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  5. SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC.

SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC.

Company Details

Entity Name: SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 16 Aug 1988
Company Number: CORP_55191719
File Number: 55191719
Type of Business: Social
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
KNXUX4J9U5R9 2024-08-17 130 S LOCUST ST, CENTRALIA, IL, 62801, 3507, USA P O BOX 588, CENTRALIA, IL, 62801, 4223, USA

Business Information
Congressional District 12
State/Country of Incorporation IL, USA
Activation Date 2023-08-22
Initial Registration Date 2010-06-14
Entity Start Date 1989-07-01
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SANDY GANSAUER
Role CHIEF FINANCIAL OFFICER
Address 130 S. LOCUST, CENTRALIA, IL, 62801, USA
Title ALTERNATE POC
Name SANDY GANSAUER
Address 140 S. LOCUST 2ND FLOOR, P. O. BOX 588, CENTRALIA, IL, 62801, 4223, USA
Government Business
Title PRIMARY POC
Name MARY KAYE K SPEIDEL
Role EXECU. DIRECTOR
Address 130 S. LOCUST ST., CENTRALIA, IL, 62801, 4223, USA
Title ALTERNATE POC
Name SANDY GANSAUER
Address 140 S. LOCUST 2ND FLOOR, CENTRALIA, IL, 62801, 4223, USA
Past Performance
Title ALTERNATE POC
Name SANDY GANSAUER
Role CHIEF FINANCIAL OFFICER
Address 325 S. POPLAR, P O BOX 588, CENTRALIA, IL, 62801, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 2022 371245690 2024-01-18 SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 624100
Sponsor’s telephone number 6185324300
Plan sponsor’s address 130 S LOCUST ST, CENTRALIA, IL, 628013507

Signature of
Role Plan administrator
Date 2024-01-18
Name of individual signing SANDY GANSAUER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 2021 371245690 2023-01-19 SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 62
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Sponsor’s telephone number 6185324300
Plan sponsor’s address 130 S LOCUST ST, CENTRALIA, IL, 628013507

Signature of
Role Plan administrator
Date 2023-01-19
Name of individual signing SANDY GANSAUER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 2021 371245690 2023-04-10 SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 624100
Sponsor’s telephone number 6185324300
Plan sponsor’s address 130 S LOCUST ST, CENTRALIA, IL, 628013507

Signature of
Role Plan administrator
Date 2023-04-10
Name of individual signing SANDY GANSAUER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 2020 371245690 2021-11-17 SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 624100
Sponsor’s telephone number 6185324300
Plan sponsor’s address 325 S POPLAR ST, CENTRALIA, IL, 628013921

Signature of
Role Plan administrator
Date 2021-11-17
Name of individual signing SANDY GANSAUER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 2019 371245690 2020-12-21 SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 624100
Sponsor’s telephone number 6185324300
Plan sponsor’s address 325 S POPLAR ST, CENTRALIA, IL, 628013921

Signature of
Role Plan administrator
Date 2020-12-21
Name of individual signing GARY HAKE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 2018 371245690 2020-01-28 SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 62
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 624100
Sponsor’s telephone number 6185324300
Plan sponsor’s address 325 S POPLAR ST, CENTRALIA, IL, 628013921

Signature of
Role Plan administrator
Date 2020-01-28
Name of individual signing GARY HAKE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 2018 371245690 2020-12-21 SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 624100
Sponsor’s telephone number 6185324300
Plan sponsor’s address 325 S POPLAR ST, CENTRALIA, IL, 628013921

Signature of
Role Plan administrator
Date 2020-12-21
Name of individual signing GARY HAKE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 2018 371245690 2020-01-28 SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 62
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 624100
Sponsor’s telephone number 6185324300
Plan sponsor’s address 325 S POPLAR ST, CENTRALIA, IL, 628013921

Signature of
Role Plan administrator
Date 2020-01-28
Name of individual signing GARY HAKE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 2017 371245690 2018-12-11 SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 624100
Sponsor’s telephone number 6185324300
Plan sponsor’s address 325 S POPLAR ST, CENTRALIA, IL, 628013921

Signature of
Role Plan administrator
Date 2018-12-11
Name of individual signing GARY HAKE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC 2016 371245690 2017-11-21 SOUTHERN ILLINOIS CASE COORDINATION SERVICES, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-01
Business code 624100
Sponsor’s telephone number 6185324300
Plan sponsor’s address 140 S LOCUST ST, CENTRALIA, IL, 62801

Signature of
Role Plan administrator
Date 2017-11-21
Name of individual signing GARY HAKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-21
Name of individual signing GARY HAKE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANN H. YAUNCHES, 130 S LOCUST ST, CENTRALIA, 62801, MARION Agent 2024-07-03

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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