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  5. LIONS OF ILLINOIS FOUNDATION

LIONS OF ILLINOIS FOUNDATION

Company Details

Entity Name: LIONS OF ILLINOIS FOUNDATION
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 17 Jan 1974
Company Number: CORP_50377474
File Number: 50377474
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIONS OF ILLINOIS FOUNDATION 401(K) PLAN 2023 237379629 2024-06-05 LIONS OF ILLINOIS FOUNDATION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8157565633
Plan sponsor’s address 700 N PEACE ROAD, SUITE B, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2024-06-05
Name of individual signing KRISTEN KOTLARCHIK
Valid signature Filed with authorized/valid electronic signature
LIONS OF ILLINOIS FOUNDATION 401(K) PLAN 2022 237379629 2023-05-30 LIONS OF ILLINOIS FOUNDATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8157565633
Plan sponsor’s address 700 N PEACE ROAD, SUITE B, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2023-05-30
Name of individual signing KRISTEN KOTLARCHIK
Valid signature Filed with authorized/valid electronic signature
LIONS OF ILLINOIS FOUNDATION 401(K) PLAN 2021 237379629 2022-07-14 LIONS OF ILLINOIS FOUNDATION 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8157565633
Plan sponsor’s address 700 N PEACE ROAD, SUITE B, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing KRISTEN KOTLARCHIK
Valid signature Filed with authorized/valid electronic signature
LIONS OF ILLINOIS FOUNDATION 401(K) PLAN 2020 237379629 2021-08-12 LIONS OF ILLINOIS FOUNDATION 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8157565633
Plan sponsor’s address 2254 OAKLAND DRIVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2021-08-12
Name of individual signing KRISTEN KOTLARCHIK
Valid signature Filed with authorized/valid electronic signature
LIONS OF ILLINOIS FOUNDATION 401(K) PLAN 2019 237379629 2020-08-31 LIONS OF ILLINOIS FOUNDATION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8157565633
Plan sponsor’s address 2254 OAKLAND DRIVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing PATRICIA FISHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-31
Name of individual signing PATRICIA FISHER
Valid signature Filed with authorized/valid electronic signature
LIONS OF ILLINOIS FOUNDATION 401(K) PLAN 2018 237379629 2019-07-23 LIONS OF ILLINOIS FOUNDATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8157565633
Plan sponsor’s address 2254 OAKLAND DRIVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing MARIO GUMINO
Valid signature Filed with authorized/valid electronic signature
LION'S OF ILLINOIS FOUNDATION 401(K) PLAN 2015 237379629 2016-10-12 LIONS OF ILLINOIS FOUNDATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8157565633
Plan sponsor’s address 2814 DEKALB AVENUE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing MARIO GUMINO
Valid signature Filed with authorized/valid electronic signature
LION'S OF ILLINOIS FOUNDATION 401K PLAN 2014 237379629 2015-12-15 LIONS OF ILLINOIS FOUNDATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8157565633
Plan sponsor’s address 2814 DEKALB AVENUE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2015-12-15
Name of individual signing MARIO GUMINO
Valid signature Filed with authorized/valid electronic signature
LION'S OF ILLINOIS FOUNDATION 401K PLAN 2013 237379629 2014-10-01 LIONS OF ILLINOIS FOUNDATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8157565633
Plan sponsor’s address 2814 DEKALB AVENUE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2014-10-01
Name of individual signing MARIO
Valid signature Filed with authorized/valid electronic signature
LION'S OF ILLINOIS FOUNDATION 401K PLAN 2012 237379629 2013-07-30 LIONS OF ILLINOIS FOUNDATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8157565633
Plan sponsor’s address 2814 DEKALB AVENUE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing MARIO GUMINO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing MARIO GUMINO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RONALD WILLIAM FRUIT, 700 N PEACE RD STE B, DEKALB, 60115, DE KALB Agent 2023-12-12

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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