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  5. CHICAGO FAMILY HEALTH CENTER, INC.

CHICAGO FAMILY HEALTH CENTER, INC.

Company Details

Entity Name: CHICAGO FAMILY HEALTH CENTER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 06 Oct 1976
Company Number: CORP_51001575
File Number: 51001575
Address 10536 S EWING AVE 1, CHICAGO, IL, 60617
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
P4Y9KPRDFTM3 2025-02-06 9119 S EXCHANGE AVE, CHICAGO, IL, 60617, 4225, USA 9119 S EXCHANGE AVE, CHICAGO, IL, 60617, 4225, USA

Business Information
URL https://www.chicagofamilyhealth.org/
Congressional District 02
State/Country of Incorporation IL, USA
Activation Date 2024-02-09
Initial Registration Date 2016-02-11
Entity Start Date 1977-04-11
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621112, 621210, 621999, 623220

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ROY CARLTON
Role CFO
Address 9119 S. EXCHANGE AVE, CHICAGO, IL, 60617, USA
Title ALTERNATE POC
Name SHERRY PACE
Role CEO
Address 9119 S. EXCHANGE AVE, CHICAGO, IL, 60617, USA
Government Business
Title PRIMARY POC
Name ROY CARLTON
Role CFO
Address 9119 S. EXCHANGE AVE, CHICAGO, IL, 60617, USA
Title ALTERNATE POC
Name SHERRY PACE
Role CEO
Address 9119 S. EXCHANGE AVE, CHICAGO, IL, 60617, USA
Past Performance
Title PRIMARY POC
Name SHERRY PACE
Role CEO
Address 9119 S. EXCHANGE AVE, CHICAGO, IL, 60617, USA
Title ALTERNATE POC
Name SANDRA I FLORES
Role DEVELOPMENT MANAGER
Address 9119 S. EXCHANGE AVE, CHICAGO, IL, 60617, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHICAGO FAMILY HEALTH CENTER, INC. EMPLOYEES SAVINGS TRUST 2016 362893854 2017-09-19 CHICAGO FAMILY HEALTH CENTER, INC. 117
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621111
Sponsor’s telephone number 7737685000
Plan sponsor’s address 9119 SOUTH EXCHANGE AVENUE, CHICAGO, IL, 60617

Signature of
Role Plan administrator
Date 2017-09-19
Name of individual signing ERIC BOKLAGE
Valid signature Filed with authorized/valid electronic signature
CHICAGO FAMILY HEALTH CENTER, INC. EMPLOYEES SAVINGS TRUST 2015 362893854 2017-02-01 CHICAGO FAMILY HEALTH CENTER, INC. 112
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621111
Sponsor’s telephone number 7737685000
Plan sponsor’s address 9119 SOUTH EXCHANGE AVENUE, CHICAGO, IL, 60617

Signature of
Role Plan administrator
Date 2017-02-01
Name of individual signing ERIC BOKLAGE
Valid signature Filed with authorized/valid electronic signature
CHICAGO FAMILY HEALTH CENTER, INC. EMPLOYEES SAVINGS TRUST 2014 362893854 2015-12-10 CHICAGO FAMILY HEALTH CENTER, INC. 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621111
Sponsor’s telephone number 7737685000
Plan sponsor’s address 9119 SOUTH EXCHANGE AVENUE, CHICAGO, IL, 60617

Signature of
Role Plan administrator
Date 2015-12-10
Name of individual signing LEISA MOSLEY
Valid signature Filed with authorized/valid electronic signature
CHICAGO FAMILY HEALTH CENTER, INC. EMPLOYEES SAVINGS TRUST 2013 362893854 2015-04-14 CHICAGO FAMILY HEALTH CENTER, INC. 96
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621111
Sponsor’s telephone number 7737685000
Plan sponsor’s address 9119 SOUTH EXCHANGE AVENUE, CHICAGO, IL, 60617

Signature of
Role Plan administrator
Date 2015-04-14
Name of individual signing ZAKEYA ATIA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SHERRY PACE, 9119 S EXCHANGE AVE, CHICAGO, 60617, COOK-NOT IN CITY OF CHICAGO Agent 2024-05-20

CEO

Name and Address Role Account Number
Sherry T Pace CEO 86565

Vice president

Name and Address Role Account Number
Nick Valadez Vice president 86565

Secretary

Name and Address Role Account Number
Cheryl Briscoe Secretary 86565

Treasurer

Name and Address Role Account Number
Fulton Nolen Treasurer 86565

President

Name and Address Role Account Number
NORA REYES President 86565

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2622182 Issued 1625 Raffles 720 - Not-For-Profit Selling Raffles for Prizes of $50 or More 2024-06-18 2024-07-16 2025-07-15
BUSINESS LICENSE 1986941 Issued 1010 Limited Business License No data 2024-06-13 2024-07-16 2026-07-15
BUSINESS LICENSE 7991 Issued 1010 Limited Business License No data 2024-06-13 2024-07-16 2026-07-15
BUSINESS LICENSE 1168069 Issued 1010 Limited Business License No data 2024-06-13 2024-07-16 2026-07-15
BUSINESS LICENSE 2041610 Issued 1010 Limited Business License No data 2024-06-13 2024-07-16 2026-07-15
BUSINESS LICENSE 1937192 Issued 1010 Limited Business License No data 2024-06-13 2024-07-16 2026-07-15
BUSINESS LICENSE 7990 Cancelled 1004 Laboratories No data 2012-06-12 2012-07-16 2014-07-15
BUSINESS LICENSE 2041609 Cancelled 1004 Laboratories No data 2012-06-12 2012-07-16 2014-07-15
BUSINESS LICENSE 1986940 Cancelled 1004 Laboratories No data 2012-06-12 2012-07-16 2014-07-15
BUSINESS LICENSE 1932565 Cancelled 1004 Laboratories No data 2012-06-12 2012-07-16 2014-07-15

Historical Names

Name Change Date
CLARETIAN MEDICAL CENTER OF SOUTH CHICAGO, INC. 1998-07-22

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C8ACS21265 Department of Health and Human Services 93.526 - AFFORDABLE CARE ACT (ACA) GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS 2010-10-01 2012-09-30 AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS
Recipient CHICAGO FAMILY HEALTH CENTER INC
Recipient Name Raw CHICAGO FAMILY HEALTH CENTER INC
Recipient UEI P4Y9KPRDFTM3
Recipient DUNS 082944588
Recipient Address 9119 S. EXCHANGE AVENUE, CHICAGO, COOK, ILLINOIS, 60617-4225, UNITED STATES
Obligated Amount 6257249.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C76HF19778 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2010-09-01 2011-08-31 HEALTH CARE AND OTHER FACILITIES
Recipient CHICAGO FAMILY HEALTH CENTER INC
Recipient Name Raw CHICAGO FAMILY HEALTH CENTER, INC
Recipient UEI P4Y9KPRDFTM3
Recipient DUNS 082944588
Recipient Address 9119 S. EXCHANGE AVENUE, CHICAGO, COOK, ILLINOIS, 60617-4225, UNITED STATES
Obligated Amount 247500.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C81CS14323 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient CHICAGO FAMILY HEALTH CENTER INC
Recipient Name Raw CHICAGO FAMILY HEALTH CENTER, INC
Recipient UEI P4Y9KPRDFTM3
Recipient DUNS 082944588
Recipient Address 9119 S. EXCHANGE AVENUE, CHICAGO, COOK, ILLINOIS, 60617-4225, UNITED STATES
Obligated Amount 938135.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS11782 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient CHICAGO FAMILY HEALTH CENTER INC
Recipient Name Raw CHICAGO FAMILY HEALTH CENTER, INC
Recipient UEI P4Y9KPRDFTM3
Recipient DUNS 082944588
Recipient Address 9119 S. EXCHANGE AVENUE, CHICAGO, COOK, ILLINOIS, 60617-4225, UNITED STATES
Obligated Amount 357115.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
P20IT10934 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2008-09-01 2009-08-31 HEALTH INFORMATION TECHNOLOGY (HIT) PLANNING GRANTS
Recipient CHICAGO FAMILY HEALTH CENTER INC
Recipient Name Raw CHICAGO FAMILY HEALTH CENTER, INC
Recipient UEI P4Y9KPRDFTM3
Recipient DUNS 082944588
Recipient Address 9119 S. EXCHANGE AVENUE, CHICAGO, COOK, ILLINOIS, 60617
Obligated Amount 125000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00514 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2002-06-01 2010-05-31 HEALTH CENTER CLUSTER
Recipient CHICAGO FAMILY HEALTH CENTER INC
Recipient Name Raw CHICAGO FAMILY HEALTH CENTER, INC
Recipient UEI P4Y9KPRDFTM3
Recipient DUNS 082944588
Recipient Address 9119 S. EXCHANGE AVENUE, CHICAGO, COOK, ILLINOIS, 60617
Obligated Amount 64491293.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
36-2893854 Corporation Unconditional Exemption 9119 S EXCHANGE AVE, CHICAGO, IL, 60617-4225 1977-03
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification -
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2022-06
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 33030653
Income Amount 32531645
Form 990 Revenue Amount 32531645
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name CHICAGO FAMILY HEALTH CENTER INC
EIN 36-2893854
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name CHICAGO FAMILY HEALTH CENTER INC
EIN 36-2893854
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name CHICAGO FAMILY HEALTH CENTER INC
EIN 36-2893854
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name CHICAGO FAMILY HEALTH CENTER INC
EIN 36-2893854
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name CHICAGO FAMILY HEALTH CENTER INC
EIN 36-2893854
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name CHICAGO FAMILY HEALTH CENTER INC
EIN 36-2893854
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name CHICAGO FAMILY HEALTH CENTER INC
EIN 36-2893854
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1119287805 2020-05-01 0507 PPP 9119 S Exchange Ave, Chicago, IL, 60617-4225
Loan Status Date 2021-10-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2945300
Loan Approval Amount (current) 2945300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 58036
Servicing Lender Name Fifth Third Bank
Servicing Lender Address 38 Fountain Sq Plz, CINCINNATI, OH, 45263
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Chicago, COOK, IL, 60617-4225
Project Congressional District IL-02
Number of Employees 250
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type -
Originating Lender ID 58036
Originating Lender Name Fifth Third Bank
Originating Lender Address CINCINNATI, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2984652.48
Forgiveness Paid Date 2021-09-10

Related by officers

No related officers

Related by address

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Date of last update: 13 Mar 2025

Sources: Illinois Office of the Secretary of State

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