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  5. FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C.

FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C.

Company Details

Entity Name: FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 21 Dec 1995
Company Number: CORP_58637874
File Number: 58637874
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C. 401(K) RETIREMENT SAVINGS PLAN 2023 371350641 2024-06-03 FAMILY CARE ASSOCIATES OF EFFINGHAM S.C. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2173427000
Plan sponsor’s address 1106 N. MERCHANT - P.O. BOX 665, EFFINGHAM, IL, 62401

Signature of
Role Plan administrator
Date 2024-06-03
Name of individual signing JANICE WESTENDORF
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C. 401(K) RETIREMENT SAVINGS PLAN 2022 371350641 2023-06-09 FAMILY CARE ASSOCIATES OF EFFINGHAM S.C. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2173427000
Plan sponsor’s address 1106 N. MERCHANT - P.O. BOX 665, EFFINGHAM, IL, 62401

Signature of
Role Plan administrator
Date 2023-06-09
Name of individual signing JANICE WESTENDORF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-09
Name of individual signing JANICE WESTENDORF
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C. 401(K) RETIREMENT SAVINGS PLAN 2021 371350641 2022-06-13 FAMILY CARE ASSOCIATES OF EFFINGHAM S.C. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2173427000
Plan sponsor’s address 1106 N. MERCHANT - P.O. BOX 665, EFFINGHAM, IL, 62401

Signature of
Role Plan administrator
Date 2022-06-13
Name of individual signing JANICE WESTENDORF
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C. 401(K) RETIREMENT SAVINGS PLAN 2020 371350641 2021-05-26 FAMILY CARE ASSOCIATES OF EFFINGHAM S.C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2173427000
Plan sponsor’s address 1106 N. MERCHANT - P.O. BOX 665, EFFINGHAM, IL, 62401

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing JANICE WESTENDORF
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE ASSOCIATES OF EFFINGHAM, S. C. 401(K) RETIREMENT SAVINGS PLAN 2019 371350641 2020-06-03 FAMILY CARE ASSOCIATES OF EFFINGHAM S.C. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2173427000
Plan sponsor’s address 1106 N. MERCHANT - P.O. BOX 665, EFFINGHAM, IL, 62401

Signature of
Role Plan administrator
Date 2020-06-03
Name of individual signing JANICE WESTENDORF
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE ASSOCIATES OF EFFINGHAM, S. C. 401(K) RETIREMENT SAVINGS PLAN 2018 371350641 2019-06-17 FAMILY CARE ASSOCIATES OF EFFINGHAM S.C. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2173427000
Plan sponsor’s address 1106 N. MERCHANT - P.O. BOX 665, EFFINGHAM, IL, 62401

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing JANICE WESTENDORF
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE ASSOCIATES OF EFFINGHAM, S. C. 401(K) RETIREMENT SAVINGS PLAN 2017 371350641 2018-10-02 FAMILY CARE ASSOCIATES OF EFFINGHAM S.C. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2173427000
Plan sponsor’s address 1106 N. MERCHANT - P.O. BOX 665, EFFINGHAM, IL, 62401

Signature of
Role Plan administrator
Date 2018-09-17
Name of individual signing JANICE WESTENDORF
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C. 401(K) RETIREMENT SAVINGS PLAN 2016 371350641 2017-05-15 FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2173427000
Plan sponsor’s address 1106 N. MERCHANT - P.O. BOX 665, EFFINGHAM, IL, 62401

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing THOMAS A. HEISCHMIDT
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C. 401(K) RETIREMENT SAVINGS PLAN 2015 371350641 2016-06-15 FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2173427000
Plan sponsor’s address 1106 N. MERCHANT - P.O. BOX 665, EFFINGHAM, IL, 62401

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing THOMAS A. HEISCHMIDT
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C. 401(K) RETIREMENT SAVINGS PLAN 2014 371350641 2015-04-27 FAMILY CARE ASSOCIATES OF EFFINGHAM, S.C. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2173427000
Plan sponsor’s address 1106 N. MERCHANT - P.O. BOX 665, EFFINGHAM, IL, 62401

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing THOMAS A. HEISCHMIDT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
AMANDA L BIERMAN, 1106 N MERCHANT STREET, EFFINGHAM, 62401, EFFINGHAM Agent 2022-08-18

President

Name and Address Role
AMANDA BIERMAN, PO BOX 665 1106 N MERCHANT EFFINGHAM 62401 President

Secretary

Name and Address Role
JEFF CROWELL, PO BOX 665 1106 N MERCHANT EFFINGHAM 62401 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 300000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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