| Entity Name: | TAZWOOD MENTAL HEALTH CENTER, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 06 May 1991 |
| Company Number: | CORP_56373721 |
| File Number: | 56373721 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| F5FNDK39LDY3 | 2025-01-08 | 3248 VANDEVER AVE, PEKIN, IL, 61554, 6257, USA | 3248 VANDEVER AVENUE, PEKIN, IL, 61554, 6223, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.trilliumplacehealth.org |
| Congressional District | 16 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-01-22 |
| Initial Registration Date | 2007-04-09 |
| Entity Start Date | 1991-05-06 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621112, 621330, 621420 |
| Product and Service Codes | Q526 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ANN CAMPEN |
| Role | EXECUTIVE DIRECTOR OF FINANCE |
| Address | 3248 VANDEVER AVENUE, PEKIN, IL, 61554, USA |
| Title | ALTERNATE POC |
| Name | MATTHEW STORM |
| Role | FINANCIAL ANALYST |
| Address | 3248 VANDEVER AVENUE, PEKIN, IL, 61554, 6223, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ANN CAMPEN |
| Role | EXECUTIVE DIRECTOR OF FINANCE |
| Address | 3248 VANDEVER AVENUE, PEKIN, IL, 61554, USA |
| Title | ALTERNATE POC |
| Name | MATTHEW STORM |
| Role | FINANCIAL ANALYST |
| Address | 3248 VANDEVER AVENUE, PEKIN, IL, 61554, 6223, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAZWOOD MENTAL HEALTH CENTER 401(K) PLAN | 2010 | 371278969 | 2011-06-08 | TAZWOOD MENTAL HEALTH CENTER | 72 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 371278969 |
| Plan administrator’s name | TAZWOOD MENTAL HEALTH CENTER |
| Plan administrator’s address | 3248 VANDEVER AVE, PEKIN, IL, 61554 |
| Administrator’s telephone number | 3093475579 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-08 |
| Name of individual signing | ANN CAMPEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KEITH E. KNEPP, 221 NE GLEN OAK AVE, PEORIA, 61636, PEORIA | Agent | 2019-04-15 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| TAZWOOD CENTER FOR WELLNESS | NFP Assume Name | 2013-03-22 | No data | No data | No data |
Date of last update: 27 Jan 2025
