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  5. SALEM CHILDREN'S HOME

SALEM CHILDREN'S HOME

Company Details

Entity Name: SALEM CHILDREN'S HOME
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 22 Dec 1896
Company Number: CORP_07495901
File Number: 07495901
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHIGAN SHORES CLUB RETIREMENT SAVINGS PLAN 2012 361474152 2013-06-12 MICHIGAN SHORES CLUB 73
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-09-01
Business code 713900
Sponsor’s telephone number 8472514100
Plan sponsor’s address 911 MICHIGAN AVENUE, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2013-06-12
Name of individual signing MARIANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-12
Name of individual signing STEPHEN DEROSE
Valid signature Filed with authorized/valid electronic signature
MICHIGAN SHORES CLUB RETIREMENT SAVINGS PLAN 2011 361474152 2012-06-06 MICHIGAN SHORES CLUB 63
Three-digit plan number (PN) 002
Effective date of plan 1999-09-01
Business code 713900
Sponsor’s telephone number 8472514100
Plan sponsor’s address 911 MICHIGAN AVENUE, WILMETTE, IL, 60091

Plan administrator’s name and address
Administrator’s EIN 361474152
Plan administrator’s name MICHIGAN SHORES CLUB
Plan administrator’s address 911 MICHIGAN AVENUE, WILMETTE, IL, 60091
Administrator’s telephone number 8472514100

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing MARIANNE BRADY
Valid signature Filed with authorized/valid electronic signature
MICHIGAN SHORES CLUB RETIREMENT SAVINGS PLAN 2011 361474152 2012-06-06 MICHIGAN SHORES CLUB 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-09-01
Business code 713900
Sponsor’s telephone number 8472514100
Plan sponsor’s address 911 MICHIGAN AVENUE, WILMETTE, IL, 60091

Plan administrator’s name and address
Administrator’s EIN 361474152
Plan administrator’s name MICHIGAN SHORES CLUB
Plan administrator’s address 911 MICHIGAN AVENUE, WILMETTE, IL, 60091
Administrator’s telephone number 8472514100

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing MARIANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing DAVID COUGHLIN
Valid signature Filed with authorized/valid electronic signature
MICHIGAN SHORES CLUB RETIREMENT SAVINGS PLAN 2010 361474152 2011-05-18 MICHIGAN SHORES CLUB 55
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-09-01
Business code 713900
Sponsor’s telephone number 8472514100
Plan sponsor’s address 911 MICHIGAN AVENUE, WILMETTE, IL, 60091

Plan administrator’s name and address
Administrator’s EIN 361474152
Plan administrator’s name MICHIGAN SHORES CLUB
Plan administrator’s address 911 MICHIGAN AVENUE, WILMETTE, IL, 60091
Administrator’s telephone number 8472514100

Signature of
Role Plan administrator
Date 2011-05-18
Name of individual signing MARIANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-18
Name of individual signing DAVID COUGHLIN
Valid signature Filed with authorized/valid electronic signature
MICHIGAN SHORES CLUB RETIREMENT SAVINGS PLAN 2009 361474152 2010-05-12 MICHIGAN SHORES CLUB 65
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-09-01
Business code 713900
Sponsor’s telephone number 8472514100
Plan sponsor’s address 911 MICHIGAN AVENUE, WILMETTE, IL, 60091

Plan administrator’s name and address
Administrator’s EIN 361474152
Plan administrator’s name MICHIGAN SHORES CLUB
Plan administrator’s address 911 MICHIGAN AVENUE, WILMETTE, IL, 60091
Administrator’s telephone number 8472514100

Signature of
Role Plan administrator
Date 2010-05-12
Name of individual signing MARIANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-12
Name of individual signing DAVID COUGHLIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CARRIE L HAAS, 1001 N MAIN ST SUITE A, BLOOMINGTON, 61701, MC LEAN Agent 2016-08-30

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
SALEM4YOUTH RANCH NFP Assume Name 2024-05-10 No data No data No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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