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  5. DEBORAH'S PLACE

DEBORAH'S PLACE

Company Details

Entity Name: DEBORAH'S PLACE
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 01 Apr 1985
Company Number: CORP_53801102
File Number: 53801102
Type of Business: Not for Profit
Address 1456 W OAKDALE AVE, CHICAGO, IL, 60657
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DEBORAH'S PLACE 401(K) PLAN 2022 363382973 2024-04-11 DEBORAH'S PLACE 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 624200
Sponsor’s telephone number 7737725080
Plan sponsor’s address 2822 WEST JACKSON BLVD., CHICAGO, IL, 60612

Signature of
Role Plan administrator
Date 2024-04-11
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-11
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
DEBORAH'S PLACE 401(K) PLAN 2021 363382973 2023-02-08 DEBORAH'S PLACE 108
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 624200
Sponsor’s telephone number 7737725080
Plan sponsor’s address 2822 WEST JACKSON BLVD., CHICAGO, IL, 60612

Signature of
Role Plan administrator
Date 2023-02-08
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-08
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
DEBORAH'S PLACE 401(K) PLAN 2020 363382973 2022-04-11 DEBORAH'S PLACE 99
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 624200
Sponsor’s telephone number 7737725080
Plan sponsor’s address 2822 WEST JACKSON BLVD., CHICAGO, IL, 60612

Signature of
Role Plan administrator
Date 2022-04-11
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-11
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
DEBORAH'S PLACE 401(K) PLAN 2019 363382973 2020-11-17 DEBORAH'S PLACE 92
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 624200
Sponsor’s telephone number 7737725080
Plan sponsor’s address 2822 WEST JACKSON BLVD., CHICAGO, IL, 60612

Signature of
Role Plan administrator
Date 2020-11-17
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-11-17
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
DEBORAH'S PLACE 401(K) PLAN 2018 363382973 2020-03-30 DEBORAH'S PLACE 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 624200
Sponsor’s telephone number 7737725080
Plan sponsor’s address 2822 WEST JACKSON BLVD., CHICAGO, IL, 60612

Signature of
Role Plan administrator
Date 2020-03-30
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-30
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
DEBORAH'S PLACE 401(K) PLAN 2017 363382973 2019-01-07 DEBORAH'S PLACE 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 624200
Sponsor’s telephone number 7737725080
Plan sponsor’s address 2822 WEST JACKSON BLVD., CHICAGO, IL, 60612

Signature of
Role Plan administrator
Date 2019-01-07
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-07
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
DEBORAH'S PLACE 401(K) PLAN 2016 363382973 2018-02-13 DEBORAH'S PLACE 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 624200
Sponsor’s telephone number 7737725080
Plan sponsor’s address 2822 WEST JACKSON BLVD., CHICAGO, IL, 60612

Signature of
Role Plan administrator
Date 2018-02-13
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-13
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
DEBORAH'S PLACE 401(K) PLAN 2015 363382973 2017-02-02 DEBORAH'S PLACE 103
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 624200
Sponsor’s telephone number 7737725080
Plan sponsor’s address 2822 WEST JACKSON BLVD., CHICAGO, IL, 60612

Signature of
Role Plan administrator
Date 2017-02-02
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-02
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
DEBORAH'S PLACE 401(K) PLAN 2014 363382973 2016-04-07 DEBORAH'S PLACE 97
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 624200
Sponsor’s telephone number 7737725080
Plan sponsor’s address 2822 WEST JACKSON BLVD., CHICAGO, IL, 60612

Signature of
Role Plan administrator
Date 2016-04-07
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-07
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
DEBORAH'S PLACE 401(K) PLAN 2013 363382973 2015-01-23 DEBORAH'S PLACE 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 624200
Sponsor’s telephone number 7737725080
Plan sponsor’s address 2822 WEST JACKSON BLVD., CHICAGO, IL, 60612

Signature of
Role Plan administrator
Date 2015-01-23
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-23
Name of individual signing NICOLE CROWDER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KATHARINE CLAIRE BOOTON-WILSON, 2822 W. JACKSON BLVD., CHICAGO, 60612, COOK-NOT IN CITY OF CHICAGO Agent 2023-03-15

Secretary

Name and Address Role Account Number
Rosie Drumgoole Secretary 209650

President

Name and Address Role Account Number
Jeremy Bressman President 209650

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 1193740 Issued 1006 Retail Food Establishment 775 - Retail Sales of Perishable Foods 2024-09-06 2024-09-16 2026-09-15
BUSINESS LICENSE 1193739 Issued 1006 Retail Food Establishment 775 - Retail Sales of Perishable Foods 2024-09-06 2024-09-16 2026-09-15
BUSINESS LICENSE 2906073 Issued 1625 Raffles 720 - Not-For-Profit Selling Raffles for Prizes of $50 or More 2024-09-06 2024-09-16 2025-09-15
BUSINESS LICENSE 2205744 Issued 4404 Regulated Business License 809 - Operation of Single Room Occupancy Building 2023-01-09 2020-09-16 2022-09-15
BUSINESS LICENSE 2205745 Issued 4404 Regulated Business License 809 - Operation of Single Room Occupancy Building 2023-01-09 2020-09-16 2022-09-15
BUSINESS LICENSE 1332720 Issued 1625 Raffles 720 - Not-For-Profit Selling Raffles for Prizes of $50 or More 2020-10-02 2020-11-16 2021-11-15
BUSINESS LICENSE 1193760 Issued 1006 Retail Food Establishment 775 - Retail Sales of Perishable Foods 2016-08-08 2016-09-16 2018-09-15
SOCIAL WORKER 159001327 No data No data REGISTERED SOCIAL WORKER CE SPONSOR No data 2015-10-28 2015-10-28 2017-11-30
BUSINESS LICENSE 1167196 Cancelled 1371 Single Room Occupancy Class I No data 2012-09-14 2012-09-16 2014-09-15
BUSINESS LICENSE 1167206 Cancelled 1371 Single Room Occupancy Class I No data 2012-08-27 2012-09-16 2014-09-15

Inspection

Inspection ID Inspection Type Inspection Date License Facility Type Address Risk Results
2369951 Canvass 2020-04-30 1193739 Shelter 2822 W JACKSON BLVD, CHICAGO, IL, 60612 Risk 2 (Medium) Pass w/ Conditions
2290287 Canvass 2019-05-20 1193760 Restaurant 1456 W OAKDALE AVE, CHICAGO, IL, 60657 Risk 1 (High) Out of Business
2279997 Canvass 2019-03-25 1193760 Restaurant 1456 W OAKDALE AVE, CHICAGO, IL, 60657 Risk 1 (High) No Entry
2078959 Canvass 2017-08-24 1193760 Restaurant 1456 W OAKDALE AVE, CHICAGO, IL, 60657 Risk 1 (High) Pass
1967152 Canvass 2016-10-25 1193739 Shelter 2822 W JACKSON BLVD, CHICAGO, IL, 60612 Risk 2 (Medium) Pass
1948729 Canvass Re-Inspection 2016-08-04 1193760 Restaurant 1456 W OAKDALE AVE, CHICAGO, IL, 60657 Risk 1 (High) Pass
1752248 Canvass 2016-06-29 1193760 Restaurant 1456 W OAKDALE AVE, CHICAGO, IL, 60657 Risk 1 (High) Pass w/ Conditions
1591579 Complaint 2015-12-11 1193760 Restaurant 1456 W OAKDALE AVE, CHICAGO, IL, 60657 Risk 1 (High) Pass
1583465 Canvass 2015-10-26 1193739 Shelter 2822 W JACKSON BLVD, CHICAGO, IL, 60612 Risk 2 (Medium) Pass
1566879 Canvass 2015-08-28 1193760 Restaurant 1456 W OAKDALE AVE, CHICAGO, IL, 60657 Risk 1 (High) Pass

Related by officers

Rosie Drumgoole

CHICAGO CARES, 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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