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GREAT LAKES MEDICAID, INC.

Headquarter

Company Details

Entity Name: GREAT LAKES MEDICAID, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Feb 1990
Company Number: CORP_55833346
File Number: 55833346
Type of Business: All Inclusive Purpose
Address 322 S GREEN ST 500, CHICAGO, IL, 60607
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of GREAT LAKES MEDICAID, INC., MINNESOTA 8794e292-b4d4-e011-a886-001ec94ffe7f MINNESOTA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREAT LAKES MEDICAID, INC. 401(K) PROFIT SHARING PLAN 2023 363688768 2024-05-29 GREAT LAKES MEDICAID, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 3128003484
Plan sponsor’s address 212 W SUPERIOR ST SUITE 503, CHICAGO, IL, 60654

Signature of

Role Plan administrator
Date 2024-05-29
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
GREAT LAKES MEDICAID, INC. 401(K) PROFIT SHARING PLAN 2022 363688768 2023-08-25 GREAT LAKES MEDICAID, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 3128003484
Plan sponsor’s address 212 W SUPERIOR ST, SUITE 503, CHICAGO, IL, 60654

Signature of

Role Plan administrator
Date 2023-08-25
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
GREAT LAKES MEDICAID, INC. 401(K) PROFIT SHARING PLAN 2021 363688768 2022-05-05 GREAT LAKES MEDICAID, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541110
Sponsor’s telephone number 3128298848
Plan sponsor’s address 626 W. JACKSON BLVD., 4TH FLOOR, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2022-05-05
Name of individual signing JAMES G. KNEPPER
Valid signature Filed with authorized/valid electronic signature
GREAT LAKES MEDICAID, INC. 401(K) PROFIT SHARING PLAN 2020 363688768 2021-07-28 GREAT LAKES MEDICAID, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541110
Sponsor’s telephone number 3128298848
Plan sponsor’s address 626 W. JACKSON BLVD., 4TH FLOOR, CHICAGO, IL, 60661
GREAT LAKES MEDICAID, INC. 401(K) PROFIT SHARING PLAN 2019 363688768 2020-09-29 GREAT LAKES MEDICAID, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541110
Sponsor’s telephone number 3128298848
Plan sponsor’s address 626 W. JACKSON BLVD., 4TH FLOOR, CHICAGO, IL, 60661
GREAT LAKES MEDICAID, INC. 401(K) PROFIT SHARING PLAN 2018 363688768 2019-10-11 GREAT LAKES MEDICAID, INC. 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541110
Sponsor’s telephone number 3128298848
Plan sponsor’s address 626 W. JACKSON BLVD., 4TH FLOOR, CHICAGO, IL, 60661
GREAT LAKES MEDICAID, INC. 401(K) PROFIT SHARING PLAN 2017 363688768 2018-10-11 GREAT LAKES MEDICAID, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541110
Sponsor’s telephone number 3128298848
Plan sponsor’s address 626 W. JACKSON BLVD., 4TH FLOOR, CHICAGO, IL, 60661
GREAT LAKES MEDICAID, INC. 401(K) PROFIT SHARING PLAN 2016 363688768 2017-10-06 GREAT LAKES MEDICAID, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541110
Sponsor’s telephone number 3128298848
Plan sponsor’s address 626 W. JACKSON BLVD., 4TH FLOOR, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2017-10-06
Name of individual signing SUSAN KNEPPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-06
Name of individual signing SUSAN KNEPPER
Valid signature Filed with authorized/valid electronic signature
GREAT LAKES MEDICAID, INC. 401(K) PROFIT SHARING PLAN 2015 363688768 2016-10-31 GREAT LAKES MEDICAID, INC. 76
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541110
Sponsor’s telephone number 3128298848
Plan sponsor’s address 626 W. JACKSON BLVD., 4TH FLOOR, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2016-10-31
Name of individual signing SUSAN KNEPPER
Valid signature Filed with authorized/valid electronic signature
GREAT LAKES MEDICAID, INC. 401(K) PROFIT SHARING PLAN 2015 363688768 2016-12-02 GREAT LAKES MEDICAID, INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541110
Sponsor’s telephone number 3128298848
Plan sponsor’s address 626 W. JACKSON BLVD., 4TH FLOOR, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2016-12-02
Name of individual signing SUSAN KNEPPER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PATRICIA IRENE KNEPPER, 626 W JACKSON BLVD FL 4, CHICAGO, 60661, COOK-NOT IN CITY OF CHICAGO Agent 2019-02-14

President

Name and Address Role Account Number
PATRICIA P KNEPPER President 268101
PATRICIA I. KNEPPER 1043 S ASHLAND AVE, LAGRANGE, IL 60525 President No data

Secretary

Name and Address Role Account Number
PATRICIA P KNEPPER Secretary 268101
PATRICIA I. KNEPPER 1043 S ASHLAND AVE, LAGRANGE, IL 60525 Secretary No data

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2873397 Issued 1010 Limited Business License 708 - Miscellaneous Commercial Services 2024-04-25 2024-05-16 2026-05-15
BUSINESS LICENSE 2487470 Issued 1010 Limited Business License 708 - Miscellaneous Commercial Services 2022-03-16 2022-05-16 2024-05-15
BUSINESS LICENSE 1443881 Issued 1010 Limited Business License No data 2016-04-01 2016-05-16 2018-05-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State