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  5. NORTH ADAMS HOME, INC.

NORTH ADAMS HOME, INC.

Company Details

Entity Name: NORTH ADAMS HOME, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 05 Jan 1973
Date of Dissolution: 29 Sep 2020
Company Number: CORP_50158225
File Number: 50158225
Date Status Change: 29 Sep 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH ADAMS HOME, INC. 401K PROFIT SHARING PLAN 2020 370978651 2021-03-30 NORTH ADAMS HOME, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 623000
Sponsor’s telephone number 2177798603
Plan sponsor’s address 7321 N. 48TH STREET, QUINCY, IL, 623050583
NORTH ADAMS HOME, INC. 401K PROFIT SHARING PLAN 2019 370978651 2020-10-07 NORTH ADAMS HOME, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 623000
Sponsor’s telephone number 2179362137
Plan sponsor’s address 2259 E 1100TH ST, MENDON, IL, 623512720
NORTH ADAMS HOME, INC. 401K PROFIT SHARING PLAN 2018 370978651 2019-07-22 NORTH ADAMS HOME, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 623000
Sponsor’s telephone number 2179362137
Plan sponsor’s address 2259 E 1100TH ST, MENDON, IL, 623512720
NORTH ADAMS HOME, INC. 401K PROFIT SHARING PLAN 2017 370978651 2018-07-30 NORTH ADAMS HOME, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 623000
Sponsor’s telephone number 2179362137
Plan sponsor’s address 2259 E 1100TH ST, MENDON, IL, 623512720
NORTH ADAMS HOME, INC. 401K PROFIT SHARING PLAN 2016 370978651 2017-10-14 NORTH ADAMS HOME, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 623000
Sponsor’s telephone number 2179362137
Plan sponsor’s address 2259 E 1100TH ST, MENDON, IL, 623512720
NORTH ADAMS HOME, INC. 401K PROFIT SHARING PLAN 2015 370978651 2016-07-23 NORTH ADAMS HOME, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 623000
Sponsor’s telephone number 2179362137
Plan sponsor’s address 2259 E 1100TH ST, MENDON, IL, 623512720
NORTH ADAMS HOME, INC. 401K PROFIT SHARING PLAN 2014 370978651 2015-10-14 NORTH ADAMS HOME, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 623000
Sponsor’s telephone number 2179362137
Plan sponsor’s address 2259 E 1100TH ST, MENDON, IL, 623512720

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing DEBBIE HULL
Valid signature Filed with authorized/valid electronic signature
NORTH ADAMS HOME, INC. 401K PROFIT SHARING PLAN 2013 370978651 2014-07-25 NORTH ADAMS HOME, INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 623000
Sponsor’s telephone number 2179362137
Plan sponsor’s address 2259 E 1100TH ST, MENDON, IL, 623512720

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing ROBYN JOHNSON
Valid signature Filed with authorized/valid electronic signature
NORTH ADAMS HOME, INC. 401K PROFIT SHARING PLAN 2012 370978651 2013-09-10 NORTH ADAMS HOME, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 623000
Sponsor’s telephone number 2179362137
Plan sponsor’s address 2259 E 1100TH ST, MENDON, IL, 623512720

Plan administrator’s name and address
Administrator’s EIN 370978651
Plan administrator’s name NORTH ADAMS HOME, INC.
Plan administrator’s address 2259 E 1100TH ST, MENDON, IL, 623512720
Administrator’s telephone number 2179362137

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing ROBYN JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TONIA S HEMMING, 2259 E 1100TH ST, MENDON, 62351, ADAMS Agent 2019-03-13

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
COSMO 189001562 No data No data BCENT SALON/SHOP REGISTRATION No data 1997-10-28 2018-09-10 2020-11-30

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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