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  5. HAVEN YOUTH AND FAMILY SERVICES

HAVEN YOUTH AND FAMILY SERVICES

Company Details

Entity Name: HAVEN YOUTH AND FAMILY SERVICES
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 10 Apr 1978
Company Number: CORP_51419308
File Number: 51419308
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DXC6LPBN2J15 2025-04-01 825 GREEN BAY RD STE 200, WILMETTE, IL, 60091, 2500, USA 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091, 2500, USA

Business Information
Congressional District 09
State/Country of Incorporation IL, USA
Activation Date 2024-04-03
Initial Registration Date 2010-06-08
Entity Start Date 1978-04-10
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621410, 624110, 624229

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CHARLES H SMITH
Role EXECUTIVE DIRECTOR
Address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091, 2500, USA
Title ALTERNATE POC
Name BONNIE RYAN SMITH
Address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091, 2500, USA
Government Business
Title PRIMARY POC
Name CHARLES SMITH
Role EXECUTIVE DIRECTOR
Address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091, 2500, USA
Title ALTERNATE POC
Name BONNIE RYAN SMITH
Address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091, 2500, USA
Past Performance
Title PRIMARY POC
Name CHARLES SMITH
Role EXECUTIVE DIRECTOR
Address 825 GREEN BAY RD, SUITE 200, WILMETTE, IL, 60091, USA
Title ALTERNATE POC
Name CHARLES H SMITH
Role EXECUTIVE DIRECTOR
Address 825 GREEN BAY RD, SUITE 200, WILMETTE, IL, 60091, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAVEN YOUTH AND FAMILY SERVICES 401(K) PLAN 2023 362971587 2024-10-15 HAVEN YOUTH AND FAMILY SERVICES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 624100
Sponsor’s telephone number 8472516630
Plan sponsor’s address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing CHARLES SMITH
Valid signature Filed with authorized/valid electronic signature
HAVEN YOUTH AND FAMILY SERVICES 401(K) PLAN 2022 362971587 2023-10-16 HAVEN YOUTH AND FAMILY SERVICES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 624100
Sponsor’s telephone number 8472516630
Plan sponsor’s address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing CHARLES SMITH
Valid signature Filed with authorized/valid electronic signature
HAVEN YOUTH AND FAMILY SERVICES 401(K) PLAN 2021 362971587 2022-10-17 HAVEN YOUTH AND FAMILY SERVICES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 624100
Sponsor’s telephone number 8472516630
Plan sponsor’s address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing CHARLES SMITH
Valid signature Filed with authorized/valid electronic signature
HAVEN YOUTH AND FAMILY SERVICES 401(K) PLAN 2020 362971587 2021-10-14 HAVEN YOUTH AND FAMILY SERVICES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 624100
Sponsor’s telephone number 8472516630
Plan sponsor’s address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing CHARLES SMITH
Valid signature Filed with authorized/valid electronic signature
HAVEN YOUTH AND FAMILY SERVICES 401(K) PLAN 2019 362971587 2020-10-13 HAVEN YOUTH AND FAMILY SERVICES 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 624100
Sponsor’s telephone number 8472516630
Plan sponsor’s address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing CHARLES SMITH
Valid signature Filed with authorized/valid electronic signature
HAVEN YOUTH AND FAMILY SERVICES 401(K) PLAN 2018 362971587 2019-10-08 HAVEN YOUTH AND FAMILY SERVICES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 624100
Sponsor’s telephone number 8472516630
Plan sponsor’s address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing CHARLES SMITH
Valid signature Filed with authorized/valid electronic signature
HAVEN YOUTH AND FAMILY SERVICES 401(K) PLAN 2017 362971587 2018-10-09 HAVEN YOUTH AND FAMILY SERVICES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 624100
Sponsor’s telephone number 8472516630
Plan sponsor’s address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing CHARLES SMITH
Valid signature Filed with authorized/valid electronic signature
HAVEN YOUTH AND FAMILY SERVICES 401(K) PLAN 2016 362971587 2017-10-13 HAVEN YOUTH AND FAMILY SERVICES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 624100
Sponsor’s telephone number 8472516630
Plan sponsor’s address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing CHARLES SMITH
Valid signature Filed with authorized/valid electronic signature
HAVEN YOUTH AND FAMILY SERVICES 401(K) PLAN 2015 362971587 2016-10-11 HAVEN YOUTH AND FAMILY SERVICES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 624100
Sponsor’s telephone number 8472516630
Plan sponsor’s address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing CHARLES SMITH
Valid signature Filed with authorized/valid electronic signature
HAVEN YOUTH AND FAMILY SERVICES 401(K) PLAN 2014 362971587 2015-10-07 HAVEN YOUTH AND FAMILY SERVICES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 624100
Sponsor’s telephone number 8472516630
Plan sponsor’s address 825 GREEN BAY ROAD, SUITE 200, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing CHARLES SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CHARLES H SMITH, 825 GREENBAY RD STE 200, WILMETTE, 60091, COOK-NOT IN CITY OF CHICAGO Agent 2014-03-05

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
SOCIAL WORKER 159000576 No data No data REGISTERED SOCIAL WORKER CE SPONSOR No data 1997-06-12 2004-03-04 2003-11-30

Historical Names

Name Change Date
EMERGENCY SHELTER AND SUPPORT SERVICES FOR YOUTH 1998-09-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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