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  5. LIFESCAPE COMMUNITY SERVICES, INC.

LIFESCAPE COMMUNITY SERVICES, INC.

Company Details

Entity Name: LIFESCAPE COMMUNITY SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 02 Mar 1984
Company Number: CORP_53378218
File Number: 53378218
Type of Business: Charitable or benevolent
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GKFRVKCT74D9 2024-11-29 705 KILBURN AVE, ROCKFORD, IL, 61101, 6550, USA 705 KILBURN AVE, ROCKFORD, IL, 61101, 6550, USA

Business Information
URL www.lifescapeservices.org
Congressional District 17
State/Country of Incorporation IL, USA
Activation Date 2023-12-04
Initial Registration Date 2006-03-27
Entity Start Date 1984-03-02
Fiscal Year End Close Date Sep 30

Service Classifications
NAICS Codes 624120

Points of Contacts
Electronic Business
Title PRIMARY POC
Name AMANDA DAVIES
Role CFO
Address 705 KILBURN AVENUE, ROCKFORD, IL, 61101, 6537, USA
Title ALTERNATE POC
Name TOM MELLINGER
Address 705 KILBURN AVENUE, ROCKFORD, IL, 61101, 6537, USA
Government Business
Title PRIMARY POC
Name MIKE HUGHES
Role CEO
Address 705 KILBURN AVENUE, ROCKFORD, IL, 61101, 6537, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4CLS4 Active Non-Manufacturer 2006-03-27 2024-10-10 2029-10-10 2025-10-08

Contact Information
POC MIKE HUGHES
Phone +1 815-963-1609
Fax +1 815-963-1627
Address 705 KILBURN AVE, ROCKFORD, IL, 61101 6550, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF LIFESCAPE COMMUNITY SERVICES, INC. 2023 363303361 2024-10-07 LIFESCAPE COMMUNITY SERVICES, INC. 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 624200
Sponsor’s telephone number 8159631609
Plan sponsor’s address 705 KILBURN AVE, ROCKFORD, IL, 611016537

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing MIKE HUGHES
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF LIFESCAPE COMMUNITY SERVICES, INC. 2022 363303361 2023-10-03 LIFESCAPE COMMUNITY SERVICES, INC. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 624200
Sponsor’s telephone number 8159631609
Plan sponsor’s address 705 KILBURN AVE, ROCKFORD, IL, 611016537

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing MIKE HUGHES
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF LIFESCAPE COMMUNITY SERVICES, INC. 2021 363303361 2022-09-27 LIFESCAPE COMMUNITY SERVICES, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 624200
Sponsor’s telephone number 8159631609
Plan sponsor’s address 705 KILBURN AVE, ROCKFORD, IL, 611016537

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing MIKE HUGHES
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF LIFESCAPE COMMUNITY SERVICES, INC. 2020 363303361 2021-10-05 LIFESCAPE COMMUNITY SERVICES, INC. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 624200
Sponsor’s telephone number 8159631609
Plan sponsor’s address 705 KILBURN AVE, ROCKFORD, IL, 611016537

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing MIKE HUGHES
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF LIFESCAPE COMMUNITY SERVICES, INC. 2019 363303361 2020-08-07 LIFESCAPE COMMUNITY SERVICES, INC. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 624200
Sponsor’s telephone number 8159631609
Plan sponsor’s address 705 KILBURN AVE, ROCKFORD, IL, 611016537

Signature of
Role Plan administrator
Date 2020-08-07
Name of individual signing MIKE HUGHES
Valid signature Filed with authorized/valid electronic signature
LIFESCAPE COMMUNITY SERVICES, INC. 401(K) PLAN 2018 363303361 2019-07-23 LIFESCAPE COMMUNITY SERVICES, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 813000
Sponsor’s telephone number 8159631609
Plan sponsor’s address 705 KILBURN AVENUE, ROCKFORD, IL, 611016537
LIFESCAPE COMMUNITY SERVICES, INC. 401(K) PLAN 2017 363303361 2018-04-17 LIFESCAPE COMMUNITY SERVICES, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 813000
Sponsor’s telephone number 8159631609
Plan sponsor’s address 705 KILBURN AVENUE, ROCKFORD, IL, 61101
LIFESCAPE COMMUNITY SERVICES, INC. 401(K) PLAN 2016 363303361 2017-06-22 LIFESCAPE COMMUNITY SERVICES, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 813000
Sponsor’s telephone number 8159631609
Plan sponsor’s address 705 KILBURN AVENUE, ROCKFORD, IL, 61101
LIFESCAPE COMMUNITY SERVICES, INC. 401(K) PLAN 2015 363303361 2016-09-08 LIFESCAPE COMMUNITY SERVICES, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 813000
Sponsor’s telephone number 8159631609
Plan sponsor’s address 705 KILBURN AVENUE, ROCKFORD, IL, 61101
LIFESCAPE COMMUNITY SERVICES, INC. 401(K) PLAN 2014 363303361 2015-04-29 LIFESCAPE COMMUNITY SERVICES, INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 813000
Sponsor’s telephone number 8159631609
Plan sponsor’s address 705 KILBURN AVENUE, ROCKFORD, IL, 61101

Signature of
Role Plan administrator
Date 2015-04-29
Name of individual signing CAROL GREEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MIKE HUGHES, 705 KILBURN AVE, ROCKFORD, 61101, WINNEBAGO Agent 2016-06-22

Historical Names

Name Change Date
MEET AND EAT, INC. 1999-11-23
ALPINE KIWANIS MEET AND EAT, INC. 1998-05-18

Related by officers

MIKE HUGHES, 705 KILBURN AVE, ROCKFORD, 61101, WINNEBAGO

COMMUNITY KITCHEN, 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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