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ILLINOIS KNIGHTS TEMPLAR HOME

Company Details

Entity Name: ILLINOIS KNIGHTS TEMPLAR HOME
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 25 Oct 1950
Company Number: CORP_32248144
File Number: 32248144
Type of Business: Not for Profit
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM PROFIT SHARING PLAN 2017 370724685 2018-05-10 ILLINOIS KNIGHTS TEMPLAR HOME 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-05-01
Business code 623000
Sponsor’s telephone number 2173792116
Plan sponsor’s address BOX 49, 450 FULTON STREET, PAXTON, IL, 609570049

Plan administrator’s name and address

Administrator’s EIN 370724685
Plan administrator’s name ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM
Plan administrator’s address 450 FULTON STREET, BOX 49, PAXTON, IL, 609570049
Administrator’s telephone number 2173792116

Signature of

Role Plan administrator
Date 2018-05-10
Name of individual signing LAURA HICKS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM PROFIT SHARING PLAN 2016 370724685 2018-05-10 ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-05-01
Business code 623000
Sponsor’s telephone number 2173792116
Plan sponsor’s address 450 FULTON STREET, BOX 49, PAXTON, IL, 609570049

Plan administrator’s name and address

Administrator’s EIN 370724685
Plan administrator’s name ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM
Plan administrator’s address 450 FULTON STREET, BOX 49, PAXTON, IL, 609570049
Administrator’s telephone number 2173792116

Signature of

Role Plan administrator
Date 2018-05-10
Name of individual signing LAURA HICKS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM PROFIT SHARING PLAN 2015 370724685 2017-05-12 ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-05-01
Business code 623000
Sponsor’s telephone number 2173792116
Plan sponsor’s address 450 FULTON STREET, BOX 49, PAXTON, IL, 609570049

Plan administrator’s name and address

Administrator’s EIN 370724685
Plan administrator’s name ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM
Plan administrator’s address 450 FULTON STREET, BOX 49, PAXTON, IL, 609570049
Administrator’s telephone number 2173792116

Signature of

Role Plan administrator
Date 2017-05-12
Name of individual signing LAURA HICKS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM PROFIT SHARING PLAN 2014 370724685 2016-01-13 ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-05-01
Business code 623000
Sponsor’s telephone number 2173792116
Plan sponsor’s address 450 FULTON STREET, BOX 49, PAXTON, IL, 609570049

Plan administrator’s name and address

Administrator’s EIN 370724685
Plan administrator’s name ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM
Plan administrator’s address 450 FULTON STREET, BOX 49, PAXTON, IL, 609570049
Administrator’s telephone number 2173792116

Signature of

Role Plan administrator
Date 2016-01-13
Name of individual signing LAURA HICKS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM PROFIT SHARING PLAN 2013 370724685 2015-04-24 ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-05-01
Business code 623000
Sponsor’s telephone number 2173792116
Plan sponsor’s address 450 FULTON STREET, BOX 49, PAXTON, IL, 609570049

Plan administrator’s name and address

Administrator’s EIN 370724685
Plan administrator’s name ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM
Plan administrator’s address 450 FULTON STREET, BOX 49, PAXTON, IL, 609570049
Administrator’s telephone number 2173792116

Signature of

Role Plan administrator
Date 2015-04-24
Name of individual signing LAURA HICKS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM PROFIT SHARING PLAN 2012 370724685 2014-04-30 ILLINOIS KNIGHTS TEMPLAR HOME 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-05-01
Business code 623000
Sponsor’s telephone number 2173792116
Plan sponsor’s address BOX 49, PAXTON, IL, 609570049

Signature of

Role Plan administrator
Date 2014-04-30
Name of individual signing LAURA HICKS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM PROFIT SHARING PLAN 2011 370724685 2012-11-14 ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-05-01
Business code 623000
Sponsor’s telephone number 2173792116
Plan sponsor’s address BOX 49, PAXTON, IL, 609570049

Plan administrator’s name and address

Administrator’s EIN 370724685
Plan administrator’s name ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM
Plan administrator’s address BOX 49, PAXTON, IL, 609570049
Administrator’s telephone number 2173792116

Signature of

Role Plan administrator
Date 2012-11-14
Name of individual signing HOLLY BERG
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN M SANSONE, 326 SUSAN DR STE B, NORMAL, 61761, MC LEAN Agent 2024-03-12

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ILLINOIS KNIGHTS TEMPLAR ASSISTANCE OUTREACH NFP Assume Name 2018-02-08 No data No data No data

Historical Names

Name Change Date
ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM 2007-10-11

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State