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  5. MARRIAGE AND FAMILY COUNSELING SERVICE

MARRIAGE AND FAMILY COUNSELING SERVICE

Company Details

Entity Name: MARRIAGE AND FAMILY COUNSELING SERVICE
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 29 Apr 1966
Company Number: CORP_46501705
File Number: 46501705
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE 2021 362606683 2022-04-27 MARRIAGE AND FAMILY COUNSELING SERVICE 3
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2011-06-01
Business code 624100
Sponsor’s telephone number 3097864491
Plan sponsor’s address 1800 3RD AVE, ROCK ISLAND, IL, 612018026

Signature of
Role Plan administrator
Date 2022-04-27
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE 2020 362606683 2022-04-27 MARRIAGE AND FAMILY COUNSELING SERVICE 3
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2011-06-01
Business code 624100
Sponsor’s telephone number 3097864491
Plan sponsor’s address 1800 3RD AVE, ROCK ISLAND, IL, 612018026

Signature of
Role Plan administrator
Date 2022-04-27
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE 2020 362606683 2021-04-26 MARRIAGE AND FAMILY COUNSELING SERVICE 3
Three-digit plan number (PN) 005
Effective date of plan 2011-06-01
Business code 624100
Sponsor’s telephone number 3097864491
Plan sponsor’s address 1800 3RD AVE, ROCK ISLAND, IL, 612018026

Signature of
Role Plan administrator
Date 2021-04-26
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE 2019 362606683 2020-08-18 MARRIAGE AND FAMILY COUNSELING SERVICE 3
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2011-06-01
Business code 624100
Sponsor’s telephone number 3097864491
Plan sponsor’s address 1800 3RD AVE, ROCK ISLAND, IL, 612018026

Signature of
Role Plan administrator
Date 2020-08-18
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE 2018 362606683 2019-06-21 MARRIAGE AND FAMILY COUNSELING SERVICE 4
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2011-06-01
Business code 624100
Sponsor’s telephone number 3097864491
Plan sponsor’s address 1800 3RD AVE, ROCK ISLAND, IL, 612018026

Signature of
Role Plan administrator
Date 2019-06-21
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE 2016 362606683 2017-03-29 MARRIAGE AND FAMILY COUNSELING SERVICE 4
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2011-06-01
Business code 624100
Sponsor’s telephone number 3097864491
Plan sponsor’s address 1800 3RD AVE, ROCK ISLAND, IL, 612018026

Signature of
Role Plan administrator
Date 2017-03-29
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-29
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE 2015 362606683 2018-12-10 MARRIAGE AND FAMILY COUNSELING SERVICE 1
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1976-05-01
Business code 624100
Sponsor’s telephone number 3097864491
Plan sponsor’s address 1800 3RD AVE, ROCK ISLAND, IL, 612018026

Signature of
Role Plan administrator
Date 2018-12-10
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE 2011 362606683 2012-07-25 MARRIAGE AND FAMILY COUNSELING SERVICE 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 624100
Sponsor’s telephone number 3097864491
Plan sponsor’s mailing address 1800 THIRD AVENUE, SUITE 512, ROCK ISLAND, IL, 612018026
Plan sponsor’s address 1800 THIRD AVENUE, SUITE 512, ROCK ISLAND, IL, 612018026

Plan administrator’s name and address
Administrator’s EIN 362606683
Plan administrator’s name MARRIAGE AND FAMILY COUNSELING SERVICE
Plan administrator’s address 1800 THIRD AVENUE, SUITE 512, ROCK ISLAND, IL, 612018026
Administrator’s telephone number 3097864491

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 2012-07-25
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE 2010 362606683 2011-07-19 MARRIAGE AND FAMILY COUNSELING SERVICE 2
File View Page
Three-digit plan number (PN) 010
Effective date of plan 1996-01-01
Business code 624100
Sponsor’s telephone number 3097864491
Plan sponsor’s mailing address 1800 THIRD AVENUE, ROCK ISLAND, IL, 612018026
Plan sponsor’s address 1800 THIRD AVENUE, ROCK ISLAND, IL, 612018026

Plan administrator’s name and address
Administrator’s EIN 362606683
Plan administrator’s name MARRIAGE AND FAMILY COUNSELING SERVICE
Plan administrator’s address 1800 THIRD AVENUE, ROCK ISLAND, IL, 612018026
Administrator’s telephone number 3097864491

Number of participants as of the end of the plan year
Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
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 2
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 2011-07-19
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF MARRIAGE AND FAMILY COUNSELING SERVICE 2010 362606683 2011-07-19 MARRIAGE AND FAMILY COUNSELING SERVICE 2
Three-digit plan number (PN) 010
Effective date of plan 1996-01-01
Business code 624100
Sponsor’s telephone number 3097864491
Plan sponsor’s mailing address 1800 THIRD AVENUE, ROCK ISLAND, IL, 612018026
Plan sponsor’s address 1800 THIRD AVENUE, ROCK ISLAND, IL, 612018026

Plan administrator’s name and address
Administrator’s EIN 362606683
Plan administrator’s name MARRIAGE AND FAMILY COUNSELING SERVICE
Plan administrator’s address 1800 THIRD AVENUE, ROCK ISLAND, IL, 612018026
Administrator’s telephone number 3097864491

Number of participants as of the end of the plan year
Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
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 2
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 2011-07-19
Name of individual signing WILLIAM HIEBERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WILLIAM J HIEBERT, 1800 3RD AVE STE 512, ROCK ISLAND, 61201, ROCK ISLAND Agent 1993-04-05

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MAR AND FAM THERAPIST 168000111 No data No data MARRIAGE AND FAMILY THERAPY CE SPONSOR No data 1998-04-15 2022-12-01 2025-02-28
SOCIAL WORKER 159000295 No data No data REGISTERED SOCIAL WORKER CE SPONSOR No data 1992-11-23 2023-09-26 2025-11-30

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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