| Entity Name: | PRINCE OF PEACE LUTHERAN CHURCH OF PALATINE |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 02 Nov 1971 |
| Company Number: | CORP_49917627 |
| File Number: | 49917627 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFERSON STREET CLINIC, S.C. PROFIT SHARING PLAN & TRUST | 2010 | 370920717 | 2010-11-09 | JEFFERSON STREET CLINIC, S.C. | 8 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 370920717 |
| Plan administrator’s name | JEFFERSON STREET CLINIC, S.C. |
| Plan administrator’s address | 84 LOCUST RIDGE CT, MORTON, IL, 61550 |
| Administrator’s telephone number | 3092669711 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-09 |
| Name of individual signing | LARRY PATTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-11-09 |
| Name of individual signing | LARRY PATTON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1972-01-25 |
| Business code | 621111 |
| Sponsor’s telephone number | 3092669711 |
| Plan sponsor’s address | 84 LOCUST RIDGE CT, MORTON, IL, 61550 |
Plan administrator’s name and address
| Administrator’s EIN | 370920717 |
| Plan administrator’s name | JEFFERSON STREET CLINIC, S.C. |
| Plan administrator’s address | 84 LOCUST RIDGE CT, MORTON, IL, 61550 |
| Administrator’s telephone number | 3092669711 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-23 |
| Name of individual signing | LARRY PATTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-23 |
| Name of individual signing | LARRY PATTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KARL FAY, 1190 N HICKS RD, PALATINE, 60067, COOK-NOT IN CITY OF CHICAGO | Agent | 2017-11-01 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| CROSSPOINT LUTHERAN CHURCH | No data | 2010-08-09 | 2021-12-13 | Voluntary Cancellation | No data |
Date of last update: 13 Jan 2025
