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PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.

Company Details

Entity Name: PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 05 Mar 1914
Company Number: CORP_12802684
File Number: 12802684
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
SJHAQYP7A599 2025-03-08 1234 S PARK BLVD, FREEPORT, IL, 61032, 4602, USA 1234 S PARK BLVD, FREEPORT, IL, 61032, 4602, USA

Business Information

Congressional District 17
State/Country of Incorporation IL, USA
Activation Date 2024-03-12
Initial Registration Date 2020-07-23
Entity Start Date 1914-03-05
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name FEROL LABASH
Address 1234 S PARK BLVD, FREEPORT, IL, 61032, USA
Title ALTERNATE POC
Name LISA YOUNG
Address 1234 S PARK BLVD, FREEPORT, IL, 61032, USA
Government Business
Title PRIMARY POC
Name FEROL LABASH
Address 1234 S PARK BLVD, FREEPORT, IL, 61032, USA
Title ALTERNATE POC
Name LISA YOUNG
Address 1234 S PARK BLVD, FREEPORT, IL, 61032, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2023 362170134 2024-07-10 PARKVIEW HOME OF FREEPORT, ILLINOIS INC. 138
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 8152328612
Plan sponsor’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032

Signature of

Role Plan administrator
Date 2024-07-10
Name of individual signing FEROL LABASH
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2017 362170134 2018-05-30 PARKVIEW HOME OF FREEPORT, ILLINOIS INC. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 8152328612
Plan sponsor’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032

Signature of

Role Plan administrator
Date 2018-05-30
Name of individual signing DEBRA GITZ
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2016 362170134 2017-07-27 PARKVIEW HOME OF FREEPORT, ILLINOIS INC. 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 8152328612
Plan sponsor’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032

Signature of

Role Plan administrator
Date 2017-07-27
Name of individual signing DEBRA GITZ
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2015 362170134 2016-08-16 PARKVIEW HOME OF FREEPORT, ILLINOIS 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 8152328612
Plan sponsor’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032

Signature of

Role Plan administrator
Date 2016-08-16
Name of individual signing DEBRA GITZ
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2014 362170134 2015-06-24 PARKVIEW HOME OF FREEPORT, ILLINOIS INC. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 8152328612
Plan sponsor’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032

Signature of

Role Plan administrator
Date 2015-06-24
Name of individual signing DEBRA GITZ
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2013 362170134 2014-05-21 PARKVIEW HOME OF FREEPORT, ILLINOIS INC. 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 8152328612
Plan sponsor’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032

Signature of

Role Plan administrator
Date 2014-05-21
Name of individual signing DEBRA GITZ
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2012 362170134 2013-08-13 PARKVIEW HOME OF FREEPORT, ILLINOIS INC. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 8152328612
Plan sponsor’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032

Signature of

Role Plan administrator
Date 2013-08-13
Name of individual signing DEBRA GITZ
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2011 362170134 2012-06-18 PARKVIEW HOME OF FREEPORT, ILLINOIS INC. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 8152328612
Plan sponsor’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032

Plan administrator’s name and address

Administrator’s EIN 362170134
Plan administrator’s name PARKVIEW HOME OF FREEPORT, ILLINOIS INC.
Plan administrator’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
Administrator’s telephone number 8152328612

Signature of

Role Plan administrator
Date 2012-06-18
Name of individual signing DEBRA GITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-18
Name of individual signing DEBRA GITZ
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2010 362170134 2011-07-07 PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 8152328612
Plan sponsor’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032

Plan administrator’s name and address

Administrator’s EIN 362170134
Plan administrator’s name PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
Plan administrator’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
Administrator’s telephone number 8152328612

Signature of

Role Plan administrator
Date 2011-07-07
Name of individual signing DEBRA GITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-07
Name of individual signing DEBRA GITZ
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2009 362170134 2010-08-02 PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 98
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 8152328612
Plan sponsor’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032

Plan administrator’s name and address

Administrator’s EIN 362170134
Plan administrator’s name PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
Plan administrator’s address 1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
Administrator’s telephone number 8152328612

Signature of

Role Plan administrator
Date 2010-07-21
Name of individual signing DEBRA GITZ
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-21
Name of individual signing DEBRA GITZ
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
FEROL JAYNE LABASH, 1234 S. PARK BLVD., FREEPORT, 61032, STEPHENSON Agent 2023-05-22

Historical Names

Name Change Date
HOME FOR THE AGED OF THE CITY OF FREEPORT 1982-02-17

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State