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  5. SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING

SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING

Company Details

Entity Name: SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 28 May 1985
Company Number: CORP_53860753
File Number: 53860753
Type of Business: Civil or patriotic
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
HESKM4B7QJA8 2025-02-14 2135 W RAMADA LN, CARBONDALE, IL, 62901, 5326, USA 2135 W. RAMADA LN, CARBONDALE, IL, 62901, 5326, USA

Business Information
Division Name SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING
Congressional District 12
State/Country of Incorporation IL, USA
Activation Date 2024-03-04
Initial Registration Date 2009-02-02
Entity Start Date 1985-10-01
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 624110, 624120, 624190, 624229, 624230, 812199, 813311, 813319

Points of Contacts
Electronic Business
Title PRIMARY POC
Name STEVEN JOHNSON
Address 2135 W. RAMADA LANE, CARBONDALE, IL, 62901, 5326, USA
Government Business
Title PRIMARY POC
Name STEVEN JOHNSON
Address 2135 W. RAMADA LANE, CARBONDALE, IL, 62901, 5326, USA
Past Performance
Title PRIMARY POC
Name BONNIE VAUGHN
Role CONSULTANT
Address 36 E NEW THOMPSON LAKE ROAD, CARBONDALE, IL, 62901, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN 2019 371182537 2021-07-15 SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 624100
Sponsor’s telephone number 6184573318
Plan sponsor’s address 2135 W RAMADA LANE, CARBONDALE, IL, 629015326
SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN 2018 371182537 2020-07-14 SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 624100
Sponsor’s telephone number 6184573318
Plan sponsor’s address 2135 W RAMADA LANE, CARBONDALE, IL, 629015326
SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN 2017 371182537 2019-07-12 SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 624100
Sponsor’s telephone number 6184573318
Plan sponsor’s address 2135 W RAMADA LANE, CARBONDALE, IL, 62901
SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN 2016 371182537 2018-07-05 SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 624100
Sponsor’s telephone number 6184573318
Plan sponsor’s address 2135 W RAMADA LANE, CARBONDALE, IL, 629015326
SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN 2015 371182537 2017-07-05 SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 624100
Sponsor’s telephone number 6184573318
Plan sponsor’s address 2135 W RAMADA LANE, CARBONDALE, IL, 62901
SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN 2014 371182537 2016-07-13 SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 624100
Sponsor’s telephone number 6184573318
Plan sponsor’s address 2135 W RAMADA LANE, CARBONDALE, IL, 62901
SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN 2013 371182537 2015-05-01 SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING 30
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 624100
Sponsor’s telephone number 6184573318
Plan sponsor’s address 2135 W RAMADA LANE, CARBONDALE, IL, 62901
SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN 2013 371182537 2015-05-04 SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 624100
Sponsor’s telephone number 6184573318
Plan sponsor’s address 2135 W RAMADA LANE, CARBONDALE, IL, 62901
SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN 2012 371182537 2014-04-30 SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 624100
Sponsor’s telephone number 6184573318
Plan sponsor’s address 2135 W RAMADA LANE, CARBONDALE, IL, 62901

Signature of
Role Plan administrator
Date 2014-04-23
Name of individual signing BONNIE T VAUGHN
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN 2011 371182537 2013-04-24 SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 624100
Sponsor’s telephone number 6184573318
Plan sponsor’s address 2135 W RAMADA LANE, CARBONDALE, IL, 62901

Plan administrator’s name and address
Administrator’s EIN 371182537
Plan administrator’s name SOUTHERN ILLINOIS CENTER FOR INDEPE
Plan administrator’s address 2135 W RAMADA LANE, CARBONDALE, IL, 62901
Administrator’s telephone number 6184573318

Signature of
Role Plan administrator
Date 2013-04-23
Name of individual signing BONNIE T VAUGHN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GRAYDON BURCHFIELD, 2135 W RAMADA LN, CARBONDALE, 62901, JACKSON Agent 2018-03-08

Related by officers

No related officers

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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