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  5. NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC.

NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC.

Company Details

Entity Name: NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 03 Dec 1985
Company Number: CORP_54060386
File Number: 54060386
Type of Business: Educational, research or scientific
Address 111 E WACKER DR 2900, CHICAGO, IL, 60601
Place of Formation: PENNSYLVANIA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC. 403(B) DC PLAN 2021 363481016 2023-02-14 NATIONAL COUNCIL OF STATE BOARDS OF NURSING 250
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-01
Business code 813000
Sponsor’s telephone number 3125253600
Plan sponsor’s mailing address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277
Plan sponsor’s address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277

Number of participants as of the end of the plan year
Active participants 118
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 140
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 255
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2023-02-14
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC. 403(B) DC PLAN 2020 363481016 2022-02-04 NATIONAL COUNCIL OF STATE BOARDS OF NURSING 252
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-01
Business code 813000
Sponsor’s telephone number 3125253600
Plan sponsor’s mailing address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277
Plan sponsor’s address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277

Number of participants as of the end of the plan year
Active participants 128
Other retired or separated participants entitled to future benefits 126
Number of participants with account balances as of the end of the plan year 254

Signature of
Role Plan administrator
Date 2022-02-04
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC 403(B) DC PLAN 2019 363481016 2021-01-08 NATIONAL COUNCIL OF STATE BOARDS OF NURSING 221
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-01
Business code 813000
Sponsor’s telephone number 3125253600
Plan sponsor’s mailing address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277
Plan sponsor’s address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277

Number of participants as of the end of the plan year
Active participants 131
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 120
Number of participants with account balances as of the end of the plan year 251

Signature of
Role Plan administrator
Date 2021-01-08
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC 403(B) DC PLAN 2018 363481016 2020-01-22 NATIONAL COUNCIL OF STATE BOARDS OF NURSING 217
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-01
Business code 813000
Sponsor’s telephone number 3125253600
Plan sponsor’s mailing address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277
Plan sponsor’s address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277

Number of participants as of the end of the plan year
Active participants 102
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 119
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 221
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2020-01-22
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC 403(B) DC PLAN 2017 363481016 2019-01-28 NATIONAL COUNCIL OF STATE BOARDS OF NURSING 206
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-01
Business code 813000
Sponsor’s telephone number 3125253600
Plan sponsor’s mailing address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277
Plan sponsor’s address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277

Number of participants as of the end of the plan year
Active participants 105
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 112
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 214
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-01-28
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC 403(B) DC PLAN 2016 363481016 2018-01-26 NATIONAL COUNCIL OF STATE BOARDS OF NURSING 199
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-01
Business code 813000
Sponsor’s telephone number 3125253600
Plan sponsor’s mailing address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277
Plan sponsor’s address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277

Number of participants as of the end of the plan year
Active participants 100
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 106
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 206
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-01-26
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-26
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC 403(B) DC PLAN 2015 363481016 2016-12-16 NATIONAL COUNCIL OF STATE BOARDS OF NURSING 193
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-01
Business code 813000
Sponsor’s telephone number 3125253600
Plan sponsor’s mailing address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277
Plan sponsor’s address 111 E WACKER DR STE 2900, CHICAGO, IL, 606014277

Number of participants as of the end of the plan year
Active participants 95
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 104
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 199
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-12-15
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC 403(B) DC PLAN 2014 363481016 2016-01-29 NATIONAL COUNCIL OF STATE BOARDS OF NURSING 191
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-01
Business code 813000
Sponsor’s telephone number 3125253600
Plan sponsor’s mailing address 111 E WACKER DRIVE, SUITE 2900, CHICAGO, IL, 60601
Plan sponsor’s address 111 E WACKER DRIVE, SUITE 2900, CHICAGO, IL, 60601

Number of participants as of the end of the plan year
Active participants 95
Other retired or separated participants entitled to future benefits 98
Number of participants with account balances as of the end of the plan year 193

Signature of
Role Plan administrator
Date 2016-01-29
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC 403(B) DC PLAN 2013 363481016 2015-01-28 NATIONAL COUNCIL OF STATE BOARDS OF NURSING 185
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-01
Business code 813000
Sponsor’s telephone number 3125253653
Plan sponsor’s mailing address 111 E. WACKER DRIVE, SUITE 2900, CHICAGO, IL, 60601
Plan sponsor’s address 111 E. WACKER DRIVE, SUITE 2900, CHICAGO, IL, 60601

Number of participants as of the end of the plan year
Active participants 94
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 96
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 191
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-01-28
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-28
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
NATIONAL COUNCIL OF STATE BOARDS OF NURSING INC 403(B) DC PLAN 2012 363481016 2014-01-16 NATIONAL COUNCIL OF STATE BOARDS OF NURSING INC 173
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-01
Business code 813000
Sponsor’s telephone number 3125253653
Plan sponsor’s mailing address 111 E WACKER DRIVE, SUITE 2900, CHICAGO, IL, 60601
Plan sponsor’s address 111 E WACKER DRIVE, SUITE 2900, CHICAGO, IL, 60601

Number of participants as of the end of the plan year
Active participants 96
Other retired or separated participants entitled to future benefits 91
Number of participants with account balances as of the end of the plan year 185
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-01-16
Name of individual signing ROBERT CLAYBORNE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS M. WILDE, 222 N LASALLE ST #2600, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2019-05-20

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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