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MEMORIAL HOME SERVICES, NFP

Company Details

Entity Name: MEMORIAL HOME SERVICES, NFP
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 21 Feb 1916
Company Number: CORP_13658081
File Number: 13658081
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
SN96K9PKQKT5 2024-11-16 340 W. MILLER ST, SPRINGFIELD, IL, 62702, 4923, USA 340 W. MILLER STREET, SPRINGFIELD, IL, 62702, USA

Business Information

URL memorial.health
Congressional District 13
State/Country of Incorporation IL, USA
Activation Date 2023-11-21
Initial Registration Date 2020-12-14
Entity Start Date 1916-02-21
Fiscal Year End Close Date Sep 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name AMANDA ZENTEFIS
Address 701 N 1ST ST, SPRINGFIELD, IL, 62781, USA
Title ALTERNATE POC
Name KATHRYN J KEIM
Address 701 N FIRST ST, SPRINGFIELD, IL, 62781, USA
Government Business
Title PRIMARY POC
Name AMANDA ZENTEFIS
Address 701 N 1ST ST, SPRINGFIELD, IL, 62781, USA
Title ALTERNATE POC
Name KATHRYN J KEIM
Address 701 N FIRST ST, SPRINGFIELD, IL, 62781, USA
Past Performance
Title ALTERNATE POC
Name AMY FISHER
Address 701 N 1ST ST, SPRINGFIELD, IL, 62781, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VISITING NURSE ASSOCIATION OF SANGAMON COUNTY 2023 370714225 2024-10-14 MEMORIAL HOME SERVICES NFP 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 621610
Sponsor’s telephone number 2177883922
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-14
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
403 (B) THRIFT PLAN OF VNA OF MORGAN AND SCOTT COUNTIES 2023 370896365 2024-10-10 MEMORIAL HOME SERVICES NFP 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-09-01
Business code 621610
Sponsor’s telephone number 2177883922
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-10
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
VISITING NURSE ASSOCIATION OF SANGAMON COUNTY 2023 370714225 2024-10-11 MEMORIAL HOME SERVICES NFP 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 621610
Sponsor’s telephone number 2177883922
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Signature of

Role Plan administrator
Date 2024-10-11
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
403 (B) THRIFT PLAN OF VNA OF MORGAN AND SCOTT COUNTIES 2022 370896365 2023-10-13 MEMORIAL HOME SERVICES NFP 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-09-01
Business code 621610
Sponsor’s telephone number 2177883922
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Signature of

Role Plan administrator
Date 2023-10-13
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-13
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
VISITING NURSE ASSOCIATION OF SANGAMON COUNTY 2022 370714225 2023-10-13 MEMORIAL HOME SERVICES NFP 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 621610
Sponsor’s telephone number 2177883922
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Signature of

Role Plan administrator
Date 2023-10-13
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-13
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
VISITING NURSE ASSOCIATION OF SANGAMON COUNTY 2021 370714225 2022-09-22 MEMORIAL HOME SERVICES NFP 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 621610
Sponsor’s telephone number 2177883922
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Signature of

Role Plan administrator
Date 2022-09-15
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-15
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
403 (B) THRIFT PLAN OF VNA OF MORGAN AND SCOTT COUNTIES 2021 370896365 2022-09-22 MEMORIAL HOME SERVICES NFP 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-09-01
Business code 621610
Sponsor’s telephone number 2177883922
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Signature of

Role Plan administrator
Date 2022-09-15
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-15
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
403 (B) THRIFT PLAN OF VNA OF MORGAN AND SCOTT COUNTIES 2020 370896365 2021-10-13 MEMORIAL HOME SERVICES NFP 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-09-01
Business code 621610
Sponsor’s telephone number 2177883922
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
VISITING NURSE ASSOCIATION OF SANGAMON COUNTY 2020 370714225 2021-10-13 MEMORIAL HOME SERVICES NFP 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 621610
Sponsor’s telephone number 2177883922
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
VISITING NURSE ASSOCIATION OF SANGAMON COUNTY 2019 370714225 2020-10-15 MEMORIAL HOME SERVICES NFP 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 621610
Sponsor’s telephone number 2177883922
Plan sponsor’s address 701 NORTH FIRST STREET, SPRINGFIELD, IL, 627810001

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing KOREY A. DAVIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANNA EVANS, 340 W. MILLER STREET, SPRINGFIELD, 62702, SANGAMON Agent 2022-08-22

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
MEMORIAL HOME CARE NFP Assume Name 2021-07-27 No data No data No data
MEMORIAL HOME MEDICAL EQUIPMENT & SUPPLIES NFP Assume Name 2019-01-29 No data No data No data
MEMORIAL HOME HEALTH NFP Assume Name 2018-11-19 No data No data No data
MEMORIAL HOME MEDICAL EQUIPMENT NFP Assume Name 2018-01-03 No data No data No data
MEMORIAL HOME HOSPICE NFP Assume Name 2014-08-13 No data No data No data
MEMORIAL HOME SERVICES HOSPICE No data 2014-08-13 2022-03-02 Voluntary Cancellation No data
MEMORIAL HOSPICE CARE, NFP No data 2002-11-22 2010-01-11 Expired No data
CONTINUOUS CARE, NFP No data 2002-11-22 2010-01-11 Expired No data
VISITING NURSE ASSOCIATION CONTINUOUS CARE No data 2002-11-01 2010-01-11 Expired No data
HOSPICE CARE OF CENTRAL ILLINOIS No data 2002-10-24 2010-01-11 Expired No data

Historical Names

Name Change Date
VISITING NURSE ASSOCIATION OF CENTRAL ILLINOIS 2007-04-13
VISITING NURSE ASSOCIATION OF SANGAMON COUNTY 1986-11-19

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State