| Entity Name: | JENNIFER S. FALLICK CANCER SUPPORT CENTER |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 23 Mar 1993 |
| Company Number: | CORP_57232854 |
| File Number: | 57232854 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JSF CANCER SUPPORT CENTER 401(K) PLAN | 2023 | 363880404 | 2024-06-26 | JENNIFER S. FALLICK CANCER SUPPORT CENTER | 19 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-26 |
| Name of individual signing | KATHLEEN DALY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 7083651206 |
| Plan sponsor’s address | 2028 ELM RD., HOMEWOOD, IL, 60448 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-17 |
| Name of individual signing | KATHLEEN DALY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 7083651206 |
| Plan sponsor’s address | 2028 ELM RD., HOMEWOOD, IL, 60448 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-05 |
| Name of individual signing | SUZANNE ARMATO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JAMES KVEDARAS, 2028 ELM ROAD, HOMEWOOD, 60430, COOK-NOT IN CITY OF CHICAGO | Agent | 2023-10-24 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| SOCIAL WORKER | 159000917 | No data | No data | REGISTERED SOCIAL WORKER CE SPONSOR | No data | 2005-04-15 | 2013-11-21 | 2015-11-30 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| THE VILLAGE DOOR | No data | 1994-08-29 | 2020-08-14 | Involuntary Cancellation | No data |
Date of last update: 16 Jan 2025
