| Entity Name: | PILSEN LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 06 Jun 1975 |
| Company Number: | CORP_50673189 |
| File Number: | 50673189 |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| N894LMPC67Y8 | 2024-12-20 | 2319 S DAMEN AVE, CHICAGO, IL, 60608, 4209, USA | 2319 S. DAMEN AVENUE, CHICAGO, IL, 60608, 4209, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | PILSEN WELLNESS CENTER, INC. |
| URL | http://www.pilsenwellnesscenter.org |
| Congressional District | 04 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-12-25 |
| Initial Registration Date | 2005-09-30 |
| Entity Start Date | 1975-06-06 |
| Fiscal Year End Close Date | Jun 30 |
Service Classifications
| NAICS Codes | 611110, 621112, 621330, 621420, 623220, 624110 |
| Product and Service Codes | G004, Q519, Q526, U009 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | FRANCISCO CISNEROS |
| Role | CEO |
| Address | 2319 S. DAMEN AVE, CHICAGO, IL, 60608, 4209, USA |
| Title | ALTERNATE POC |
| Name | FRANCISCO CISNEROS |
| Role | CEO |
| Address | 2319 S. DAMEN AVE, CHICAGO, IL, 60608, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | FRANCISCO CISNEROS |
| Role | CEO |
| Address | 2319 S. DAMEN AVE, CHICAGO, IL, 60608, 4209, USA |
| Title | ALTERNATE POC |
| Name | ALBERTO SANCHEZ |
| Role | CCO |
| Address | 2319 SOUTH DAMEN AVENUE, CHICAGO, IL, 60608, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | FRANCISCO CISNEROS |
| Role | PRESIDENT & CEO |
| Address | 2319 SOUTH DAMEN AVE, CHICAGO, IL, 60608, USA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. 403(B) PLAN | 2012 | 362836998 | 2013-04-04 | PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. | 0 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-04-04 |
| Name of individual signing | MONICA MASANA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 005 |
| Effective date of plan | 1999-07-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 7735790832 |
| Plan sponsor’s address | 2319 S. DAMEN AVE., CHICAGO, IL, 606084209 |
Plan administrator’s name and address
| Administrator’s EIN | 362836998 |
| Plan administrator’s name | PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. |
| Plan administrator’s address | 2319 S. DAMEN AVE., CHICAGO, IL, 606084209 |
| Administrator’s telephone number | 7735790832 |
Signature of
| Role | Plan administrator |
| Date | 2013-03-27 |
| Name of individual signing | MONICA MASANA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 005 |
| Effective date of plan | 1999-07-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 7735790832 |
| Plan sponsor’s address | 2319 S. DAMEN AVE., CHICAGO, IL, 606084209 |
Plan administrator’s name and address
| Administrator’s EIN | 362836998 |
| Plan administrator’s name | PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. |
| Plan administrator’s address | 2319 S. DAMEN AVE., CHICAGO, IL, 606084209 |
| Administrator’s telephone number | 7735790832 |
Signature of
| Role | Plan administrator |
| Date | 2012-04-17 |
| Name of individual signing | MONICA MASANA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 005 |
| Effective date of plan | 1999-07-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 7735790832 |
| Plan sponsor’s address | 2319 S. DAMEN AVE., CHICAGO, IL, 606084209 |
Plan administrator’s name and address
| Administrator’s EIN | 362836998 |
| Plan administrator’s name | PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. |
| Plan administrator’s address | 2319 S. DAMEN AVE., CHICAGO, IL, 606084209 |
| Administrator’s telephone number | 7735790832 |
Signature of
| Role | Plan administrator |
| Date | 2011-04-15 |
| Name of individual signing | MONICA MASANA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| FRANCISCO CISNEROS, 2319 S DAMEN AVE, CHICAGO, 60608, COOK-NOT IN CITY OF CHICAGO | Agent | 2008-04-15 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| PILSEN WELLNESS CENTER, INC. | NFP Assume Name | 2008-04-02 | No data | No data | No data |
Date of last update: 27 Jan 2025
