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  5. ERIE FAMILY HEALTH CENTER, INC.

ERIE FAMILY HEALTH CENTER, INC.

Company Details

Entity Name: ERIE FAMILY HEALTH CENTER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 04 Nov 1970
Company Number: CORP_49740212
File Number: 49740212
Address 2750 W NORTH AVE 1, CHICAGO, IL, 60647
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MJJ4UK7AEN37 2025-04-05 1701 W SUPERIOR ST, CHICAGO, IL, 60622, 5646, USA 1701 W. SUPERIOR ST, 3RD FLOOR, CHICAGO, IL, 60622, 5646, USA

Business Information
URL http://www.eriefamilyhealth.org
Congressional District 07
State/Country of Incorporation IL, USA
Activation Date 2024-04-09
Initial Registration Date 2006-01-24
Entity Start Date 1970-11-04
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LEE FRANCIS
Address ERIE FAMILY HEALTH CENTER, INC., 1701 W. SUPERIOR ST, 3RD FLOOR, CHICAGO, IL, 60622, 5646, USA
Title ALTERNATE POC
Name DAVID BRUCE
Address 1701 W SUPERIOR STREET, 3RD FLOOR, CHICAGO, IL, 60622, USA
Government Business
Title PRIMARY POC
Name LEE FRANCIS
Address ERIE FAMILY HEALTH CENTER, INC., 1701 W. SUPERIOR ST, 3RD FLOOR, CHICAGO, IL, 60622, 5646, USA
Title ALTERNATE POC
Name DAVID BRUCE
Address 1701 W SUPERIOR STREET, 3RD FLOOR, CHICAGO, IL, 60622, USA
Past Performance
Title PRIMARY POC
Name LEE FRANCIS
Address ERIE FAMILY HEALTH CENTER, INC., 1701 W. SUPERIOR, 3RD FLOOR, CHICAGO, IL, 60622, 5646, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ERIE FAMILY HEALTH CENTER EMPLOYEE WELFARE BENEFIT PLAN 2019 363088628 2021-07-28 ERIE FAMILY HEALTH CENTERS 611
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-07-01
Business code 621498
Sponsor’s telephone number 3124327426
Plan sponsor’s mailing address 1701 W SUPERIOR ST 3RD FL, CHICAGO, IL, 606225646
Plan sponsor’s address 1701 W SUPERIOR ST 3RD FL, CHICAGO, IL, 606225646

Number of participants as of the end of the plan year
Active participants 710

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing JUANA TORRES
Valid signature Filed with authorized/valid electronic signature
ERIE FAMILY HEALTH CENTER EMPLOYEE WELFARE BENEFIT PLAN 2019 363088628 2020-09-01 ERIE FAMILY HEALTH CENTERS 611
Three-digit plan number (PN) 501
Effective date of plan 2017-07-01
Business code 621498
Sponsor’s telephone number 3124327426
Plan sponsor’s mailing address 1701 W SUPERIOR ST 3RD FL, CHICAGO, IL, 606225646
Plan sponsor’s address 1701 W SUPERIOR ST 3RD FL, CHICAGO, IL, 606225646

Number of participants as of the end of the plan year
Active participants 710

Signature of
Role Plan administrator
Date 2020-09-01
Name of individual signing JUANA TORRES
Valid signature Filed with authorized/valid electronic signature
ERIE FAMILY HEALTH CENTER EMPLOYEE WELFARE BENEFIT PLAN 2018 363088628 2020-01-14 ERIE FAMILY HEALTH CENTERS 590
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-07-01
Business code 621498
Sponsor’s telephone number 3124327426
Plan sponsor’s mailing address 1701 W SUPERIOR ST 3RD FL, CHICAGO, IL, 606225646
Plan sponsor’s address 1701 W SUPERIOR ST 3RD FL, CHICAGO, IL, 606225646

Number of participants as of the end of the plan year
Active participants 611

Signature of
Role Plan administrator
Date 2020-01-14
Name of individual signing JUANA TORRES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-14
Name of individual signing JUANA TORRES
Valid signature Filed with authorized/valid electronic signature
ERIE FAMILY HEALTH CENTERS 2017 363088628 2019-04-25 ERIE FAMILY HEALTH CENTERS 583
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-07-01
Business code 621498
Sponsor’s telephone number 3124327426
Plan sponsor’s mailing address 1701 W SUPERIOR ST 3RD FL, CHICAGO, IL, 606225646
Plan sponsor’s address 1701 W SUPERIOR ST 3RD FL, CHICAGO, IL, 606225646

Number of participants as of the end of the plan year
Active participants 590

Signature of
Role Plan administrator
Date 2019-04-25
Name of individual signing JUANA TORRES
Valid signature Filed with authorized/valid electronic signature
ERIE FAMILY HEALTH CENTER 2015 363088628 2017-01-31 ERIE FAMILY HEALTH CENTER 530
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-07-01
Business code 621498
Sponsor’s telephone number 3124327451
Plan sponsor’s DBA name ERIE FAMILY HEALTH CENTER
Plan sponsor’s mailing address 1701 W SUPERIOR ST 3RD FL, CHICAGO, IL, 606225646
Plan sponsor’s address 1701 W SUPERIOR ST 3RD FL, CHICAGO, IL, 606225646

Number of participants as of the end of the plan year
Active participants 739

Signature of
Role Plan administrator
Date 2017-01-31
Name of individual signing JUANA TORRES
Valid signature Filed with authorized/valid electronic signature
ERIE FAMILY HEALTH CENTER EMPLOYEE WELFARE BENEFIT PLAN 2014 363088628 2015-06-13 ERIE FAMILY HEALTH CENTER 231
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-07-01
Business code 621498
Sponsor’s telephone number 3124327451
Plan sponsor’s mailing address 1701 W. SUPERIOR, CHICAGO, IL, 60622
Plan sponsor’s address 1701 W. SUPERIOR, CHICAGO, IL, 60622

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 231
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 2015-06-13
Name of individual signing ADRIANA DIAZ
Valid signature Filed with authorized/valid electronic signature
ERIE FAMILY HEALTH CENTER EMPLOYEE WELFARE BENEFIT PLAN 2012 363088628 2014-04-25 ERIE FAMILY HEALTH CENTER 193
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2012-07-01
Business code 621498
Sponsor’s telephone number 3124327451
Plan sponsor’s mailing address 1701 W. SUPERIOR, CHICAGO, IL, 60622
Plan sponsor’s address 1701 W. SUPERIOR, CHICAGO, IL, 60622

Number of participants as of the end of the plan year
Active participants 193
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-04-25
Name of individual signing ADRIANA DIAZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-25
Name of individual signing ADRIANA DIAZ
Valid signature Filed with authorized/valid electronic signature
ERIE FAMILY HEALTH CENTER EMPLOYEE WELFARE BENEFIT PLAN 2011 363088628 2014-04-25 ERIE FAMILY HEALTH CENTER 165
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-07-01
Business code 621498
Sponsor’s telephone number 3124327451
Plan sponsor’s mailing address 1701 W. SUPERIOR, CHICAGO, IL, 60622
Plan sponsor’s address 1701 W. SUPERIOR, CHICAGO, IL, 60622

Plan administrator’s name and address
Administrator’s EIN 363088628
Plan administrator’s name ERIE FAMILY HEALTH CENTER
Plan administrator’s address 1701 W. SUPERIOR, CHICAGO, IL, 60622
Administrator’s telephone number 3124327451

Number of participants as of the end of the plan year
Active participants 165
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-04-25
Name of individual signing ADRIANA DIAZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-25
Name of individual signing ADRIANA DIAZ
Valid signature Filed with authorized/valid electronic signature
ERIE FAMILY HEALTH CENTER EMPLOYEE WELFARE BENEFIT PLAN 2010 363088628 2014-04-25 ERIE FAMILY HEALTH CENTER 193
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2010-07-01
Business code 621498
Sponsor’s telephone number 3124327451
Plan sponsor’s mailing address 1701 W. SUPERIOR, CHICAGO, IL, 60622
Plan sponsor’s address 1701 W. SUPERIOR, CHICAGO, IL, 60622

Plan administrator’s name and address
Administrator’s EIN 363088628
Plan administrator’s name ERIE FAMILY HEALTH CENTER
Plan administrator’s address 1701 W. SUPERIOR, CHICAGO, IL, 60622
Administrator’s telephone number 3124327451

Number of participants as of the end of the plan year
Active participants 193
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-04-25
Name of individual signing ADRIANA DIAZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-25
Name of individual signing ADRIANA DIAZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LEE FRANCIS, 1701 W SUPERIOR ST, CHICAGO, 60622, COOK-NOT IN CITY OF CHICAGO Agent 2008-10-23

President

Name and Address Role Account Number
SUSAN SWIDER President 34798

Secretary

Name and Address Role Account Number
CORA WALLER Secretary 34798

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 23354 Issued 1010 Limited Business License No data 2002-06-25 2002-05-16 2003-05-15

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ERIE FAMILY HEALTH CENTERS NFP Assume Name 2018-02-15 No data No data No data
ERIE FAMILY HEALTH CENTER-HUMBOLDT PARK No data 1996-02-05 1996-04-01 Involuntary Cancellation No data
HUMBOLDT PARK FAMILY HEALTH CENTER No data 1986-07-10 1996-02-05 Voluntary Cancellation No data

Related by officers

LEE FRANCIS, 1701 W SUPERIOR ST, CHICAGO, 60622, COOK-NOT IN CITY OF CHICAGO

ERIE FAMILY HEALTH FOUNDATION, INC.

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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