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  5. FAMILY SERVICE OF LAKE COUNTY

FAMILY SERVICE OF LAKE COUNTY

Company Details

Entity Name: FAMILY SERVICE OF LAKE COUNTY
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 24 Sep 1935
Company Number: CORP_24247708
File Number: 24247708
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
664U3 Obsolete Non-Manufacturer 2010-10-25 2022-12-12 No data 2022-12-12

Contact Information
POC CAROLINE BEADLE
Phone +1 847-432-4981
Fax +1 847-432-7331
Address 777 CENTRAL AVE STE 17, HIGHLAND PARK, IL, 60035 3246, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY SERVICE OF LAKE COUNTY 401(K) PLAN 2021 362167063 2023-01-26 FAMILY SERVICE OF LAKE COUNTY 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 624100
Sponsor’s telephone number 8474324981
Plan sponsor’s address 777 CENTRAL AVENUE, SUITE 17, HIGHLAND PARK, IL, 60035

Signature of
Role Plan administrator
Date 2023-01-26
Name of individual signing THOMAS GROTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-01-26
Name of individual signing THOMAS GROTH
Valid signature Filed with authorized/valid electronic signature
FAMILY SERVICE OF LAKE COUNTY 401(K) PLAN 2020 362167063 2022-04-11 FAMILY SERVICE OF LAKE COUNTY 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 624100
Sponsor’s telephone number 8474324981
Plan sponsor’s address 777 CENTRAL AVENUE, SUITE 17, HIGHLAND PARK, IL, 60035

Signature of
Role Plan administrator
Date 2022-04-11
Name of individual signing NANCY SAWLE KNOBLOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-11
Name of individual signing NANCY SAWLE KNOBLOCH
Valid signature Filed with authorized/valid electronic signature
FAMILY SERVICE OF LAKE COUNTY 401(K) PLAN 2019 362167063 2020-11-24 FAMILY SERVICE OF LAKE COUNTY 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 624100
Sponsor’s telephone number 8474324981
Plan sponsor’s address 777 CENTRAL AVENUE, SUITE 17, HIGHLAND PARK, IL, 60035

Signature of
Role Plan administrator
Date 2020-11-24
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-11-24
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
FAMILY SERVICE OF LAKE COUNTY 401(K) PLAN 2018 362167063 2020-04-02 FAMILY SERVICE OF LAKE COUNTY 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 624100
Sponsor’s telephone number 8474324981
Plan sponsor’s address 777 CENTRAL AVENUE, SUITE 17, HIGHLAND PARK, IL, 60035

Signature of
Role Plan administrator
Date 2020-04-02
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-02
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
FAMILY SERVICE OF LAKE COUNTY 401(K) PLAN 2017 362167063 2018-09-22 FAMILY SERVICE OF LAKE COUNTY 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 624100
Sponsor’s telephone number 8474324981
Plan sponsor’s address 777 CENTRAL AVE., SUITE 17, HIGHLAND PARK, IL, 600353246

Signature of
Role Plan administrator
Date 2018-09-22
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-22
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
FAMILY SERVICE OF LAKE COUNTY 401(K) PLAN 2016 362167063 2017-11-08 FAMILY SERVICE OF LAKE COUNTY 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 624100
Sponsor’s telephone number 8474324981
Plan sponsor’s address 777 CENTRAL AVE., SUITE 17, HIGHLAND PARK, IL, 600353246

Signature of
Role Plan administrator
Date 2017-11-08
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-08
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
FAMILY SERVICE OF LAKE COUNTY 401(K) PLAN 2015 362167063 2017-01-17 FAMILY SERVICE OF LAKE COUNTY 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 624100
Sponsor’s telephone number 8474324981
Plan sponsor’s address 777 CENTRAL AVE., SUITE 17, HIGHLAND PARK, IL, 600353246

Signature of
Role Plan administrator
Date 2017-01-17
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-17
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
FAMILY SERVICE OF SOUTH LAKE COUNTY 401(K) PLAN 2014 362167063 2016-01-27 FAMILY SERVICE OF LAKE COUNTY 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 624100
Sponsor’s telephone number 8474324981
Plan sponsor’s address 777 CENTRAL, HIGHLAND PARK, IL, 60035

Signature of
Role Plan administrator
Date 2016-01-27
Name of individual signing DENNIS SKOLNIK
Valid signature Filed with authorized/valid electronic signature
FAMILY SERVICE OF SOUTH LAKE COUNTY 401(K) PLAN 2013 362167063 2014-11-03 FAMILY SERVICE PREVENTION, EDUCATION & COUNSELING, NFP 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 624100
Sponsor’s telephone number 8474324981
Plan sponsor’s address 777 CENTRAL, HIGHLAND PARK, IL, 60035

Signature of
Role Plan administrator
Date 2014-11-03
Name of individual signing PAUL DEAN
Valid signature Filed with authorized/valid electronic signature
FAMILY SERVICE OF SOUTH LAKE COUNTY 401(K) PLAN 2012 362167063 2013-11-13 FAMILY SERVICE PREVENTION, EDUCATION & COUNSELING, NFP 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 624100
Sponsor’s telephone number 8474324981
Plan sponsor’s address 777 CENTRAL, HIGHLAND PARK, IL, 60035

Signature of
Role Plan administrator
Date 2013-11-13
Name of individual signing PAUL DEAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
NANCY SAWLE KNOBLOCH, 777 CENTRAL AVE STE 17, HIGHLAND PARK, 60035, LAKE Agent 2020-05-18

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
SOCIAL WORKER 159001200 No data No data REGISTERED SOCIAL WORKER CE SPONSOR No data 2012-05-16 2019-12-11 2022-02-28

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
FAMILY SERVICES OF BARRINGTON AREA No data 2015-06-11 2020-08-12 Voluntary Cancellation No data
BARRINGTON ADULT COUNSELING SERVICE No data 2010-04-08 2016-02-01 Involuntary Cancellation No data
FAMILY SERVICE OF BARRINGTON AREA No data 1997-12-26 2011-02-01 Involuntary Cancellation No data

Historical Names

Name Change Date
FAMILY SERVICE PREVENTION, EDUCATION & COUNSELING NFP 2015-03-18
FAMILY SERVICE OF SOUTH LAKE COUNTY, INC. 2006-11-13

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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