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  5. ILLINOIS PRIMARY HEALTH CARE ASSOCIATION

ILLINOIS PRIMARY HEALTH CARE ASSOCIATION

Company Details

Entity Name: ILLINOIS PRIMARY HEALTH CARE ASSOCIATION
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 06 Nov 1981
Company Number: CORP_52557801
File Number: 52557801
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
G26DG899SVV5 2024-12-07 1999 WABASH AVE STE 200, SPRINGFIELD, IL, 62704, 5374, USA 1999 WABASH AVE, STE 200, SPRINGFIELD, IL, 62704, 5374, USA

Business Information
URL http://www.iphca.org
Congressional District 13
State/Country of Incorporation IL, USA
Activation Date 2023-12-12
Initial Registration Date 2003-11-24
Entity Start Date 1981-11-06
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CHERI HOOTS
Role COO
Address 1999 WABASH AVE, SUITE 200, SPRINGFIELD, IL, 62704, 5374, USA
Government Business
Title PRIMARY POC
Name CYRUS WINNETT
Role SR VP/GOVERNMENTAL AFFAIRS
Address 1999 WABASH AVE, SUITE 200, SPRINGFIELD, IL, 62704, 5374, USA
Title ALTERNATE POC
Name OLUMIDE A IDOWU
Role PRESIDENT/CEO
Address 1999 WABASH AVE, SUITE 200, SPRINGFIELD, IL, 62704, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN 2023 363369241 2024-10-01 ILLINOIS PRIMARY HEALTH CARE ASSOCIATION 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 813000
Sponsor’s telephone number 2175417327
Plan sponsor’s address 1999 WABASH AVE, STE 200, SPRINGFIELD, IL, 62704

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing CHERI HOOTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-01
Name of individual signing CHERI HOOTS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN 2022 363369241 2023-10-16 ILLINOIS PRIMARY HEALTH CARE ASSOCIATION 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 813000
Sponsor’s telephone number 2175417327
Plan sponsor’s address 1999 WABASH AVE, STE 200, SPRINGFIELD, IL, 62704

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing CHERI HOOTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing CHERI HOOTS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN 2021 363369241 2022-09-27 ILLINOIS PRIMARY HEALTH CARE ASSOCIATION 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 813000
Sponsor’s telephone number 2175417405
Plan sponsor’s address 500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing CHERI HOOTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-27
Name of individual signing CHERI HOOTS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN 2020 363369241 2021-10-13 ILLINOIS PRIMARY HEALTH CARE ASSOCIATION 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 813000
Sponsor’s telephone number 2175417405
Plan sponsor’s address 500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing CHERI HOOTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing CHERI HOOTS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN 2019 363369241 2020-10-13 ILLINOIS PRIMARY HEALTH CARE ASSOCIATION 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 813000
Sponsor’s telephone number 2175417405
Plan sponsor’s address 500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing JORDAN POWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing JORDAN POWELL
Valid signature Filed with authorized/valid electronic signature
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN 2018 363369241 2019-09-17 ILLINOIS PRIMARY HEALTH CARE ASSOCIATION 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 813000
Sponsor’s telephone number 2175417405
Plan sponsor’s address 500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701

Signature of
Role Plan administrator
Date 2019-09-17
Name of individual signing JORDAN POWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-17
Name of individual signing JORDAN POWELL
Valid signature Filed with authorized/valid electronic signature
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN 2017 363369241 2018-10-06 ILLINOIS PRIMARY HEALTH CARE ASSOCIATION 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 813000
Sponsor’s telephone number 2175417405
Plan sponsor’s address 500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701

Signature of
Role Plan administrator
Date 2018-10-06
Name of individual signing ADAM BRUNS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-06
Name of individual signing ADAM BRUNS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN 2016 363369241 2017-04-11 ILLINOIS PRIMARY HEALTH CARE ASSOCIATION 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 813000
Sponsor’s telephone number 2175417405
Plan sponsor’s address 500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701

Signature of
Role Plan administrator
Date 2017-04-11
Name of individual signing ADAM BRUNS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-11
Name of individual signing ADAM BRUNS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN 2015 363369241 2017-04-11 ILLINOIS PRIMARY HEALTH CARE ASSOCIATION 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 813000
Sponsor’s telephone number 2175417405
Plan sponsor’s address 500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701

Signature of
Role Plan administrator
Date 2017-04-11
Name of individual signing ADAM BRUNS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-11
Name of individual signing ADAM BRUNS
Valid signature Filed with authorized/valid electronic signature
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN 2014 363369241 2016-01-29 ILLINOIS PRIMARY HEALTH CARE ASSOCIATION 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 813000
Sponsor’s telephone number 2175417405
Plan sponsor’s address 500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701

Signature of
Role Plan administrator
Date 2016-01-29
Name of individual signing ADAM BRUNS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-01-29
Name of individual signing ADAM BRUNS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
OLLIE IDOWU, 1999 WABASH AVE STE 200, SPRINGFIELD, 62704, SANGAMON Agent 2023-10-06

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
SOCIAL WORKER 159001170 No data No data REGISTERED SOCIAL WORKER CE SPONSOR No data 2011-09-15 2016-03-16 2017-11-30

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
UNITED COMMUNITY HEALTH CENTERS OF ILLINOIS NFP Assume Name 1987-07-31 1991-04-01 No data No data

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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