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  5. FAMILY HOSPICE OF BELLEVILLE AREA

FAMILY HOSPICE OF BELLEVILLE AREA

Company Details

Entity Name: FAMILY HOSPICE OF BELLEVILLE AREA
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 06 May 1991
Company Number: CORP_56375503
File Number: 56375503
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
F7MBNA2HUCS9 2025-04-02 5110 W MAIN ST, BELLEVILLE, IL, 62226, 4729, USA 5110 W MAIN ST, BELLEVILLE, IL, 62226, 4729, USA

Business Information
Doing Business As FAMILY HOSPICE
URL http://www.familyhospice.org
Congressional District 13
State/Country of Incorporation IL, USA
Activation Date 2024-04-12
Initial Registration Date 2009-03-03
Entity Start Date 1991-09-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621610

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SHAWN BEACH
Address 5110 W MAIN ST, BELLEVILLE, IL, 62226, 4729, USA
Title ALTERNATE POC
Name MATTHEW BRAUSS
Address 5110 W MAIN ST, BELLEVILLE, IL, 62226, 4729, USA
Government Business
Title PRIMARY POC
Name SHAWN BEACH
Address 5110 W MAIN ST, BELLEVILLE, IL, 62226, 4729, USA
Title ALTERNATE POC
Name MATTHEW BRAUSS
Address 5110 W MAIN ST, BELLEVILLE, IL, 62226, 4729, USA
Past Performance
Title ALTERNATE POC
Name MATTHEW BRAUSS
Address 5110 W MAIN ST, BELLEVILLE, IL, 62226, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY HOSPICE OF BELLEVILLE AREA TAX SHELTERED ANNUITY PLAN 2023 371279271 2024-09-25 FAMILY HOSPICE OF BELLEVILLE AREA 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621610
Sponsor’s telephone number 6182771800
Plan sponsor’s address 5110 WEST MAIN STREET, BELLEVILLE, IL, 62226

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing SHAWN BEACH
Valid signature Filed with authorized/valid electronic signature
FAMILY HOSPICE OF BELLEVILLE AREA TAX SHELTERED ANNUITY PLAN 2022 371279271 2023-12-06 FAMILY HOSPICE OF BELLEVILLE AREA 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621610
Sponsor’s telephone number 6182771800
Plan sponsor’s address 5110 W MAIN ST, BELLEVILLE, IL, 622264729

Signature of
Role Plan administrator
Date 2023-12-06
Name of individual signing SHAWN BEACH
Valid signature Filed with authorized/valid electronic signature
FAMILY HOSPICE OF BELLEVILLE AREA TAX SHELTERED ANNUITY PLAN 2021 371279271 2022-08-19 FAMILY HOSPICE OF BELLEVILLE AREA 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621610
Sponsor’s telephone number 6182771800
Plan sponsor’s address 5110 W MAIN ST, BELLEVILLE, IL, 622264729

Signature of
Role Plan administrator
Date 2022-08-19
Name of individual signing SHAWN BEACH
Valid signature Filed with authorized/valid electronic signature
FAMILY HOSPICE OF BELLEVILLE AREA TAX SHELTERED ANNUITY PLAN 2020 371279271 2021-10-11 FAMILY HOSPICE OF BELLEVILLE AREA 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621610
Sponsor’s telephone number 6182771800
Plan sponsor’s address 5110 W MAIN ST, BELLEVILLE, IL, 622264729

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing MATTHEW BRAUSS
Valid signature Filed with authorized/valid electronic signature
FAMILY HOSPICE OF BELLEVILLE AREA TAX SHELTERED ANNUITY PLAN 2019 371279271 2020-12-18 FAMILY HOSPICE OF BELLEVILLE AREA 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621610
Sponsor’s telephone number 6182771800
Plan sponsor’s address 5110 W MAIN ST, BELLEVILLE, IL, 622264729

Signature of
Role Plan administrator
Date 2020-12-18
Name of individual signing MATTHEW BRAUSS
Valid signature Filed with authorized/valid electronic signature
FAMILY HOSPICE OF BELLEVILLE AREA TAX SHELTERED ANNUITY PLAN 2018 371279271 2019-09-24 FAMILY HOSPICE OF BELLEVILLE AREA 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621610
Sponsor’s telephone number 6182771800
Plan sponsor’s address 5110 W MAIN ST, BELLEVILLE, IL, 622264729

Signature of
Role Plan administrator
Date 2019-09-24
Name of individual signing MATTHEW BRAUSS
Valid signature Filed with authorized/valid electronic signature
FAMILY HOSPICE OF BELLEVILLE AREA TAX SHELTERED ANNUITY PLAN 2017 371279271 2018-11-08 FAMILY HOSPICE OF BELLEVILLE AREA 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621610
Sponsor’s telephone number 6182771800
Plan sponsor’s address 5110 W MAIN ST, BELLEVILLE, IL, 622264729

Signature of
Role Plan administrator
Date 2018-11-08
Name of individual signing MATTHEW BRAUSS
Valid signature Filed with authorized/valid electronic signature
FAMILY HOSPICE OF BELLEVILLE AREA TAX SHELTERED ANNUITY PLAN 2016 371279271 2018-01-10 FAMILY HOSPICE OF BELLEVILLE AREA 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621610
Sponsor’s telephone number 6182771800
Plan sponsor’s address 5110 W MAIN ST, BELLEVILLE, IL, 622264729

Signature of
Role Plan administrator
Date 2018-01-10
Name of individual signing MATTHEW BRAUSS
Valid signature Filed with authorized/valid electronic signature
FAMILY HOSPICE OF BELLEVILLE AREA TAX SHELTERED ANNUITY PLAN 2015 371279271 2017-01-27 FAMILY HOSPICE OF BELLEVILLE AREA 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621610
Sponsor’s telephone number 6182771800
Plan sponsor’s address 5110 W MAIN ST, BELLEVILLE, IL, 622264729

Signature of
Role Plan administrator
Date 2017-01-27
Name of individual signing MATTHEW BRAUSS
Valid signature Filed with authorized/valid electronic signature
FAMILY HOSPICE OF BELLEVILLE AREA TAX SHELTERED ANNUITY PLAN 2014 371279271 2016-01-29 FAMILY HOSPICE OF BELLEVILLE AREA 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621610
Sponsor’s telephone number 6182771800
Plan sponsor’s address 5110 W MAIN ST, BELLEVILLE, IL, 622264729

Signature of
Role Plan administrator
Date 2016-01-29
Name of individual signing MATTHEW BRAUSS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MATTHEW BRAUSS, 5110 W MAIN ST, BELLEVILLE, 62226, ST. CLAIR Agent 2015-04-08

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
LINUS BLANKETS OF SOUTHWESTERN ILLINOIS NFP Assume Name 2017-12-13 No data No data No data
HEARTLINKS NFP Assume Name 2009-04-14 No data No data No data
FAMILY HOSPICE NFP Assume Name 2003-03-18 No data No data No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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