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  5. DON MOYER BOYS & GIRLS CLUB

DON MOYER BOYS & GIRLS CLUB

Company Details

Entity Name: DON MOYER BOYS & GIRLS CLUB
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 17 Nov 1967
Company Number: CORP_48180256
File Number: 48180256
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NGSNSYM3ZD17 2024-10-03 201 E PARK ST, CHAMPAIGN, IL, 61820, 3722, USA 201 E PARK ST, #770, CHAMPAIGN, IL, 61824, USA

Business Information
URL http://www.dmbgc.org
Congressional District 13
State/Country of Incorporation IL, USA
Activation Date 2023-10-05
Initial Registration Date 2009-07-28
Entity Start Date 1967-11-17
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 624110

Points of Contacts
Electronic Business
Title PRIMARY POC
Name AMY BROWN
Role EXECUTIVE DIRECTO
Address 201 EAST PARK STREET, CHAMPAIGN, IL, 61820, 3722, USA
Title ALTERNATE POC
Name JEFF MARTIN
Address 201 EAST PARK STREET, CHAMPAIGN, IL, 61820, 3722, USA
Government Business
Title PRIMARY POC
Name AMY BROWN
Address 201 EAST PARK STREET, CHAMPAIGN, IL, 61820, 3722, USA
Title ALTERNATE POC
Name JEFF MARTIN
Address 201 EAST PARK STREET, CHAMPAIGN, IL, 61820, 3722, USA
Past Performance
Title ALTERNATE POC
Name BROOKE PARSON-BURKHALTE
Address 201 EAST PARK STREET, CHAMPAIGN, IL, 61820, 3722, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DON MOYER BOYS & GIRLS CLUB 403(B) RETIREMENT PLAN 2023 370906638 2024-05-30 DON MOYER BOYS & GIRLS CLUB 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 813000
Sponsor’s telephone number 2173555437
Plan sponsor’s address 201 E. PARK ST, PO BOX 770, CHAMPAIGN, IL, 61824

Signature of
Role Plan administrator
Date 2024-05-30
Name of individual signing BROOKE PARSON-BURKHALTER
Valid signature Filed with authorized/valid electronic signature
DON MOYER BOYS & GIRLS CLUB PENSION PLAN 2023 370906638 2024-10-02 DON MOYER BOYS & GIRLS CLUB 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-06-01
Business code 813000
Sponsor’s telephone number 2173555437
Plan sponsor’s address 201 E PARK ST, CHAMPAIGN, IL, 618203722
DON MOYER BOYS & GIRLS CLUB PENSION PLAN 2022 370906638 2023-09-29 DON MOYER BOYS & GIRLS CLUB 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-06-01
Business code 813000
Sponsor’s telephone number 2173555437
Plan sponsor’s address 201 E PARK ST, CHAMPAIGN, IL, 618203722
DON MOYER BOYS & GIRLS CLUB 403(B) RETIREMENT PLAN 2022 370906638 2023-06-22 DON MOYER BOYS & GIRLS CLUB 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 813000
Sponsor’s telephone number 2173555437
Plan sponsor’s address 201 E. PARK ST, PO BOX 770, CHAMPAIGN, IL, 61824

Signature of
Role Plan administrator
Date 2023-06-22
Name of individual signing AMY BROWN
Valid signature Filed with authorized/valid electronic signature
DON MOYER BOYS & GIRLS CLUB PENSION PLAN 2021 370906638 2022-08-15 DON MOYER BOYS & GIRLS CLUB 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-06-01
Business code 813000
Sponsor’s telephone number 2173555437
Plan sponsor’s address 201 E PARK ST, CHAMPAIGN, IL, 618203722
DON MOYER BOYS & GIRLS CLUB 403(B) RETIREMENT PLAN 2021 370906638 2022-07-27 DON MOYER BOYS & GIRLS CLUB 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 813000
Sponsor’s telephone number 2173555437
Plan sponsor’s address 201 E. PARK ST, PO BOX 770, CHAMPAIGN, IL, 61824

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing SAMUEL BANKS
Valid signature Filed with authorized/valid electronic signature
DON MOYER BOYS & GIRLS CLUB 403(B) RETIREMENT PLAN 2020 370906638 2021-08-17 DON MOYER BOYS & GIRLS CLUB 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 813000
Sponsor’s telephone number 2173555437
Plan sponsor’s address 600 N. NEIL ST. #770, CHAMPAIGN, IL, 618240900

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing SAMUEL BANKS
Valid signature Filed with authorized/valid electronic signature
DON MOYER BOYS & GIRLS CLUB PENSION PLAN 2020 370906638 2021-09-29 DON MOYER BOYS & GIRLS CLUB 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-06-01
Business code 813000
Sponsor’s telephone number 2173555437
Plan sponsor’s address 201 E PARK ST, CHAMPAIGN, IL, 618203722
DON MOYER BOYS & GIRLS CLUB 403(B) RETIREMENT PLAN 2019 370906638 2020-07-24 DON MOYER BOYS & GIRLS CLUB 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 813000
Sponsor’s telephone number 2173555437
Plan sponsor’s address 201 E. PARK STREET, CHAMPAIGN, IL, 618203722

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing SAMUEL BANKS
Valid signature Filed with authorized/valid electronic signature
DON MOYER BOYS & GIRLS CLUB PENSION PLAN 2019 370906638 2020-08-11 DON MOYER BOYS & GIRLS CLUB 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-06-01
Business code 813000
Sponsor’s telephone number 2173555437
Plan sponsor’s address 201 E PARK ST, CHAMPAIGN, IL, 618203722

Agent

Name and Address Role Appointment Date
HEYL ROYSTER VOELKER & ALLEN - PROFESSIONAL CORPORATION, 300 HAMILTON BLVD., PEORIA, 61602, PEORIA Agent 2023-11-29

President

Name and Address Role
JERRY RAMSHAW 1008 BARCLAY CT CHAMPAIGN 61853 President

Historical Names

Name Change Date
BOYS' CLUB OF CHAMPAIGN-URBANA 1990-03-01

Related by officers

HEYL ROYSTER VOELKER & ALLEN - PROFESSIONAL CORPORATION, 300 HAMILTON BLVD., PEORIA, 61602, PEORIA

HOERR CONSTRUCTION, INC. ROC ICE CREAM AND GOLF, INC.

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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