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KISHWAUKEE ALLIANCE

Company Details

Entity Name: KISHWAUKEE ALLIANCE
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Merged/Consolidated
Date Formed: 09 Jun 1995
Company Number: CORP_58378445
File Number: 58378445
Type of Business: Charitable or benevolent
Date Status Change: 12 Jan 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KISHWAUKEE ALLIANCE EMPLOYEES' RETIREMENT PLAN 2019 364026367 2020-01-30 KISHWAUKEE ALLIANCE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 624100
Sponsor’s telephone number 8157564875
Plan sponsor’s address 12 HEALTH SERVICES DRIVE, DEKALB, IL, 60115

Signature of

Role Plan administrator
Date 2020-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
KISHWAUKEE ALLIANCE EMPLOYEE SAVINGS PLAN 2019 364026367 2020-01-30 KISHWAUKEE ALLIANCE 17
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1997-08-26
Business code 624100
Sponsor’s telephone number 8157564875
Plan sponsor’s address 12 HEALTH SERVICES DRIVE, DEKALB, IL, 60115

Signature of

Role Plan administrator
Date 2020-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
KISHWAUKEE ALLIANCE EMPLOYEE SAVINGS PLAN 2018 364026367 2020-01-30 KISHWAUKEE ALLIANCE 23
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1997-08-26
Business code 624100
Sponsor’s telephone number 8157564875
Plan sponsor’s address 12 HEALTH SERVICES DRIVE, DEKALB, IL, 60115

Signature of

Role Plan administrator
Date 2020-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
KISHWAUKEE ALLIANCE EMPLOYEES' RETIREMENT PLAN 2018 364026367 2020-01-30 KISHWAUKEE ALLIANCE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 624100
Sponsor’s telephone number 8157564875
Plan sponsor’s address 12 HEALTH SERVICES DRIVE, DEKALB, IL, 60115

Signature of

Role Plan administrator
Date 2020-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
KISHWAUKEE ALLIANCE EMPLOYEES' RETIREMENT PLAN 2017 364026367 2019-07-01 KISHWAUKEE ALLIANCE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 624100
Sponsor’s telephone number 8157564875
Plan sponsor’s address 12 HEALTH SERVICES DRIVE, DEKALB, IL, 60115

Signature of

Role Plan administrator
Date 2019-07-01
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-01
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
KISHWAUKEE ALLIANCE EMPLOYEE SAVINGS PLAN 2017 364026367 2019-07-01 KISHWAUKEE ALLIANCE 41
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1997-08-26
Business code 624100
Sponsor’s telephone number 8157564875
Plan sponsor’s address 12 HEALTH SERVICES DRIVE, DEKALB, IL, 60115

Signature of

Role Plan administrator
Date 2019-07-01
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-01
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
KISHWAUKEE ALLIANCE EMPLOYEE SAVINGS PLAN 2016 364026367 2018-01-29 KISHWAUKEE ALLIANCE 49
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1997-08-26
Business code 624100
Sponsor’s telephone number 8157564875
Plan sponsor’s address 12 HEALTH SERVICES DRIVE, DEKALB, IL, 60115

Signature of

Role Plan administrator
Date 2018-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
KISHWAUKEE ALLIANCE EMPLOYEES' RETIREMENT PLAN 2016 364026367 2018-01-29 KISHWAUKEE ALLIANCE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 624100
Sponsor’s telephone number 8157564875
Plan sponsor’s address 12 HEALTH SERVICES DRIVE, DEKALB, IL, 60115

Signature of

Role Plan administrator
Date 2018-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-29
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature
KISHWAUKEE ALLIANCE EMPLOYEES' RETIREMENT PLAN 2015 364026367 2017-04-05 KISHWAUKEE ALLIANCE 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 624100
Sponsor’s telephone number 8157564875
Plan sponsor’s address 12 HEALTH SERVICES DRIVE, DEKALB, IL, 60115

Signature of

Role Plan administrator
Date 2017-04-05
Name of individual signing STEVE FLETCHER
Valid signature Filed with authorized/valid electronic signature
KISHWAUKEE ALLIANCE EMPLOYEES RETIREMENT PLAN 2014 364026367 2016-02-18 KISHWAUKEE ALLIANCE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 624100
Sponsor’s telephone number 8157564875
Plan sponsor’s address 12 HEALTH SERVICES DRIVE, DEKALB, IL, 60115

Signature of

Role Plan administrator
Date 2016-02-18
Name of individual signing JUERGEN HUELLEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL D FLORA, 12 HEALTH SERVICES DR, DEKALB, 60115, DE KALB Agent 2003-03-25

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State