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  5. WEST SUBURBAN SENIOR SERVICES

WEST SUBURBAN SENIOR SERVICES

Company Details

Entity Name: WEST SUBURBAN SENIOR SERVICES
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 28 Feb 1973
Date of Dissolution: 29 Dec 2020
Company Number: CORP_50190951
File Number: 50190951
Date Status Change: 29 Dec 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST SUBURBAN SENIOR SERVICES 401(K) PROFIT SHARING PLAN 2017 362759604 2018-10-05 WEST SUBURBAN SENIOR SERVICES 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621330
Sponsor’s telephone number 7082341879
Plan sponsor’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing ALMA PEDROZA
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN SENIOR SERVICES 401(K) PROFIT SHARING PLAN 2016 362759604 2017-09-25 WEST SUBURBAN SENIOR SERVICES 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621330
Sponsor’s telephone number 7082341879
Plan sponsor’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104

Signature of
Role Plan administrator
Date 2017-09-25
Name of individual signing ALMA PEDROZA
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN SENIOR SERVICES 401(K) PROFIT SHARING PLAN 2015 362759604 2016-10-13 WEST SUBURBAN SENIOR SERVICES 36
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621330
Sponsor’s telephone number 7082341850
Plan sponsor’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing ALMA PEDROZA
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN SENIOR SERVICES EMPLOYEES' PENSION PLAN AND TRUST 2014 362759604 2016-01-28 WEST SUBURBAN SENIOR SERVICES 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-07-01
Business code 813000
Sponsor’s telephone number 7085475600
Plan sponsor’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104
WEST SUBURBAN SENIOR SERVICES 401(K) PROFIT SHARING PLAN 2014 362759604 2015-10-14 WEST SUBURBAN SENIOR SERVICES 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621330
Sponsor’s telephone number 7082341850
Plan sponsor’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing ERIC VIRONET
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN SENIOR SERVICES EMPLOYEES' PENSION PLAN AND TRUST 2013 362759604 2015-04-09 WEST SUBURBAN SENIOR SERVICES 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-07-01
Business code 813000
Sponsor’s telephone number 7085475600
Plan sponsor’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104

Signature of
Role Plan administrator
Date 2015-04-09
Name of individual signing VIRGIL TOLBERT
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN SENIOR SERVICES 401(K) PROFIT SHARING PLAN 2013 362759604 2014-06-24 WEST SUBURBAN SENIOR SERVICES 31
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621330
Sponsor’s telephone number 7082341850
Plan sponsor’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104

Signature of
Role Plan administrator
Date 2014-06-24
Name of individual signing PAULA RAMADAN
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN SENIOR SERVICES EMPLOYEES' PENSION PLAN AND TRUST 2012 362759604 2014-03-17 WEST SUBURBAN SENIOR SERVICES 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-07-01
Business code 813000
Sponsor’s telephone number 7085475600
Plan sponsor’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104

Signature of
Role Plan administrator
Date 2014-03-17
Name of individual signing VIRGIL TOLBERT
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN SENIOR SERVICES 401(K) PROFIT SHARING PLAN 2012 362759604 2013-07-24 WEST SUBURBAN SENIOR SERVICES 45
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621330
Sponsor’s telephone number 7082341850
Plan sponsor’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing PAULA RAMADAN
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN SENIOR SERVICES EMPLOYEES' PENSION PLAN AND TRUST 2011 362759604 2013-04-11 WEST SUBURBAN SENIOR SERVICES 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-07-01
Business code 813000
Sponsor’s telephone number 7085475600
Plan sponsor’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104

Plan administrator’s name and address
Administrator’s EIN 362759604
Plan administrator’s name WEST SUBURBAN SENIOR SERVICES
Plan administrator’s address 439 BOHLAND AVENUE, BELLWOOD, IL, 60104
Administrator’s telephone number 7085475600

Signature of
Role Plan administrator
Date 2013-04-11
Name of individual signing VIRGIL TOLBERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WILLIAM ALAN LOWE, 1415 W FOSTER AVE, CHICAGO, 60640, COOK-NOT IN CITY OF CHICAGO Agent 2019-01-29

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PROVISO COUNCIL ON AGING No data 2004-03-23 2005-01-24 Expired No data

Historical Names

Name Change Date
PROVISO COUNCIL ON AGING 2003-12-01

Related by officers

WILLIAM ALAN LOWE, 1415 W FOSTER AVE, CHICAGO, 60640, COOK-NOT IN CITY OF CHICAGO

NAPER VALLEY CORPORATION

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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