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  5. CENTRAL COUNTIES HEALTH CENTERS, INC.

CENTRAL COUNTIES HEALTH CENTERS, INC.

Company Details

Entity Name: CENTRAL COUNTIES HEALTH CENTERS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 12 Dec 1996
Company Number: CORP_59161784
File Number: 59161784
Type of Business: Not for Profit
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
F6ZZKHFQPK78 2025-01-08 2239 E COOK ST, SPRINGFIELD, IL, 62703, 1944, USA 2239 E. COOK ST., SPRINGFIELD, IL, 62703, 1944, USA

Business Information
Congressional District 13
State/Country of Incorporation IL, USA
Activation Date 2024-01-11
Initial Registration Date 2006-01-18
Entity Start Date 1999-09-01
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name BRAD BUZZARD
Address 2239 E. COOK ST, SPRINGFIELD, IL, 62703, USA
Title ALTERNATE POC
Name HEATHER BURTON
Address 2239 E. COOK ST., SPRINGFIELD, IL, 62703, 1944, USA
Government Business
Title PRIMARY POC
Name BRAD BUZZARD
Address 2239 E. COOK ST, SPRINGFIELD, IL, 62703, USA
Title ALTERNATE POC
Name HEATHER BURTON
Address 2239 E. COOK ST., SPRINGFIELD, IL, 62703, 1944, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL COUNTIES HEALTH CENTERS TAX SHELTERED ANNUITY PLAN 2017 371361916 2018-09-21 CENTRAL COUNTIES HEALTH CENTERS, INC. 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 621111
Sponsor’s telephone number 2177882317
Plan sponsor’s address 2239 EAST COOK STREET, SPRINGFIELD, IL, 627031944

Signature of
Role Plan administrator
Date 2018-09-21
Name of individual signing JASON JONES
Valid signature Filed with authorized/valid electronic signature
CENTRAL COUNTIES HEALTH CENTERS TAX SHELTERED ANNUITY PLAN 2016 371361916 2017-09-27 CENTRAL COUNTIES HEALTH CENTERS 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 621111
Sponsor’s telephone number 2177882317
Plan sponsor’s address 2239 E. COOK ST., SPRINGFIELD, IL, 627031944
CENTRAL COUNTIES HEALTH CENTERS TAX SHELTERED ANNUITY PLAN 2015 371361916 2016-10-05 CENTRAL COUNTIES HEALTH CENTERS 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 621111
Sponsor’s telephone number 2177882317
Plan sponsor’s address 2239 E. COOK ST., SPRINGFIELD, IL, 627031944
CENTRAL COUNTIES HEALTH CENTERS TAX SHELTERED ANNUITY PLAN 2014 371361916 2015-09-21 CENTRAL COUNTIES HEALTH CENTERS 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 621111
Sponsor’s telephone number 2177882300
Plan sponsor’s address 2239 EAST COOK STREET, SPRINGFIELD, IL, 627031944
CENTRAL COUNTIES HEALTH CENTERS TAX SHELTERED ANNUITY PLAN 2013 371361916 2014-10-10 CENTRAL COUNTIES HEALTH CENTERS 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 621111
Sponsor’s telephone number 2177882300
Plan sponsor’s address 2239 EAST COOK STREET, SPRINGFIELD, IL, 62703
CENTRAL COUNTIES HEALTH CENTERS TAX SHELTERED ANNUITY PLAN 2012 371361916 2013-10-04 CENTRAL COUNTIES HEALTH CENTERS 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 621111
Sponsor’s telephone number 2177882300
Plan sponsor’s address 2239 EAST COOK STREET, SPRINGFIELD, IL, 62703

Signature of
Role Plan administrator
Date 2013-10-04
Name of individual signing SHELLEY PETERSON - PREPARER
Valid signature Filed with authorized/valid electronic signature
CENTRAL COUNTIES HEALTH CENTERS TAX SHELTERED ANNUITY PLAN 2011 371361916 2012-08-16 CENTRAL COUNTIES HEALTH CENTERS 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 621111
Sponsor’s telephone number 2177882300
Plan sponsor’s address 2239 EAST COOK STREET, SPRINGFIELD, IL, 62703

Plan administrator’s name and address
Administrator’s EIN 371361916
Plan administrator’s name CENTRAL COUNTIES HEALTH CENTERS
Plan administrator’s address 2239 EAST COOK STREET, SPRINGFIELD, IL, 62703
Administrator’s telephone number 2177882300

Signature of
Role Plan administrator
Date 2012-08-16
Name of individual signing BRAD BUZZARD
Valid signature Filed with authorized/valid electronic signature
CENTRAL COUNTIES HEALTH CENTERS TAX SHELTERED ANNUITY PLAN 2010 371361916 2011-07-27 CENTRAL COUNTIES HEALTH CENTERS 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 621111
Sponsor’s telephone number 2177882300
Plan sponsor’s address 2239 EAST COOK STREET, SPRINGFIELD, IL, 62703

Plan administrator’s name and address
Administrator’s EIN 371361916
Plan administrator’s name CENTRAL COUNTIES HEALTH CENTERS
Plan administrator’s address 2239 EAST COOK STREET, SPRINGFIELD, IL, 62703
Administrator’s telephone number 2177882300

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing BRAD BUZZARD
Valid signature Filed with authorized/valid electronic signature
CENTRAL COUNTIES HEALTH CENTERS 403(B) PLAN 2009 371361916 2010-08-09 CENTRAL COUNTIES HEALTH CENTERS 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 621111
Sponsor’s telephone number 2177882300
Plan sponsor’s address 2239 EAST COOK STREET, SPRINGFIELD, IL, 62703

Plan administrator’s name and address
Administrator’s EIN 371361916
Plan administrator’s name CENTRAL COUNTIES HEALTH CENTERS
Plan administrator’s address 2239 EAST COOK STREET, SPRINGFIELD, IL, 62703
Administrator’s telephone number 2177882300

Signature of
Role Plan administrator
Date 2010-08-09
Name of individual signing BRAD BUZZARD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JULIE ANN JANSSEN, 2239 EAST COOK ST, SPRINGFIELD, 62703, SANGAMON Agent 2014-12-16

Historical Names

Name Change Date
HEALTHY SPRINGFIELD 2000 2002-08-12

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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