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  5. FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS

FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS

Company Details

Entity Name: FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 31 Jan 1922
Company Number: CORP_16376523
File Number: 16376523
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MRYLP8S71DN9 2024-07-19 631 N LONGWOOD ST STE 103, ROCKFORD, IL, 61107, 4263, USA 631 N. LONGWOOD ST., SUITE103, ROCKFORD, IL, 61107, 4134, USA

Business Information
URL www.familycounselingrockford.org
Congressional District 17
State/Country of Incorporation IL, USA
Activation Date 2023-07-24
Initial Registration Date 2011-08-10
Entity Start Date 1877-01-30
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621330

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LYNN MOMBERGER
Role EXECUTIVE DIRECTOR
Address FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS, ROCKFORD, IL, 61107, 4134, USA
Government Business
Title PRIMARY POC
Name LYNN MOMBERGER
Role EXECUTIVE DIRECTOR
Address FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS, ROCKFORD, IL, 61107, 4134, USA
Title ALTERNATE POC
Name BRENDA MARQUEZ
Role BUSINESS MANAGER
Address FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS, ROCKFORD, IL, 61107, 4134, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFITS PLAN OF FAMILY COUNSELING OF NORTHERN ILLINOIS 2014 362167065 2015-11-05 FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621420
Sponsor’s telephone number 8159625585
Plan sponsor’s mailing address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 61107
Plan sponsor’s address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 61107

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-11-05
Name of individual signing ROBERT MCLAUGHLIN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFITS PLAN OF FAMILY COUNSELING OF NORTHERN ILLINOIS 2013 362167065 2015-11-05 FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621420
Sponsor’s telephone number 8159625585
Plan sponsor’s mailing address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 61107
Plan sponsor’s address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 61107

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3

Signature of
Role Plan administrator
Date 2015-11-05
Name of individual signing ROBERT MCLAUGHLIN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 2012 362167065 2013-10-15 FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621420
Sponsor’s telephone number 8159625585
Plan sponsor’s address 210 N LONGWOOD ST, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing STEVE ADDANTE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFITS PLAN OF FAMILY COUNSELING OF NORTHERN ILLINOIS 2012 362167065 2013-10-15 FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621420
Sponsor’s telephone number 8159625585
Plan sponsor’s mailing address 210 NORTH LONGWOOD STREET, ROCKOFRD, IL, 61107
Plan sponsor’s address 210 NORTH LONGWOOD STREET, ROCKOFRD, IL, 61107

Number of participants as of the end of the plan year
Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing STEVE ADDANTE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFITS PLAN OF FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 2011 362167065 2012-10-15 FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621420
Sponsor’s telephone number 8159625585
Plan sponsor’s DBA name FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Plan sponsor’s mailing address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 611074134
Plan sponsor’s address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 611074134

Plan administrator’s name and address
Administrator’s EIN 362167065
Plan administrator’s name FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Plan administrator’s address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 611074134
Administrator’s telephone number 8159625585

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing SUSAN RAZBADOUSKI
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFITS PLAN OF FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 2010 362167065 2011-10-17 FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621420
Sponsor’s telephone number 8159625585
Plan sponsor’s DBA name FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Plan sponsor’s mailing address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 611074134
Plan sponsor’s address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 611074134

Plan administrator’s name and address
Administrator’s EIN 362167065
Plan administrator’s name FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Plan administrator’s address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 611074134
Administrator’s telephone number 8159625585

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing SUSAN RAZBADOUSKI
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 2009 362167065 2010-08-02 FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621420
Sponsor’s telephone number 8159625585
Plan sponsor’s address 210 N LONGWOOD ST, ROCKFORD, IL, 61107

Plan administrator’s name and address
Administrator’s EIN 362167065
Plan administrator’s name FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Plan administrator’s address 210 N LONGWOOD ST, ROCKFORD, IL, 61107
Administrator’s telephone number 8159625585

Signature of
Role Plan administrator
Date 2010-08-02
Name of individual signing SUSAN RAZBADOUSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-02
Name of individual signing SUSAN RAZBADOUSKI
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFITS PLAN OF FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 2009 362167065 2010-10-15 FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 5
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621420
Sponsor’s telephone number 8159625585
Plan sponsor’s DBA name FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Plan sponsor’s mailing address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 611074134
Plan sponsor’s address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 61107

Plan administrator’s name and address
Administrator’s EIN 362167065
Plan administrator’s name FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Plan administrator’s address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 611074134
Administrator’s telephone number 8159625585

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing SUSAN RAZBADOUSKI
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFITS PLAN OF FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 2009 362167065 2010-10-15 FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621420
Sponsor’s telephone number 8159625585
Plan sponsor’s DBA name FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Plan sponsor’s mailing address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 611074134
Plan sponsor’s address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 61107

Plan administrator’s name and address
Administrator’s EIN 362167065
Plan administrator’s name FAMILY COUNSELING SERVICES OF NORTHERN ILLINOIS
Plan administrator’s address 210 NORTH LONGWOOD STREET, ROCKFORD, IL, 611074134
Administrator’s telephone number 8159625585

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing SUSAN RAZBADOUSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LYNN MOMBERGER, 631 N LONGWOOD ST STE 103, ROCKFORD, 61107, WINNEBAGO Agent 2022-01-26

Historical Names

Name Change Date
FAMILY COUNSELING SERVICES OF NO. ILL. 2021-11-09
FAMILY CONSULTATION SERVICE 2001-02-02

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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