| Entity Name: | CARLINVILLE AREA HOSPITAL ASSOCIATION |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 24 Nov 1947 |
| Company Number: | CORP_30237315 |
| File Number: | 30237315 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SBMQRQ2NBT83 | 2025-02-04 | 20733 N BROAD ST, CARLINVILLE, IL, 62626, 3710, USA | 20733 NORTH BROAD STREET, CARLINVILLE, IL, 62626, USA | |||||||||||||||||||||||||||||||||||
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| Congressional District | 13 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-02-06 |
| Initial Registration Date | 2023-03-06 |
| Entity Start Date | 1947-11-24 |
| Fiscal Year End Close Date | Jul 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TRACI HAMMANN |
| Address | 20733 N BROAD ST, 62626, CARLINVILLE, IL, 62626, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TRACI HAMMANN |
| Address | 20733 N BROAD ST, 62626, CARLINVILLE, IL, 62626, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARLINVILLE AREA HOSPITAL LIFE INSURANCE PLAN | 2009 | 370645239 | 2010-06-16 | CARLINVILLE AREA HOSPITAL ASSOCIATION | 112 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 370645239 |
| Plan administrator’s name | CARLINVILLE AREA HOSPITAL ASSOCIATION |
| Plan administrator’s address | 1001 EAST MORGAN STREET, CARLINVILLE, IL, 62626 |
| Administrator’s telephone number | 2178543141 |
Number of participants as of the end of the plan year
| Active participants | 112 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-16 |
| Name of individual signing | BRIAN ENGELKE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-06-16 |
| Name of individual signing | BRIAN ENGELKE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1975-03-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 2178543141 |
| Plan sponsor’s mailing address | 1001 EAST MORGAN ST, CARLINVILLE, IL, 625261448 |
| Plan sponsor’s address | 1001 EAST MORGAN ST, CARLINVILLE, IL, 625261448 |
Plan administrator’s name and address
| Administrator’s EIN | 370645239 |
| Plan administrator’s name | CARLINVILLE AREA HOSPITAL ASSOCIATION |
| Plan administrator’s address | 1001 EAST MORGAN ST, CARLINVILLE, IL, 625261448 |
| Administrator’s telephone number | 2178543141 |
Number of participants as of the end of the plan year
| Active participants | 90 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-16 |
| Name of individual signing | BRIAN ENGELKE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-06-16 |
| Name of individual signing | BRIAN ENGELKE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RALPH MARCH, 20733 NORTH BROAD STREET, CARLINVILLE, 62626, MACOUPIN | Agent | 2012-01-03 |
| Name | Change Date |
|---|---|
| THE CARLINVILLE HOSPITAL ASSOCIATION | 1985-07-10 |
Date of last update: 27 Jan 2025
