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  5. COLES COUNTY MENTAL HEALTH ASSOCIATION, INC.

COLES COUNTY MENTAL HEALTH ASSOCIATION, INC.

Company Details

Entity Name: COLES COUNTY MENTAL HEALTH ASSOCIATION, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 05 Mar 1965
Company Number: CORP_45134920
File Number: 45134920
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
L26YHKSJFYB8 2024-11-05 750 BROADWAY AVE E, MATTOON, IL, 61938, 4610, USA 750 BROADWAY AVE EAST, MATTOON, IL, 61938, 4610, USA

Business Information
Congressional District 15
State/Country of Incorporation IL, USA
Activation Date 2023-11-08
Initial Registration Date 2005-09-21
Entity Start Date 1965-03-05
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JOSEPH KING
Address 750 BROADWAY AVE EAST, MATTOON, IL, 61938, USA
Title ALTERNATE POC
Name SARAH GRACEY
Address 750 BROADWAY AVE EAST, MATTOON, IL, 61938, USA
Government Business
Title PRIMARY POC
Name JOSEPH KING
Address 750 BROADWAY AVE EAST, MATTOON, IL, 61938, USA
Title ALTERNATE POC
Name SARAH GRACEY
Address 750 BROADWAY AVE EAST, MATTOON, IL, 61938, USA
Past Performance
Title PRIMARY POC
Name JOSEPH KING
Address 750 BROADWAY AVE EAST, MATTOON, IL, 61938, USA
Title ALTERNATE POC
Name SARAH GRACEY
Address 750 BROADWAY AVE EAST, MATTOON, IL, 61938, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFELINKS 403(B) PLAN 2023 370864416 2024-10-03 COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. 91
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2172385721
Plan sponsor’s DBA name LIFELINKS MENTAL HEALTH
Plan sponsor’s address 750 BROADWAY AVE. EAST, MATTOON, IL, 61938

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing SARAH GRACEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-03
Name of individual signing SARAH GRACEY
Valid signature Filed with authorized/valid electronic signature
LIFELINKS 403(B) PLAN 2022 370864416 2023-09-25 COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2172385721
Plan sponsor’s DBA name LIFELINKS MENTAL HEALTH
Plan sponsor’s address 750 BROADWAY AVE. EAST, MATTOON, IL, 61938

Signature of
Role Plan administrator
Date 2023-09-25
Name of individual signing SARAH GRACEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-25
Name of individual signing SARAH GRACEY
Valid signature Filed with authorized/valid electronic signature
LIFELINKS 403(B) PLAN 2021 370864416 2022-09-20 COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2172385721
Plan sponsor’s DBA name LIFELINKS MENTAL HEALTH
Plan sponsor’s address 750 BROADWAY AVE. EAST, MATTOON, IL, 61938

Signature of
Role Plan administrator
Date 2022-09-20
Name of individual signing SARAH GRACEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-20
Name of individual signing SARAH GRACEY
Valid signature Filed with authorized/valid electronic signature
LIFELINKS 403(B) PLAN 2020 370864416 2021-09-01 COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. 98
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2172385721
Plan sponsor’s DBA name LIFELINKS MENTAL HEALTH
Plan sponsor’s address 750 BROADWAY AVE. EAST, MATTOON, IL, 61938

Signature of
Role Plan administrator
Date 2021-08-30
Name of individual signing SARAH GRACEY, CFO
Valid signature Filed with authorized/valid electronic signature
LIFELINKS 403(B) PLAN 2019 370864416 2020-10-28 COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2172385721
Plan sponsor’s DBA name LIFELINKS MENTAL HEALTH
Plan sponsor’s address 750 BROADWAY AVE. EAST, MATTOON, IL, 61938

Signature of
Role Plan administrator
Date 2020-10-28
Name of individual signing SARAH GRACEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-28
Name of individual signing SARAH GRACEY
Valid signature Filed with authorized/valid electronic signature
LIFELINKS 403(B) PLAN 2018 370864416 2019-08-28 COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621112
Sponsor’s telephone number 2172385721
Plan sponsor’s DBA name LIFELINKS MENTAL HEALTH
Plan sponsor’s address 750 BROADWAY AVE. EAST, MATTOON, IL, 61938

Signature of
Role Plan administrator
Date 2019-08-28
Name of individual signing SARAH E GRACEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-28
Name of individual signing SARAH E GRACEY, CFO
Valid signature Filed with authorized/valid electronic signature
LIFELINKS MONEY PURCHASE PLAN & TRUST 2009 370864416 2010-02-25 COLES COUNTY MENTAL HEALTH ASSOCIATION INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621420
Sponsor’s telephone number 2172385700
Plan sponsor’s DBA name LIFELINKS MENTAL HEALTH
Plan sponsor’s mailing address 750 BROADWAY AVE EAST, MATTOON, IL, 61938
Plan sponsor’s address 750 BROADWAY AVE EAST, MATTOON, IL, 61938

Plan administrator’s name and address
Administrator’s EIN 370864416
Plan administrator’s name COLES COUNTY MENTAL HEALTH ASSOCIATION INC
Plan administrator’s address 750 BROADWAY AVE EAST, MATTOON, IL, 61938
Administrator’s telephone number 2172385700

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

Signature of
Role Plan administrator
Date 2010-02-25
Name of individual signing LISA RINCKER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SARAH GRACEY, 750 BROADWAY AVE E, MATTOON, 61938, COLES Agent 2016-04-07

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
WILLOW POINT COUNSELING NFP Assume Name 2021-08-20 No data No data No data
LIFELINKS MENTAL HEALTH NFP Assume Name 2011-02-28 2010-08-02 No data No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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