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LOCUST STREET RESOURCE CENTER

Company Details

Entity Name: LOCUST STREET RESOURCE CENTER
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 24 May 1973
Company Number: CORP_50245314
File Number: 50245314
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MACOUPIN COUNTY MENTAL HEALTH SAVINGS AND RETIREMENT PLAN 2023 370983795 2024-05-09 MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 813000
Sponsor’s telephone number 2178543166
Plan sponsor’s address 320 S LOCUST ST, CARLINVILLE, IL, 626261648

Signature of

Role Plan administrator
Date 2024-05-09
Name of individual signing DOUGLAS KILBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing DOUGLAS KILBERG
Valid signature Filed with authorized/valid electronic signature
MACOUPIN COUNTY MENTAL HEALTH SAVINGS AND RETIREMENT PLAN 2022 370983795 2023-10-04 MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 813000
Sponsor’s telephone number 2178543166
Plan sponsor’s address 320 S LOCUST ST, CARLINVILLE, IL, 626261648

Signature of

Role Plan administrator
Date 2023-10-03
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-04
Name of individual signing DOUGLAS KILBERG
Valid signature Filed with authorized/valid electronic signature
MACOUPIN COUNTY MENTAL HEALTH SAVINGS AND RETIREMENT PLAN 2021 370983795 2022-07-12 MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 813000
Sponsor’s telephone number 2178543166
Plan sponsor’s address 320 S LOCUST ST, CARLINVILLE, IL, 626261648

Signature of

Role Plan administrator
Date 2022-07-12
Name of individual signing DOUGLAS KILBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-12
Name of individual signing DOUGLAS KILBERG
Valid signature Filed with authorized/valid electronic signature
MACOUPIN COUNTY MENTAL HEALTH SAVINGS AND RETIREMENT PLAN 2020 370983795 2021-08-18 MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 813000
Sponsor’s telephone number 2178543166
Plan sponsor’s address 320 S LOCUST ST, CARLINVILLE, IL, 626261648

Signature of

Role Plan administrator
Date 2021-08-18
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-18
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
MACOUPIN COUNTY MENTAL HEALTH SAVINGS AND RETIREMENT PLAN 2019 370983795 2020-03-17 MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 813000
Sponsor’s telephone number 2178543166
Plan sponsor’s address 320 S LOCUST ST, CARLINVILLE, IL, 626261648

Signature of

Role Plan administrator
Date 2020-03-17
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-17
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
MACOUPIN COUNTY MENTAL HEALTH SAVINGS AND RETIREMENT PLAN 2018 370983795 2019-03-12 MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 813000
Sponsor’s telephone number 2178543166
Plan sponsor’s address 320 S LOCUST ST, CARLINVILLE, IL, 626261648

Signature of

Role Plan administrator
Date 2019-03-12
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-12
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
MACOUPIN COUNTY MENTAL HEALTH SAVINGS AND RETIREMENT PLAN 2017 370983795 2018-05-21 MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 813000
Sponsor’s telephone number 2178543166
Plan sponsor’s address 320 S LOCUST ST, CARLINVILLE, IL, 626261648

Signature of

Role Plan administrator
Date 2018-05-21
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-21
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
MACOUPIN COUNTY MENTAL HEALTH SAVINGS AND RETIREMENT PLAN 2016 370983795 2017-07-28 MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 813000
Sponsor’s telephone number 2178543166
Plan sponsor’s address 320 S LOCUST ST, CARLINVILLE, IL, 626261648

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing DOUGLAS KILBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-28
Name of individual signing DOUGLAS KILBERG
Valid signature Filed with authorized/valid electronic signature
MACOUPIN COUNTY MENTAL HEALTH SAVINGS AND RETIREMENT PLAN 2015 370983795 2016-07-19 MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 813000
Sponsor’s telephone number 2178543166
Plan sponsor’s address 320 S LOCUST ST, CARLINVILLE, IL, 626261648

Signature of

Role Plan administrator
Date 2016-07-19
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-19
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
MACOUPIN COUNTY MENTAL HEALTH SAVINGS AND RETIREMENT PLAN 2014 370983795 2015-07-31 MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 813000
Sponsor’s telephone number 2178543166
Plan sponsor’s address 320 S LOCUST ST, CARLINVILLE, IL, 626261648

Signature of

Role Plan administrator
Date 2015-07-31
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-31
Name of individual signing CHAUNDA LEMARR
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DOUGLAS WAYNE KILBERG, 320 SOUTH LOCUST STREET, CARLINVILLE, 62626, MACOUPIN Agent 2007-04-18

Historical Names

Name Change Date
MACOUPIN COUNTY MENTAL HEALTH ASSOCIATION 2006-12-19

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State