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  5. SPECIALIZED ASSISTANCE SERVICES, NFP

SPECIALIZED ASSISTANCE SERVICES, NFP

Company Details

Entity Name: SPECIALIZED ASSISTANCE SERVICES, NFP
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Merged/Consolidated
Date Formed: 13 Apr 1976
Company Number: CORP_50879402
File Number: 50879402
Date Status Change: 07 Jan 2019
Address 2101 S INDIANA AVE, CHICAGO, IL, 60616
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPECIALIZED ASSITANCE SERVICES NFP TAX DEFERRED ANNUITY PLAN 2019 362877198 2021-10-12 SPECIALIZED ASSISTANCE SERVICES NFP 41
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-12-01
Business code 621420
Sponsor’s telephone number 2246597030
Plan sponsor’s address 2618 PATRIOT BLVD, GLENVIEW, IL, 600268024

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing JEFF BLUMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing JEFF BLUMBERG
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ASSISTANCE SERVICES, INC. NFP 403(B) PLAN 2016 362877198 2018-04-17 SPECIALIZED ASSISTANCE SERVICES NFP 55
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-07-01
Business code 621420
Sponsor’s telephone number 3128083218
Plan sponsor’s address 2630 SOUTH WABASH AVENUE, CHICAGO, IL, 606161313

Signature of
Role Plan administrator
Date 2018-04-17
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-17
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ASSISTANCE SERVICES, INC. NFP 403(B) PLAN 2015 362877198 2017-04-17 SPECIALIZED ASSISTANCE SERVICES NFP 55
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-07-01
Business code 621420
Sponsor’s telephone number 3128083218
Plan sponsor’s address 2630 SOUTH WABASH AVENUE, CHICAGO, IL, 606161313

Signature of
Role Plan administrator
Date 2017-04-17
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-17
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ASSISTANCE SERVICES NFP TAX DEFERRED ANNUITY PLAN 2014 362877198 2016-04-15 SPECIALIZED ASSISTANCE SERVICES NFP 39
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-12-01
Business code 621420
Sponsor’s telephone number 3128083220
Plan sponsor’s address 2101 S INDIANA AVE, CHICAGO, IL, 606161313

Signature of
Role Plan administrator
Date 2016-04-15
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-15
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ASSISTANCE SERVICES NFP TAX DEFERRED ANNUITY PLAN 2013 362877198 2015-04-13 SPECIALIZED ASSISTANCE SERVICES NFP 27
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-12-01
Business code 621420
Sponsor’s telephone number 3128083220
Plan sponsor’s address 2101 S INDIANA AVE, CHICAGO, IL, 606161313

Signature of
Role Plan administrator
Date 2015-04-13
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-13
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ASSISTANCE SERVICES NFP TAX DEFERRED ANNUITY PLAN 2012 362877198 2014-04-15 SPECIALIZED ASSISTANCE SERVICES NFP 27
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-12-01
Business code 621420
Sponsor’s telephone number 3128083220
Plan sponsor’s address 2101 S INDIANA AVE, CHICAGO, IL, 606161313

Signature of
Role Plan administrator
Date 2014-04-15
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ASSISTANCE SERVICES NFP TAX DEFERRED ANNUITY PLAN 2011 362877198 2013-04-15 SPECIALIZED ASSISTANCE SERVICES NFP 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-12-01
Business code 621420
Sponsor’s telephone number 3128083220
Plan sponsor’s address 2101 S INDIANA AVE, CHICAGO, IL, 606161313

Plan administrator’s name and address
Administrator’s EIN 362877198
Plan administrator’s name SPECIALIZED ASSISTANCE SERVICES NFP
Plan administrator’s address 2101 S INDIANA AVE, CHICAGO, IL, 606161313
Administrator’s telephone number 3128083220

Signature of
Role Plan administrator
Date 2013-04-15
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ASSISTANCE SERVICES NFP TAX DEFERRED ANNUITY PLAN 2010 362877198 2012-04-16 SPECIALIZED ASSISTANCE SERVICES NFP 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-12-01
Business code 621420
Sponsor’s telephone number 3128083220
Plan sponsor’s address 2101 S INDIANA AVE, CHICAGO, IL, 606161313

Plan administrator’s name and address
Administrator’s EIN 362877198
Plan administrator’s name SPECIALIZED ASSISTANCE SERVICES NFP
Plan administrator’s address 2101 S INDIANA AVE, CHICAGO, IL, 606161313
Administrator’s telephone number 3128083220

Signature of
Role Plan administrator
Date 2012-04-16
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ASSISTANCE SERVICES NFP TAX DEFERRED ANNUITY PLAN 2009 362877198 2011-04-15 SPECIALIZED ASSISTANCE SERVICES NFP 68
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-12-01
Business code 621420
Sponsor’s telephone number 3128083220
Plan sponsor’s address 2101 S INDIANA AVE, CHICAGO, IL, 606161313

Plan administrator’s name and address
Administrator’s EIN 362877198
Plan administrator’s name SPECIALIZED ASSISTANCE SERVICES NFP
Plan administrator’s address 2101 S INDIANA AVE, CHICAGO, IL, 606161313
Administrator’s telephone number 3128083220

Signature of
Role Plan administrator
Date 2011-04-15
Name of individual signing DORIS REYNOLDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CIUNAL LEWIS, 2630 S WABASH AVE, CHICAGO, 60616, COOK-NOT IN CITY OF CHICAGO Agent 2018-07-02

Secretary

Name and Address Role Account Number
MOUDESTINE HAYNES Secretary 28988

President

Name and Address Role Account Number
JOHN F SULLIVAN President 28988

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 20133 Issued 1010 Limited Business License No data 2012-06-20 2012-06-16 2014-06-15

Historical Names

Name Change Date
SUBSTANCE ABUSE SERVICES, INC. 2002-03-14

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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