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  5. INDEPENDENCE HEALTH & THERAPY

INDEPENDENCE HEALTH & THERAPY

Company Details

Entity Name: INDEPENDENCE HEALTH & THERAPY
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 02 Dec 1981
Company Number: CORP_52580919
File Number: 52580919
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
S9SDBM8LJ9N5 2024-12-14 2028 N SEMINARY AVE, WOODSTOCK, IL, 60098, 2626, USA 2028 N SEMINARY AVENUE, WOODSTOCK, IL, 60098, 2626, USA

Business Information
URL http://www.Independencehealth.org
Congressional District 11
State/Country of Incorporation IL, USA
Activation Date 2023-12-18
Initial Registration Date 2009-12-28
Entity Start Date 1981-12-02
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 485991, 621330, 621420, 624110, 624120

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MARY FISHER
Role FINANCE DIRECTOR
Address 2028 N. SEMINARY AVE., WOODSTOCK, IL, 60098, 2626, USA
Government Business
Title PRIMARY POC
Name JOHN P. BUCKLEY
Role EXECUTIVE DIRECTOR
Address 2028 N. SEMINARY AVE., WOODSTOCK, IL, 60098, 2626, USA
Title ALTERNATE POC
Name MARY FISHER
Role FINANCE DIRECTOR
Address 2028 N. SEMINARY AVENUE, WOODSTOCK, IL, 60098, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY ALLIANCE, INC. 401(K) PROFIT SHARING PLAN 2019 363152022 2020-02-19 FAMILY ALLIANCE, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621399
Sponsor’s telephone number 8153383590
Plan sponsor’s address 2028 N. SEMINARY AVE, WOODSTOCK, IL, 60098
FAMILY ALLIANCE, INC. 401(K) PROFIT SHARING PLAN 2018 363152022 2020-02-19 FAMILY ALLIANCE, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621399
Sponsor’s telephone number 8153383590
Plan sponsor’s address 2028 N. SEMINARY AVE, WOODSTOCK, IL, 60098
FAMILY ALLIANCE, INC. 401(K) PROFIT SHARING PLAN 2017 363152022 2019-02-26 FAMILY ALLIANCE, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621399
Sponsor’s telephone number 8153383590
Plan sponsor’s address 2028 N. SEMINARY AVE, WOODSTOCK, IL, 60098
FAMILY ALLIANCE, INC. 401(K) PROFIT SHARING PLAN 2016 363152022 2018-01-10 FAMILY ALLIANCE, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621399
Sponsor’s telephone number 8153383590
Plan sponsor’s address 2028 N. SEMINARY ST., WOODSTOCK, IL, 60098
FAMILY ALLIANCE, INC. 401(K) PROFIT SHARING PLAN 2015 363152022 2017-01-23 FAMILY ALLIANCE, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621399
Sponsor’s telephone number 8153383590
Plan sponsor’s address 2028 N. SEMINARY AVE., WOODSTOCK, IL, 60098
FAMILY ALLIANCE, INC. 401(K) PROFIT SHARING PLAN 2014 363152022 2015-11-23 FAMILY ALLIANCE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621399
Sponsor’s telephone number 8153383590
Plan sponsor’s address 2028 N. SEMINARY ST., WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2015-11-23
Name of individual signing KIMBERLEY LARSON
Valid signature Filed with authorized/valid electronic signature
FAMILY ALLIANCE, INC. 401(K) PROFIT SHARING PLAN 2013 363152022 2015-01-08 FAMILY ALLIANCE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621399
Sponsor’s telephone number 8153383590
Plan sponsor’s address 2028 N. SEMINARY ST., WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2015-01-07
Name of individual signing KIMBERLEY LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-07
Name of individual signing KIMBERLEY LARSON
Valid signature Filed with authorized/valid electronic signature
FAMILY ALLIANCE, INC. 401(K) PROFIT SHARING PLAN 2012 363152022 2014-01-13 FAMILY ALLIANCE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621399
Sponsor’s telephone number 8153383590
Plan sponsor’s address 2028 N. SEMINARY ST., WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2014-01-13
Name of individual signing KIMBERLEY LARSON
Valid signature Filed with authorized/valid electronic signature
FAMILY ALLIANCE, INC. 401(K) PROFIT SHARING PLAN 2011 363152022 2013-01-08 FAMILY ALLIANCE, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621399
Sponsor’s telephone number 8153383590
Plan sponsor’s address 2028 N. SEMINARY ST., WOODSTOCK, IL, 60098

Plan administrator’s name and address
Administrator’s EIN 363152022
Plan administrator’s name FAMILY ALLIANCE, INC.
Plan administrator’s address 2028 N. SEMINARY ST., WOODSTOCK, IL, 60098
Administrator’s telephone number 8153383590

Signature of
Role Plan administrator
Date 2013-01-07
Name of individual signing CAROL LOUISE
Valid signature Filed with authorized/valid electronic signature
FAMILY ALLIANCE, INC. 401(K) & PROFIT SHARING PLAN 2010 363152022 2011-10-31 FAMILY ALLIANCE, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621399
Sponsor’s telephone number 8153383590
Plan sponsor’s address 2028 NORTH SEMINARY AVENUE, WOODSTOCK, IL, 60098

Plan administrator’s name and address
Administrator’s EIN 363152022
Plan administrator’s name FAMILY ALLIANCE, INC.
Plan administrator’s address 2028 NORTH SEMINARY AVENUE, WOODSTOCK, IL, 60098
Administrator’s telephone number 8153383590

Signature of
Role Plan administrator
Date 2011-10-31
Name of individual signing CAROL LOUISE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN BUCKLEY, 2028 N SEMINARY AVE, WOODSTOCK, 60098, MC HENRY Agent 2020-05-12

Historical Names

Name Change Date
FAMILY ALLIANCE, INC. 2018-08-01
KALEIDOSCOPE--SENIOR DAY CARE SERVICES, INC. 1982-08-27

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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