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  5. SERENITY HOSPICE AND HOME

SERENITY HOSPICE AND HOME

Company Details

Entity Name: SERENITY HOSPICE AND HOME
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 14 Oct 1983
Company Number: CORP_53232914
File Number: 53232914
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
EF65F5HGBK27 2024-12-28 1658 S IL ROUTE 2, OREGON, IL, 61061, 9514, USA 1658 S ILLINOIS RTE 2, OREGON, IL, 61061, USA

Business Information
URL www.serenityhospiceandhome.org
Division Name SERENITY HOSPICE AND HOME
Congressional District 16
State/Country of Incorporation IL, USA
Activation Date 2024-01-02
Initial Registration Date 2006-01-23
Entity Start Date 1984-01-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621610, 623110
Product and Service Codes Q201, Q401

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LYNETTE KNODLE
Address 1658 S. IL ROUTE 2, PO BOX 462, OREGON, IL, 61061, 0462, USA
Title ALTERNATE POC
Name KATHY GROENHAGEN
Address 1658 S. IL ROUTE 2, OREGON, IL, 61061, 0462, USA
Government Business
Title PRIMARY POC
Name LYNETTE KNODLE
Address 1658 S. IL ROUTE 2, PO BOX 462, OREGON, IL, 61061, 0462, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SERENITY HOSPICE AND HOME 401(K) PLAN 2023 363286347 2024-07-23 SERENITY HOSPICE AND HOME 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8157322499
Plan sponsor’s address 1658 S IL ROUTE 2, OREGON, IL, 61061

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing LYNETTE KNODLE
Valid signature Filed with authorized/valid electronic signature
SERENITY HOSPICE AND HOME 401(K) PLAN 2022 363286347 2023-08-22 SERENITY HOSPICE AND HOME 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8157322499
Plan sponsor’s address 1658 S IL ROUTE 2, OREGON, IL, 61061

Signature of
Role Plan administrator
Date 2023-08-22
Name of individual signing LYNETTE KNODLE
Valid signature Filed with authorized/valid electronic signature
SERENITY HOSPICE AND HOME 401(K) PLAN 2021 363286347 2022-09-06 SERENITY HOSPICE AND HOME 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8157322499
Plan sponsor’s address 1658 S IL ROUTE 2, OREGON, IL, 61061

Signature of
Role Plan administrator
Date 2022-09-06
Name of individual signing LYNETTE KNODLE
Valid signature Filed with authorized/valid electronic signature
SERENITY HOSPICE AND HOME 401(K) PLAN 2020 363286347 2021-07-08 SERENITY HOSPICE AND HOME 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8157322499
Plan sponsor’s address 1658 S. ILLINOIS ROUTE 2, OREGON, IL, 61061

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing LYNETTE KNODLE
Valid signature Filed with authorized/valid electronic signature
SERENITY HOSPICE AND HOME 401(K) PLAN 2019 363286347 2020-07-08 SERENITY HOSPICE AND HOME 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8157322499
Plan sponsor’s address 1658 S. ILLINOIS ROUTE 2, OREGON, IL, 61061

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing LYNETTE KNODLE
Valid signature Filed with authorized/valid electronic signature
SERENITY HOSPICE AND HOME 401(K) PLAN 2018 363286347 2019-07-31 SERENITY HOSPICE AND HOME 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8157322499
Plan sponsor’s address 1658 S. ILLINOIS ROUTE 2, OREGON, IL, 61061
SERENITY HOSPICE AND HOME 401(K) PLAN 2017 363286347 2018-07-10 SERENITY HOSPICE AND HOME 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8157322499
Plan sponsor’s address 1658 S. ILLINOIS ROUTE 2, OREGON, IL, 61061
SERENITY HOSPICE AND HOME 401(K) PLAN 2016 363286347 2017-07-17 SERENITY HOSPICE AND HOME 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8157322499
Plan sponsor’s address 1658 S. ILLINOIS ROUTE 2, OREGON, IL, 61061

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing LYNNETTE KNODLE
Valid signature Filed with authorized/valid electronic signature
SERENITY HOSPICE AND HOME 2015 363286347 2016-06-15 SERENITY HOSPICE AND HOME 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8157322499
Plan sponsor’s address 1658 S IL ROUTE 2, PO BOX 462, OREGON, IL, 61061

Plan administrator’s name and address
Administrator’s EIN 363286347
Plan administrator’s name SERENITY HOSPICE AND HOME
Plan administrator’s address 1658 S IL ROUTE 2, PO BOX 462, OREGON, IL, 61061
Administrator’s telephone number 8157322499
SERENITY HOSPICE AND HOME 2014 363286347 2015-03-24 SERENITY HOSPICE AND HOME 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8157322499
Plan sponsor’s address 1658 S IL ROUTE 2, PO BOX 462, OREGON, IL, 61061

Plan administrator’s name and address
Administrator’s EIN 363286347
Plan administrator’s name SERENITY HOSPICE AND HOME
Plan administrator’s address 1658 S IL ROUTE 2, PO BOX 462, OREGON, IL, 61061
Administrator’s telephone number 8157322499

Signature of
Role Plan administrator
Date 2015-03-24
Name of individual signing LYNN KNODLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SUZANNE M RAVLIN, 1658 S IL ROUTE 2, OREGON, 61061, OGLE Agent 2025-01-20

Historical Names

Name Change Date
OGLE COUNTY HOSPICE ASSOCIATION 2011-09-01

Related by officers

SUZANNE M RAVLIN, 1658 S IL ROUTE 2, OREGON, 61061, OGLE

SERENITY HOSPICE AND HOME FOUNDATION

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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