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SURVIVORS OF SUICIDE

SURVIVORS OF SUICIDE

Company Details

Entity Name:	SURVIVORS OF SUICIDE
Jurisdiction:	Illinois
Entity Type:	Corporation - Not-for-Profit
Status:	Goodstanding
Date Formed:	05 Nov 1985
Company Number:	CORP_54032536
File Number:	54032536
Type of Business:	Not for Profit
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

CHINATOWN FAMILY DENTAL, LLC 401(K) PLAN

2012

260656885

2013-07-23

CHINATOWN FAMILY DENTAL, LLC

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621210
Sponsor’s telephone number	3128420888
Plan sponsor’s address	238 WEST CERMARK ROAD, SUITE 2A, CHICAGO, IL, 60616

Plan administrator’s name and address

Administrator’s EIN	260656885
Plan administrator’s name	CHINATOWN FAMILY DENTAL, LLC
Plan administrator’s address	238 WEST CERMARK ROAD, SUITE 2A, CHICAGO, IL, 60616
Administrator’s telephone number	3128420888

Signature of

Role	Plan administrator
Date	2013-07-23
Name of individual signing	SEVILA YEE-SCHIML
Valid signature	Filed with authorized/valid electronic signature

CHINATOWN FAMILY DENTAL, LLC 401(K) PLAN

2011

260656885

2012-06-19

CHINATOWN FAMILY DENTAL, LLC

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621210
Sponsor’s telephone number	3128420888
Plan sponsor’s address	238 WEST CERMARK ROAD, SUITE 2A, CHICAGO, IL, 60616

Plan administrator’s name and address

Administrator’s EIN	260656885
Plan administrator’s name	CHINATOWN FAMILY DENTAL, LLC
Plan administrator’s address	238 WEST CERMARK ROAD, SUITE 2A, CHICAGO, IL, 60616
Administrator’s telephone number	3128420888

Signature of

Role	Plan administrator
Date	2012-06-19
Name of individual signing	SEVILA YEE-SCHIML
Valid signature	Filed with authorized/valid electronic signature

CHINATOWN FAMILY DENTAL, LLC 401(K) PLAN

2010

260656885

2011-05-31

CHINATOWN FAMILY DENTAL, LLC

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621210
Sponsor’s telephone number	3128420888
Plan sponsor’s address	238 WEST CERMARK ROAD, SUITE 2A, CHICAGO, IL, 60616

Plan administrator’s name and address

Administrator’s EIN	260656885
Plan administrator’s name	CHINATOWN FAMILY DENTAL, LLC
Plan administrator’s address	238 WEST CERMARK ROAD, SUITE 2A, CHICAGO, IL, 60616
Administrator’s telephone number	3128420888

Signature of

Role	Plan administrator
Date	2011-05-31
Name of individual signing	SEVILA YEE-SCHIML
Valid signature	Filed with authorized/valid electronic signature

CHINATOWN FAMILY DENTAL, LLC 401(K) PLAN

2009

260656885

2010-07-14

CHINATOWN FAMILY DENTAL, LLC

0

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621210
Sponsor’s telephone number	3128420888
Plan sponsor’s address	238 WEST CERMARK ROAD, SUITE 2A, CHICAGO, IL, 60616

Plan administrator’s name and address

Administrator’s EIN	260656885
Plan administrator’s name	CHINATOWN FAMILY DENTAL, LLC
Plan administrator’s address	238 WEST CERMARK ROAD, SUITE 2A, CHICAGO, IL, 60616
Administrator’s telephone number	3128420888

Signature of

Role	Plan administrator
Date	2010-07-14
Name of individual signing	SEVILA YEE-SCHIML
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
STEPHANIE WEBER, 528 S BATAVIA AVE, BATAVIA, 60510, KANE	Agent	2002-06-17

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State