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SOUTHWEST COMMUNITY SERVICES, INC.

Company Details

Entity Name: SOUTHWEST COMMUNITY SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Merged/Consolidated
Date Formed: 27 Apr 1971
Company Number: CORP_49823231
File Number: 49823231
Type of Business: Not for Profit
Date Status Change: 30 Mar 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF SOUTHWEST COMMUNITY SERVICES, INC. 2016 237136028 2017-03-06 SOUTHWEST COMMUNITY SERVICES, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624310
Sponsor’s telephone number 7084291260
Plan sponsor’s address 6775 PROSPERI DR, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2017-03-06
Name of individual signing DENNIS CARPENTER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SOUTHWEST COMMUNITY SERVICES, INC. 2015 237136028 2016-09-27 SOUTHWEST COMMUNITY SERVICES, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624310
Sponsor’s telephone number 7084291260
Plan sponsor’s address 6775 PROSPERI DR, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2016-09-27
Name of individual signing DENNIS CARPENTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-27
Name of individual signing DENNIS CARPENTER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SOUTHWEST COMMUNITY SERVICES, INC. 2014 237136028 2015-06-26 SOUTHWEST COMMUNITY SERVICES, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624310
Sponsor’s telephone number 7084291260
Plan sponsor’s address 6775 PROSPERI DR, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2015-06-26
Name of individual signing JULIANNE GRAVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-26
Name of individual signing JULIANNE GRAVER
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST COMMUNITY SERVICES, INC. 401(K) PLAN 2013 237136028 2014-06-20 SOUTHWEST COMMUNITY SERVICES, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624310
Sponsor’s telephone number 7089577060
Plan sponsor’s address 6775 PROSPERI DR, TINLEY PARK, IL, 604774789

Signature of

Role Plan administrator
Date 2014-06-20
Name of individual signing JULIANNE GRAVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-20
Name of individual signing JULIANNE GRAVER
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST COMMUNITY SERVICES, INC. 401(K) PLAN 2012 237136028 2013-07-18 SOUTHWEST COMMUNITY SERVICES, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624310
Sponsor’s telephone number 7089577060
Plan sponsor’s address 6775 PROSPERI DR, TINLEY PARK, IL, 604774789

Signature of

Role Plan administrator
Date 2013-07-18
Name of individual signing JULIANNE GRAVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-18
Name of individual signing JULIANNE GRAVER
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST COMMUNITY SERVICES, INC. 401(K) PLAN 2011 237136028 2012-06-26 SOUTHWEST COMMUNITY SERVICES, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624310
Sponsor’s telephone number 7089577060
Plan sponsor’s address 6775 PROSPERI DR, TINLEY PARK, IL, 604774789

Plan administrator’s name and address

Administrator’s EIN 237136028
Plan administrator’s name SOUTHWEST COMMUNITY SERVICES, INC.
Plan administrator’s address 6775 PROSPERI DR, TINLEY PARK, IL, 604774789
Administrator’s telephone number 7089577060

Signature of

Role Plan administrator
Date 2012-06-26
Name of individual signing JULIANNE GRAVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-26
Name of individual signing JULIANNE GRAVER
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST COMMUNITY SERVICES, INC. 401(K) PLAN 2010 237136028 2011-07-15 SOUTHWEST COMMUNITY SERVICES, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624310
Sponsor’s telephone number 7089577060
Plan sponsor’s address 6775 PROSPERI DR, TINLEY PARK, IL, 604774789

Plan administrator’s name and address

Administrator’s EIN 237136028
Plan administrator’s name SOUTHWEST COMMUNITY SERVICES, INC.
Plan administrator’s address 6775 PROSPERI DR, TINLEY PARK, IL, 604774789
Administrator’s telephone number 7089577060

Signature of

Role Plan administrator
Date 2011-07-15
Name of individual signing MARCIA KENNEDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-15
Name of individual signing MARY AMBROSINO
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST COMMUNITY SERVICES, INC. 401(K) PLAN 2009 237136028 2010-07-14 SOUTHWEST COMMUNITY SERVICES, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624310
Sponsor’s telephone number 7089577060
Plan sponsor’s address 6775 PROSPERI DR, TINLEY PARK, IL, 604774789

Plan administrator’s name and address

Administrator’s EIN 237136028
Plan administrator’s name SOUTHWEST COMMUNITY SERVICES, INC.
Plan administrator’s address 6775 PROSPERI DR, TINLEY PARK, IL, 604774789
Administrator’s telephone number 7089577060

Signature of

Role Plan administrator
Date 2010-05-13
Name of individual signing MARCIA KENNEDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MARY PAT AMBROSINO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LEAN E TAYLOR, 6775 PROSPERI DR, TINLEY PARK, 60477, COOK-NOT IN CITY OF CHICAGO Agent 2014-01-16

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
THISABILITY ENTERPRISES No data 2011-09-08 2016-03-30 Voluntary Cancellation No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State