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  5. CIRCLE FAMILY HEALTHCARE NETWORK, INC.

CIRCLE FAMILY HEALTHCARE NETWORK, INC.

Company Details

Entity Name: CIRCLE FAMILY HEALTHCARE NETWORK, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 22 Dec 1976
Date of Dissolution: 10 May 2019
Company Number: CORP_51058461
File Number: 51058461
Date Status Change: 10 May 2019
Address 4909 W DIVISION ST 1ST, CHICAGO, IL, 60651
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CFHCN RETIREMENT PLAN 2012 362902782 2013-10-15 CIRCLE FAMILY HEALTHCARE NETWORK 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 624100
Sponsor’s telephone number 7733791000
Plan sponsor’s address 5002 W. MADISON STREET, CHICAGO, IL, 60644

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CHRISTOPHER JACKSON
Valid signature Filed with authorized/valid electronic signature
CFHCN RETIREMENT PLAN 2012 362902782 2013-10-15 CIRCLE FAMILY HEALTHCARE NETWORK 24
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 624100
Sponsor’s telephone number 7733791000
Plan sponsor’s address 5002 W. MADISON STREET, CHICAGO, IL, 60644

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CHRISTOPHER JACKSON
Valid signature Filed with authorized/valid electronic signature
CFHCN RETIREMENT PLAN 2011 362902782 2013-10-15 CIRCLE FAMILY HEALTHCARE NETWORK 24
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 624100
Sponsor’s telephone number 7733791000
Plan sponsor’s address 5002 W. MADISON STREET, CHICAGO, IL, 60644

Plan administrator’s name and address
Administrator’s EIN 362902782
Plan administrator’s name CIRCLE FAMILY HEALTHCARE NETWORK
Plan administrator’s address 5002 W. MADISON STREET, CHICAGO, IL, 60644
Administrator’s telephone number 7733791000

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CHRISTOPHER JACKSON
Valid signature Filed with authorized/valid electronic signature
CFHCN RETIREMENT PLAN 2011 362902782 2013-10-15 CIRCLE FAMILY HEALTHCARE NETWORK 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 624100
Sponsor’s telephone number 7733791000
Plan sponsor’s address 5002 W. MADISON STREET, CHICAGO, IL, 60644

Plan administrator’s name and address
Administrator’s EIN 362902782
Plan administrator’s name CIRCLE FAMILY HEALTHCARE NETWORK
Plan administrator’s address 5002 W. MADISON STREET, CHICAGO, IL, 60644
Administrator’s telephone number 7733791000

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CHRISTOPHER JACKSON
Valid signature Filed with authorized/valid electronic signature
CFHCN RETIREMENT PLAN 2010 362902782 2013-10-15 CIRCLE FAMILY HEALTHCARE NETWORK 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 624100
Sponsor’s telephone number 7733791000
Plan sponsor’s address 5002 W. MADISON STREET, CHICAGO, IL, 60644

Plan administrator’s name and address
Administrator’s EIN 362902782
Plan administrator’s name CIRCLE FAMILY HEALTHCARE NETWORK
Plan administrator’s address 5002 W. MADISON STREET, CHICAGO, IL, 60644
Administrator’s telephone number 7733791000

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CHRISTOPHER JACKSON
Valid signature Filed with authorized/valid electronic signature
CFHCN RETIREMENT PLAN 2009 362902782 2010-12-13 CIRCLE FAMILY HEALTHCARE NETWORK INC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 624100
Sponsor’s telephone number 7733791376
Plan sponsor’s address 5002 W MADISON STREET, CHICAGO, IL, 606444127

Plan administrator’s name and address
Administrator’s EIN 362902782
Plan administrator’s name CIRCLE FAMILY HEALTHCARE NETWORK INC
Plan administrator’s address 5002 W MADISON STREET, CHICAGO, IL, 606444127
Administrator’s telephone number 7733791376

Signature of
Role Plan administrator
Date 2010-12-13
Name of individual signing PHIL FOUST
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TANYA L FORD, 5002 W MADISON ST, CHICAGO, 60644, COOK-NOT IN CITY OF CHICAGO Agent 2017-10-12

President

Name and Address Role Account Number
REUBEN PETTIFORD President 86735

Secretary

Name and Address Role Account Number
SUZETTE PORTER Secretary 86735

Other

Name and Address Role Account Number
CAMILLE LILLY Other 86735

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 1138680 Issued 1010 Limited Business License No data 2017-11-08 2017-11-16 2019-11-15
BUSINESS LICENSE 23624 Issued 1010 Limited Business License No data 2014-01-31 2013-11-16 2015-11-15
BUSINESS LICENSE 2102818 Issued 1329 Special Event Food 814 - Special Event Food 2011-06-23 2011-06-23 2011-06-25
BUSINESS LICENSE 1974048 Issued 1329 Special Event Food 814 - Special Event Food 2009-06-24 2009-06-24 2009-06-27
BUSINESS LICENSE 1848089 Issued 1010 Limited Business License No data 2007-12-13 2007-12-13 2009-11-15

Historical Names

Name Change Date
CIRCLE FAMILY CARE INC. 2007-08-22
CENTRAL AUSTIN COUNSELING CENTER, INC. 1985-01-09

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C12CS21779 Department of Health and Human Services 93.501 - AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTER CAPITAL EXPENDITURES 2011-07-01 2013-06-30 AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM
Recipient CIRCLE FAMILY CARE, INC
Recipient Name Raw CIRCLE FAMILY HEALTHCARE NETWORK, INC.
Recipient UEI KHN4SHCMJ9K7
Recipient DUNS 109365106
Recipient Address 118 N. CENTRAL AVE., CHICAGO, COOK, ILLINOIS, 60644, UNITED STATES
Obligated Amount 459000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C81CS13990 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 CIRCLE FAMILY CARE, INC
Recipient Name Raw CIRCLE FAMILY CARE
Recipient UEI KHN4SHCMJ9K7
Recipient DUNS 109365106
Recipient Address 118 N. CENTRAL AVE., CHICAGO, COOK, ILLINOIS, 60644, UNITED STATES
Obligated Amount 598985.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS12297 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 CIRCLE FAMILY CARE, INC
Recipient Name Raw CIRCLE FAMILY CARE
Recipient UEI KHN4SHCMJ9K7
Recipient DUNS 109365106
Recipient Address 118 N. CENTRAL AVE., CHICAGO, COOK, ILLINOIS, 60644, UNITED STATES
Obligated Amount 236389.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00400 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) 2002-02-01 2011-01-31 HEALTH CENTER CLUSTER
Recipient CIRCLE FAMILY CARE, INC
Recipient Name Raw CIRCLE FAMILY CARE
Recipient UEI KHN4SHCMJ9K7
Recipient DUNS 109365106
Recipient Address 118 N. CENTRAL AVE., CHICAGO, COOK, ILLINOIS, 60644
Obligated Amount 12539131.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Related by officers

No related officers

Related by address

4909 W DIVISION ST 1ST, CHICAGO, IL, 60651

WESTSIDE HOLISTIC FAMILY SERVICES, INC.

Date of last update: 13 Mar 2025

Sources: Illinois Office of the Secretary of State

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