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  5. THE HOPEDALE MEDICAL FOUNDATION

THE HOPEDALE MEDICAL FOUNDATION

Company Details

Entity Name: THE HOPEDALE MEDICAL FOUNDATION
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 07 Jun 1961
Company Number: CORP_41015381
File Number: 41015381
Type of Business: Charitable or benevolent
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
EJ2MJKMTMSW6 2024-10-08 107 TREMONT ST, HOPEDALE, IL, 61747, 7525, USA PO BOX 267, HOPEDALE, IL, 61747, 0267, USA

Business Information
Congressional District 16
State/Country of Incorporation IL, USA
Activation Date 2023-10-25
Initial Registration Date 2003-08-08
Entity Start Date 1963-01-03
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 622110

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CRAIG BRYANT
Role CONTROLLER
Address PO BOX 267, HOPEDALE, IL, 61747, 0267, USA
Title ALTERNATE POC
Name OPAL KUBAN
Role MANAGER
Address PO BOX 267, HOPEDALE, IL, 61747, 0267, USA
Government Business
Title PRIMARY POC
Name EMILY WHITSON
Role COO
Address PO BOX 267, HOPEDALE, IL, 61747, 0267, USA
Past Performance
Title PRIMARY POC
Name ANDREW BLANCAFLOR
Role SENIOR FINANCIAL ANALYST
Address PO BOX 267, HOPEDALE, IL, 61747, 0267, USA
Title ALTERNATE POC
Name BRITNEE SHIPTON
Role PURCHASING DIRECTOR
Address PO BOX 267, HOPEDALE, IL, 61747, 0267, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOPEDALE MEDICAL FOUNDATION 401(K) CASH DEFERRED PROFIT SHARING PLAN 2023 370808925 2024-10-11 HOPEDALE MEDICAL FOUNDATION 283
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-07-01
Business code 622000
Sponsor’s telephone number 3094494299
Plan sponsor’s mailing address PO BOX 267, HOPEDALE, IL, 617470267
Plan sponsor’s address 107 TREMONT ST., HOPEDALE, IL, 617470267

Number of participants as of the end of the plan year
Active participants 286
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 56
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 208
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 11

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing EMILY WHITSON
Valid signature Filed with authorized/valid electronic signature
HOPEDALE MEDICAL FOUNDATION 401(K) CASH DEFERRED PROFIT SHARING PLAN 2022 370808925 2023-08-14 HOPEDALE MEDICAL FOUNDATION 289
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-07-01
Business code 622000
Sponsor’s telephone number 3094494364
Plan sponsor’s mailing address PO BOX 267, HOPEDALE, IL, 617470267
Plan sponsor’s address 107 TREMONT ST., HOPEDALE, IL, 617470267

Number of participants as of the end of the plan year
Active participants 230
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 52
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 189
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 12

Signature of
Role Plan administrator
Date 2023-08-14
Name of individual signing EMILY WHITSON
Valid signature Filed with authorized/valid electronic signature
HOPEDALE MEDICAL FOUNDATION 401(K) CASH DEFERRED PROFIT SHARING PLAN 2021 370808925 2022-08-01 HOPEDALE MEDICAL FOUNDATION 277
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-07-01
Business code 622000
Sponsor’s telephone number 3094494364
Plan sponsor’s mailing address PO BOX 267, HOPEDALE, IL, 617470267
Plan sponsor’s address 107 TREMONT ST., HOPEDALE, IL, 617470267

Number of participants as of the end of the plan year
Active participants 218
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 51
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 192
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 19

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing JEFF PIPER
Valid signature Filed with authorized/valid electronic signature
HOPEDALE MEDICAL FOUNDATION 401(K) CASH DEFERRED PROFIT SHARING PLAN 2020 370808925 2021-08-26 HOPEDALE MEDICAL FOUNDATION 281
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-07-01
Business code 622000
Sponsor’s telephone number 3094494364
Plan sponsor’s mailing address PO BOX 267, HOPEDALE, IL, 617470267
Plan sponsor’s address 107 TREMONT ST., HOPEDALE, IL, 617470267

Number of participants as of the end of the plan year
Active participants 223
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 39
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 173
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 9

Signature of
Role Plan administrator
Date 2021-08-26
Name of individual signing JEFF PIPER
Valid signature Filed with authorized/valid electronic signature
HOPEDALE MEDICAL FOUNDATION 401(K) CASH DEFERRED PROFIT SHARING PLAN 2019 370808925 2020-07-08 HOPEDALE MEDICAL FOUNDATION 282
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-07-01
Business code 622000
Sponsor’s telephone number 3094494362
Plan sponsor’s mailing address PO BOX 267, HOPEDALE, IL, 617470267
Plan sponsor’s address 107 TREMONT ST., HOPEDALE, IL, 617470267

Number of participants as of the end of the plan year
Active participants 225
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 43
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 174
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 9

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing JEFF PIPER
Valid signature Filed with authorized/valid electronic signature
HOPEDALE MEDICAL FOUNDATION 401(K) CASH DEFERRED PROFIT SHARING PLAN 2018 370808925 2019-07-01 HOPEDALE MEDICAL FOUNDATION 271
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-07-01
Business code 622000
Sponsor’s telephone number 3094494364
Plan sponsor’s mailing address PO BOX 267, HOPEDALE, IL, 617470267
Plan sponsor’s address 107 TREMONT ST., HOPEDALE, IL, 617470267

Number of participants as of the end of the plan year
Active participants 238
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 34
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 176
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 13

Signature of
Role Plan administrator
Date 2019-07-01
Name of individual signing MARK ROSSI
Valid signature Filed with authorized/valid electronic signature
HOPEDALE MEDICAL FOUNDATION 401(K) CASH DEFERRED PROFIT SHARING PLAN 2017 370808925 2018-06-28 HOPEDALE MEDICAL FOUNDATION 266
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-07-01
Business code 622000
Sponsor’s telephone number 3094494364
Plan sponsor’s mailing address PO BOX 267, HOPEDALE, IL, 617470267
Plan sponsor’s address 107 TREMONT ST., HOPEDALE, IL, 617470267

Number of participants as of the end of the plan year
Active participants 231
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 25
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 165
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 6

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing NICHOLAS PENN
Valid signature Filed with authorized/valid electronic signature
HOPEDALE MEDICAL FOUNDATION HEALTH BENEFIT PLAN 2016 370808925 2017-04-28 HOPEDALE MEDICAL FOUNDATION 105
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 3094494364
Plan sponsor’s mailing address PO BOX 267, HOPEDALE, IL, 617470267
Plan sponsor’s address 107 TREMONT ST, HOPEDALE, IL, 617470267

Number of participants as of the end of the plan year
Active participants 105
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2017-04-28
Name of individual signing NICHOLAS PENN
Valid signature Filed with authorized/valid electronic signature
HOPEDALE MEDICAL FOUNDATION HEALTH BENEFIT PLAN 2016 370808925 2017-04-28 HOPEDALE MEDICAL FOUNDATION 105
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 3094494364
Plan sponsor’s mailing address PO BOX 267, HOPEDALE, IL, 617470267
Plan sponsor’s address 107 TREMONT ST, HOPEDALE, IL, 617470267

Number of participants as of the end of the plan year
Active participants 105
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2017-04-28
Name of individual signing NICHOLAS PENN
Valid signature Filed with authorized/valid electronic signature
HOPEDALE MEDICAL FOUNDATION HEALTH BENEFIT PLAN 2016 370808925 2017-04-28 HOPEDALE MEDICAL FOUNDATION 105
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1995-01-01
Business code 622000
Sponsor’s telephone number 3094494364
Plan sponsor’s mailing address PO BOX 267, HOPEDALE, IL, 617470267
Plan sponsor’s address 107 TREMONT ST, HOPEDALE, IL, 617470267

Number of participants as of the end of the plan year
Active participants 105
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2017-04-28
Name of individual signing NICHOLAS PENN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MATTHEW BRANDL ROSSI, 107 TREMONT ST, HOPEDALE, 61747, TAZEWELL Agent 2023-09-29

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
MIDWEST VASCULAR INSTITUTE NFP Assume Name 1993-11-23 No data No data No data
HOPEDALE MEDICAL COMPLEX NFP Assume Name 1990-03-15 No data No data No data

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD 61320619N0205 2019-06-24 2024-06-30 2024-06-30
Unique Award Key CONT_AWD_61320619N0205_6100_-NONE-_-NONE-
Awarding Agency Consumer Product Safety Commission
Link View Page

Award Amounts
Obligated Amount 6918.61
Current Award Amount 6918.61
Potential Award Amount 6918.61

Description
Title DATA COLLECTION ON CONSUMER PRODUCT RELATED INJURIES.
NAICS Code 518210: COMPUTING INFRASTRUCTURE PROVIDERS, DATA PROCESSING, WEB HOSTING, AND RELATED SERVICES
Product and Service Codes R702: SUPPORT- MANAGEMENT: DATA COLLECTION

Recipient Details
Recipient THE HOPEDALE MEDICAL FOUNDATION
UEI EJ2MJKMTMSW6
Recipient Address UNITED STATES, 107 TREMONT ST, HOPEDALE, TAZEWELL, ILLINOIS, 617477525

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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