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  5. BREHM PREPARATORY SCHOOL, INC.

BREHM PREPARATORY SCHOOL, INC.

Company Details

Entity Name: BREHM PREPARATORY SCHOOL, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 19 Jan 1982
Company Number: CORP_52624711
File Number: 52624711
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BREHM PREPARATORY SCHOOL RETIREMENT PLAN 2017 371107721 2018-10-15 BREHM PREPARATORY SCHOOL 172
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 611000
Sponsor’s telephone number 6184570371
Plan sponsor’s mailing address 950 SOUTH BREHM LANE, CARBONDALE, IL, 62901
Plan sponsor’s address 950 SOUTH BREHM LANE, CARBONDALE, IL, 62901

Number of participants as of the end of the plan year
Active participants 112
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 68
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 173
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing CLATUS BIERMAN
Valid signature Filed with authorized/valid electronic signature
BREHM PREPARATORY SCHOOL RETIREMENT PLAN 2017 371107721 2018-10-15 BREHM PREPARATORY SCHOOL 172
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 611000
Sponsor’s telephone number 6184570371
Plan sponsor’s mailing address 950 SOUTH BREHM LANE, CARBONDALE, IL, 62901
Plan sponsor’s address 950 SOUTH BREHM LANE, CARBONDALE, IL, 62901

Number of participants as of the end of the plan year
Active participants 112
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 68
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 173
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing CLATUS BIERMAN
Valid signature Filed with authorized/valid electronic signature
BREHM PREPARATORY SCHOOL RETIREMENT PLAN 2014 371107721 2015-10-14 BREHM PREPARATORY SCHOOL 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 611000
Sponsor’s telephone number 6184570371
Plan sponsor’s address 950 SOUTH BREHM LANE, CARBONDALE, IL, 62901

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing WALTER TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing WALTER TOMCZAK
Valid signature Filed with authorized/valid electronic signature
BREHM PREPARATORY SCHOOL RETIREMENT PLAN 2013 371107721 2014-08-20 BREHM PREPARATORY SCHOOL 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 611000
Sponsor’s telephone number 6184570371
Plan sponsor’s address 1245 E. GRAND, CARBONDALE, IL, 62901

Signature of
Role Plan administrator
Date 2014-08-20
Name of individual signing WALTER TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-20
Name of individual signing WALTER TOMCZAK
Valid signature Filed with authorized/valid electronic signature
BREHM PREPARATORY SCHOOL RETIREMENT PLAN 2012 371107721 2013-09-30 BREHM PREPARATORY SCHOOL 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 611000
Sponsor’s telephone number 6184570371
Plan sponsor’s address 1245 E GRAND, CARBONDALE, IL, 62901

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing WALTER TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing WALTER TOMCZAK
Valid signature Filed with authorized/valid electronic signature
BREHM PREPARATORY SCHOOL RETIREMENT PLAN 2011 371107721 2012-09-13 BREHM PREPARATORY SCHOOL 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 611000
Sponsor’s telephone number 6184570371
Plan sponsor’s address 1245 E GRAND, CARBONDALE, IL, 62901

Plan administrator’s name and address
Administrator’s EIN 371107721
Plan administrator’s name BREHM PREPARATORY SCHOOL
Plan administrator’s address 1245 E GRAND, CARBONDALE, IL, 62901
Administrator’s telephone number 6184570371

Signature of
Role Plan administrator
Date 2012-09-13
Name of individual signing WALTER TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-13
Name of individual signing WALTER TOMCZAK
Valid signature Filed with authorized/valid electronic signature
BREHM PREPARATORY SCHOOL RETIREMENT PLAN 2010 371107721 2011-07-18 BREHM PREPARATORY SCHOOL 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 611000
Sponsor’s telephone number 6184570371
Plan sponsor’s DBA name WALTER TOMCZAK
Plan sponsor’s address 1245 EAST GRAND, CARBONDALE, IL, 62901

Plan administrator’s name and address
Administrator’s EIN 371107721
Plan administrator’s name BREHM PREPARATORY SCHOOL
Plan administrator’s address 1245 EAST GRAND, CARBONDALE, IL, 62901
Administrator’s telephone number 6184570371

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing WALT TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing WALT TOMCZAK
Valid signature Filed with authorized/valid electronic signature
BREHM PREPARATORY SCHOOL RETIREMENT PLAN 2009 371107721 2010-09-29 BREHM PREPARATORY SCHOOL 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 611000
Sponsor’s telephone number 6184570371
Plan sponsor’s DBA name WALT TOMCZAK
Plan sponsor’s address 1245 EAST GRAND, CARBONDALE, IL, 62901

Plan administrator’s name and address
Administrator’s EIN 371107721
Plan administrator’s name BREHM PREPARATORY SCHOOL
Plan administrator’s address 1245 EAST GRAND, CARBONDALE, IL, 62901
Administrator’s telephone number 6184570371

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing WALT TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing WALT TOMCZAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BENTLEY J. BENDER, 2001 WEST MAIN STREET, POB 1570, CARBONDALE, 62903, JACKSON Agent 2024-09-10

Historical Names

Name Change Date
BREHM COLLEGE PREPARATORY, INC. 1983-04-05

Related by officers

BENTLEY J. BENDER, 2001 WEST MAIN STREET, POB 1570, CARBONDALE, 62903, JACKSON

BOYD COMPANY FIVE STAR INDUSTRIES, INC. BREHM PREPARATORY SCHOOL FOUNDATION PERRY ADULT LIVING, INC. KEREN HART, LTD. UBREAKIFIX - SOUTHERN ILLINOIS, INC.

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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