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PCC COMMUNITY WELLNESS CENTER

Company Details

Entity Name: PCC COMMUNITY WELLNESS CENTER
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 14 Apr 1992
Company Number: CORP_56800565
File Number: 56800565
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
VHXEVAD2FHA5 2025-01-22 14 LAKE ST, OAK PARK, IL, 60302, 2606, USA 14 LAKE STREET, OAK PARK, IL, 60302, 2606, USA

Business Information

URL http://www.pccwellness.org
Congressional District 07
State/Country of Incorporation IL, USA
Activation Date 2024-01-25
Initial Registration Date 2006-08-31
Entity Start Date 1992-04-14
Fiscal Year End Close Date Jun 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MARNIE ROBINSON
Role DIRECTOR OF DEVELOPMENT AND COMMUNICATIONS
Address PCC COMMUNITY WELLNESS CENTER, 14 LAKE ST., OAK PARK, IL, 60302, USA
Government Business
Title PRIMARY POC
Name ROBERT J URSO
Role ADMINISTRATOR IN CHARGE
Address PCC COMMUNITY WELLNESS CENTER, 14 LAKE ST., OAK PARK, IL, 60302, 2606, USA
Past Performance
Title ALTERNATE POC
Name NILSA CAMPOS
Address 14 LAKE STREET, OAK PARK, IL, 60302, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PCC COMMUNITY WELLNESS CENTER HEALTH & WELFARE PLAN 2012 363828320 2013-10-10 PCC COMMUNITY WELLNESS CENTER 281
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-04-01
Business code 624200
Sponsor’s telephone number 7083830113
Plan sponsor’s mailing address 14 WEST LAKE STREEET, OAK PARK, IL, 60302
Plan sponsor’s address 14 WEST LAKE STREEET, OAK PARK, IL, 60302

Number of participants as of the end of the plan year

Active participants 249
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing NANCY MARTORELLI
Valid signature Filed with authorized/valid electronic signature
PCC COMMUNITY WELLNESS CENTER HEALTH & WELFARE PLAN 2011 363828320 2013-10-10 PCC COMMUNITY WELLNESS CENTER 271
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-04-01
Business code 624200
Sponsor’s telephone number 7083830113
Plan sponsor’s mailing address 14 WEST LAKE STREET, OAK PARK, IL, 60302
Plan sponsor’s address 14 WEST LAKE STREET, OAK PARK, IL, 60302

Plan administrator’s name and address

Administrator’s EIN 363828320
Plan administrator’s name PCC COMMUNITY WELLNESS CENTER
Plan administrator’s address 14 WEST LAKE STREET, OAK PARK, IL, 60302
Administrator’s telephone number 7083830113

Number of participants as of the end of the plan year

Active participants 279
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing NANCY MARTORELLI
Valid signature Filed with authorized/valid electronic signature
PCC COMMUNITY WELLNESS CENTER HEALTH & WELFARE PLAN 2010 363828320 2013-10-10 PCC COMMUNITY WELLNESS CENTER 273
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-04-01
Business code 624200
Sponsor’s telephone number 7083830113
Plan sponsor’s mailing address 14 WEST LAKE STREET, OAK PARK, IL, 60302
Plan sponsor’s address 14 WEST LAKE STREET, OAK PARK, IL, 60302

Plan administrator’s name and address

Administrator’s EIN 363828320
Plan administrator’s name PCC COMMUNITY WELLNESS CENTER
Plan administrator’s address 14 WEST LAKE STREET, OAK PARK, IL, 60302
Administrator’s telephone number 7083830113

Number of participants as of the end of the plan year

Active participants 267
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing NANCY MARTORELLI
Valid signature Filed with authorized/valid electronic signature
PCC COMMUNITY WELLNESS CENTER HEALTH & WELFARE PLAN 2009 363828320 2013-10-10 PCC COMMUNITY WELLNESS CENTER 168
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-04-01
Business code 624200
Sponsor’s telephone number 7083830113
Plan sponsor’s mailing address 14 WEST LAKE STREET, OAK PARK, IL, 60302
Plan sponsor’s address 14 WEST LAKE STREET, OAK PARK, IL, 60302

Plan administrator’s name and address

Administrator’s EIN 363828320
Plan administrator’s name PCC COMMUNITY WELLNESS CENTER
Plan administrator’s address 14 WEST LAKE STREET, OAK PARK, IL, 60302
Administrator’s telephone number 7083830113

Number of participants as of the end of the plan year

Active participants 273
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing NANCY MARTORELLI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ALYSSA SIANGHIO, 14 LAKE STREET, OAK PARK, 60302, COOK-NOT IN CITY OF CHICAGO Agent 2024-03-31

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
SOCIAL WORKER 159001414 No data No data REGISTERED SOCIAL WORKER CE SPONSOR No data 2018-02-15 2018-02-15 2019-11-30

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PCC AUSTIN FAMILY HEALTH CENTER No data 1997-11-17 2010-09-01 Involuntary Cancellation No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State