-08-29 SOUTHERN ILLINOIS VEIN CENTER, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6188418825
Plan sponsor’s address 8000 AVIATION DRIVE, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2017-08-29
Name of individual signing JAMES V. ROBELEN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS VEIN CENTER, LLC CASH BALANCE PENSION PLAN 2015 260609415 2016-09-26 SOUTHERN ILLINOIS VEIN CENTER, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6188418825
Plan sponsor’s address 8000 AVIATION DRIVE, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2016-09-26
Name of individual signing JAMES V. ROBELEN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS VEIN CENTER, LLC 401(K) AND PROFIT SHARING PLAN 2015 260609415 2016-08-08 SOUTHERN ILLINOIS VEIN CENTER, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6188418825
Plan sponsor’s address 8000 AVIATION DRIVE, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2016-08-08
Name of individual signing JAMES V. ROBELEN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS VEIN CENTER, LLC CASH BALANCE PENSION PLAN 2014 260609415 2015-10-13 SOUTHERN ILLINOIS VEIN CENTER, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6188418825
Plan sponsor’s address 8000 AVIATION DRIVE, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing JAMES V. ROBELEN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS VEIN CENTER, LLC 401(K) AND PROFIT SHARING PLAN 2014 260609415 2015-10-13 SOUTHERN ILLINOIS VEIN CENTER, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6188418825
Plan sponsor’s address 8000 AVIATION DRIVE, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing JAMES V. ROBELEN, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARTINE P JACKSON, 1405 W MAIN ST, CARBONDALE, 62903 Agent 2007-07-26

Manager

Name and Address Role Appointment Date
DR. ROBELEN, JAMES, 8000 AVIATION DR, MARION, IL, 62969 Manager 2019-06-30

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000344 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2011-07-26 2013-11-18 2015-01-01

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State