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  5. SENIOR ADULT SERVICES

SENIOR ADULT SERVICES

Company Details

Entity Name: SENIOR ADULT SERVICES
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 09 Apr 1969
Company Number: CORP_49483929
File Number: 49483929
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
H2W8ZRX9VMH6 2025-02-12 409 N SPRINGER ST, CARBONDALE, IL, 62901, 1429, USA 409 N. SPRINGER ST., CARBONDALE, IL, 62901, 1429, USA

Business Information
Congressional District 12
State/Country of Incorporation IL, USA
Activation Date 2024-02-15
Initial Registration Date 2010-06-25
Entity Start Date 1969-04-09
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name PATRICK H LAWS
Role EXECUTIVE DIRECTOR
Address 409 N. SPRINGER ST., CARBONDALE, IL, 62901, 1429, USA
Title ALTERNATE POC
Name BENJAMIN T SIMPSON
Role ADMIN. ASSIST
Address 409 N. SPRINGER ST., CARBONDALE, IL, 62901, 1429, USA
Government Business
Title PRIMARY POC
Name PATRICK H LAWS
Role EXECUTIVE DIRECTOR
Address 409 N. SPRINGER ST., CARBONDALE, IL, 62901, 1429, USA
Title ALTERNATE POC
Name BENJAMIN T SIMPSON
Role ADMIN. ASSIST
Address 409 N. SPRINGER ST., CARBONDALE, IL, 62901, 1429, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2022 370951208 2024-08-23 SENIOR ADULT SERVICES 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429

Plan administrator’s name and address
Administrator’s EIN 370951208
Plan administrator’s name PATRICK H LAWS
Plan administrator’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429
Administrator’s telephone number 6184574151

Signature of
Role Plan administrator
Date 2024-08-23
Name of individual signing PATRICK H LAWS
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2021 370951208 2024-08-21 SENIOR ADULT SERVICES 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429

Plan administrator’s name and address
Administrator’s EIN 370951208
Plan administrator’s name PATRICK H LAWS
Plan administrator’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429
Administrator’s telephone number 6184574151

Signature of
Role Plan administrator
Date 2024-08-21
Name of individual signing PATRICK H LAWS
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2020 370951208 2022-04-13 SENIOR ADULT SERVICES 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429

Plan administrator’s name and address
Administrator’s EIN 370951208
Plan administrator’s name PATRICK H LAWS
Plan administrator’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429
Administrator’s telephone number 6184574151

Signature of
Role Plan administrator
Date 2022-04-13
Name of individual signing PATRICK H LAWS
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2019 370951208 2021-04-26 SENIOR ADULT SERVICES 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574154
Plan sponsor’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429

Signature of
Role Plan administrator
Date 2021-04-26
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2018 370951208 2020-04-13 SENIOR ADULT SERVICES 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429

Signature of
Role Plan administrator
Date 2020-04-13
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2017 370951208 2019-04-15 SENIOR ADULT SERVICES 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429

Signature of
Role Plan administrator
Date 2019-04-15
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-15
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2016 370951208 2018-03-28 SENIOR ADULT SERVICES 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429

Signature of
Role Plan administrator
Date 2018-03-28
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2015 370951208 2017-04-25 SENIOR ADULT SERVICES 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N SPRINGER ST, CARBONDALE, IL, 629011429

Signature of
Role Plan administrator
Date 2017-04-25
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-25
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2014 370951208 2016-05-12 SENIOR ADULT SERVICES 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N SPRINGER STREET, CARBONDALE, IL, 62901

Signature of
Role Plan administrator
Date 2016-05-12
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2013 370951208 2016-05-12 SENIOR ADULT SERVICES 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N. SPRINGER STREET, CARBONDALE, IL, 62901

Signature of
Role Plan administrator
Date 2016-05-12
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PATRICK H LAWS, 409 N SPRINGER, CARBONDALE, 62901, JACKSON Agent 2021-05-14

Historical Names

Name Change Date
SENIOR CITIZENS SERVICES OF JACKSON COUNTY 1993-12-30
COUNCIL ON PROBLEMS OF THE AGED, INCORPORATED 1989-09-27

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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