| Entity Name: | COMMUNITY HOSPITAL OF STAUNTON |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 26 Apr 1946 |
| Company Number: | CORP_28804270 |
| File Number: | 28804270 |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DREKJKLEJWA3 | 2025-01-18 | 400 N CALDWELL ST, STAUNTON, IL, 62088, 1423, USA | 400 NORTH CALDWELL STREET, STAUNTON, IL, 62088, 1173, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 13 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-01-22 |
| Initial Registration Date | 2012-04-11 |
| Entity Start Date | 1946-04-26 |
| Fiscal Year End Close Date | Jun 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LARRY SPOUR |
| Address | 400 N. CALDWELL STREET, STAUNTON, IL, 62088, 1173, USA |
| Title | ALTERNATE POC |
| Name | SUE E CAMPBELL |
| Role | MRS. |
| Address | 400 NORTH CALDWELL STREET, STAUNTON, IL, 62088, 1173, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LARRY SPOUR |
| Address | 400 N. CALDWELL STREET, STAUNTON, IL, 62088, 1173, USA |
| Title | ALTERNATE POC |
| Name | BRIAN ENGELKE |
| Address | 400 NORTH CALDWELL STREET, STAUNTON, IL, 62088, 1173, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FIXED AND VARIABLE TAX DEEFERRED ANNUITY PLAN - VOLUNTARY | 2010 | 370624255 | 2014-09-16 | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION | 2 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 370624255 |
| Plan administrator’s name | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION |
| Plan administrator’s address | 400 N. CALDWELL STREET, STAUNTON, IL, 62088 |
| Administrator’s telephone number | 6186354242 |
Signature of
| Role | Plan administrator |
| Date | 2014-09-16 |
| Name of individual signing | BRIAN ENGELKE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LARRY F. SPOUR, 400 CALDWELL, STAUNTON, 62088, MACOUPIN | Agent | 2024-01-26 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054020167 | No data | No data | LICENSED PHARMACY | No data | 2016-12-19 | 2024-01-27 | 2026-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| COMMUNITY CLINIC OF STAUNTON | NFP Assume Name | 2017-02-15 | No data | No data | No data |
| COMMUNITY HOSPITAL OF STAUNTON | No data | 2016-07-11 | 2019-12-31 | Voluntary Cancellation | No data |
| Name | Change Date |
|---|---|
| COMMUNITY MEMORIAL HOSPITAL ASSOCIATION | 2019-12-31 |
Date of last update: 13 Jan 2025
