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  5. PERU VOLUNTEER AMBULANCE SERVICE, INC.

PERU VOLUNTEER AMBULANCE SERVICE, INC.

Company Details

Entity Name: PERU VOLUNTEER AMBULANCE SERVICE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 15 Aug 1988
Company Number: CORP_55190828
File Number: 55190828
Type of Business: Charitable or benevolent
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
LCMVPF533JZ9 2025-03-21 111 5TH ST, PERU, IL, 61354, 2005, USA 111 5TH ST, PERU, IL, 61354, 2005, USA

Business Information
Congressional District 14
State/Country of Incorporation IL, USA
Activation Date 2024-03-25
Initial Registration Date 2011-11-30
Entity Start Date 1980-01-01
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name BRENT C HANSON
Role POC
Address 111 5TH ST, PERU, IL, 61354, 2005, USA
Title ALTERNATE POC
Name SANDY BUBB
Address 111 5TH ST, PERU, IL, 61354, 2005, USA
Government Business
Title PRIMARY POC
Name BRENT C HANSON
Role POC
Address 111 5TH ST, PERU, IL, 61354, 2005, USA
Title ALTERNATE POC
Name SANDY BUBB
Address 111 5TH ST, PERU, IL, 61354, 2005, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PVAS 403(B) PLAN 2023 363645085 2024-03-27 PERU VOLUNTEER AMBULANCE SERVICE 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-02-01
Business code 813000
Sponsor’s telephone number 8152239111
Plan sponsor’s address 111 5TH ST, PERU, IL, 613542005

Signature of
Role Plan administrator
Date 2024-03-27
Name of individual signing BRENT HANSON
Valid signature Filed with authorized/valid electronic signature
PVAS 403(B) PLAN 2022 363645085 2023-01-30 PERU VOLUNTEER AMBULANCE SERVICE 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-02-01
Business code 813000
Sponsor’s telephone number 8152239111
Plan sponsor’s address 111 5TH ST, PERU, IL, 613542005

Signature of
Role Plan administrator
Date 2023-01-30
Name of individual signing BRENT HANSON
Valid signature Filed with authorized/valid electronic signature
PVAS 403(B) PLAN 2021 363645085 2022-03-03 PERU VOLUNTEER AMBULANCE SERVICE 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-02-01
Business code 813000
Sponsor’s telephone number 8152239111
Plan sponsor’s address 111 5TH ST, PERU, IL, 613542005

Signature of
Role Plan administrator
Date 2022-03-03
Name of individual signing BRENT HANSON
Valid signature Filed with authorized/valid electronic signature
PVAS 403(B) PLAN 2020 363645085 2022-01-31 PERU VOLUNTEER AMBULANCE SERVICE 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-02-01
Business code 813000
Sponsor’s telephone number 8152239111
Plan sponsor’s address 111 5TH ST, PERU, IL, 613542005

Signature of
Role Plan administrator
Date 2022-01-31
Name of individual signing BRENT HANSON
Valid signature Filed with authorized/valid electronic signature
PVAS 403(B) PLAN 2019 363645085 2020-07-14 PERU VOLUNTEER AMBULANCE SERVICE 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-02-01
Business code 813000
Sponsor’s telephone number 8152239111
Plan sponsor’s address 111 5TH ST, PERU, IL, 613542005

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing BRENT HANSON
Valid signature Filed with authorized/valid electronic signature
PVAS 403(B) PLAN 2018 363645085 2019-02-15 PERU VOLUNTEER AMBULANCE SERVICE 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-02-01
Business code 813000
Sponsor’s telephone number 8152239111
Plan sponsor’s address 111 5TH ST, PERU, IL, 613542005

Signature of
Role Plan administrator
Date 2019-02-15
Name of individual signing BRENT HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-15
Name of individual signing BRENT HANSON
Valid signature Filed with authorized/valid electronic signature
PERU VOLUNTEER AMBULANCE SERVICE, INC. EMPLOYEE RETIREMENT PLAN 2016 363645085 2017-08-14 PERU VOLUNTEER AMBULANCE SERVICE INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621900
Sponsor’s telephone number 8152239111
Plan sponsor’s address 111 FIFTH STREET, PERU, IL, 61354

Signature of
Role Plan administrator
Date 2017-08-14
Name of individual signing MARK ROBERSON
Valid signature Filed with authorized/valid electronic signature
PERU VOLUNTEER AMBULANCE SERVICE, INC. EMPLOYEE RETIREMENT PLAN 2016 363645085 2017-10-26 PERU VOLUNTEER AMBULANCE SERVICE INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621900
Sponsor’s telephone number 8152239111
Plan sponsor’s address 111 FIFTH STREET, PERU, IL, 61354

Signature of
Role Plan administrator
Date 2017-10-26
Name of individual signing BRENT HANSON
Valid signature Filed with authorized/valid electronic signature
PERU VOLUNTEER AMBULANCE SERVICE, INC. EMPLOYEE RETIREMENT PLAN 2015 363645085 2016-08-17 PERU VOLUNTEER AMBULANCE SERVICE INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621900
Sponsor’s telephone number 8152239111
Plan sponsor’s address 111 FIFTH STREET, PERU, IL, 61354

Signature of
Role Plan administrator
Date 2016-08-17
Name of individual signing MARK ROBERSON
Valid signature Filed with authorized/valid electronic signature
PERU VOLUNTEER AMBULANCE SERVICE, INC. EMPLOYEE RETIREMENT PLAN 2014 363645085 2015-06-30 PERU VOLUNTEER AMBULANCE SERVICE INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621900
Sponsor’s telephone number 8152239111
Plan sponsor’s address 111 FIFTH STREET, PERU, IL, 61354

Signature of
Role Plan administrator
Date 2015-06-30
Name of individual signing MARK ROBERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRENT HANSON, 111 5TH ST, PERU, 61354, LA SALLE Agent 2017-09-21

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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