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CLAIMS PROCESSING FACILITY, INC.

Company Details

Entity Name: CLAIMS PROCESSING FACILITY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Goodstanding
Date Formed: 23 Apr 1998
Company Number: CORP_59917862
File Number: 59917862
Type of Business: All Inclusive Purpose
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CPF RETIREMENT SAVINGS PLAN 2023 364218984 2024-05-07 CLAIMS PROCESSING FACILITY, INC. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 541990
Sponsor’s telephone number 6302816543
Plan sponsor’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563

Signature of

Role Plan administrator
Date 2024-05-07
Name of individual signing STACY GERDES
Valid signature Filed with authorized/valid electronic signature
CPF RETIREMENT SAVINGS PLAN 2022 364218984 2023-06-05 CLAIMS PROCESSING FACILITY, INC. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 541990
Sponsor’s telephone number 6302816543
Plan sponsor’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563

Signature of

Role Plan administrator
Date 2023-06-05
Name of individual signing STACY GERDES
Valid signature Filed with authorized/valid electronic signature
CPF RETIREMENT SAVINGS PLAN 2021 364218984 2022-06-29 CLAIMS PROCESSING FACILITY, INC. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 541990
Sponsor’s telephone number 6302816550
Plan sponsor’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563

Signature of

Role Plan administrator
Date 2022-06-29
Name of individual signing MELANIE IMPASTATO
Valid signature Filed with authorized/valid electronic signature
CPF RETIREMENT SAVINGS PLAN 2020 364218984 2021-06-03 CLAIMS PROCESSING FACILITY, INC. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 541990
Sponsor’s telephone number 6302816550
Plan sponsor’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563

Signature of

Role Plan administrator
Date 2021-06-03
Name of individual signing DEBBI NIEMIEC
Valid signature Filed with authorized/valid electronic signature
CPF RETIREMENT SAVINGS PLAN 2019 364218984 2020-05-11 CLAIMS PROCESSING FACILITY, INC. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 541990
Sponsor’s telephone number 6302816550
Plan sponsor’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563

Signature of

Role Plan administrator
Date 2020-05-11
Name of individual signing DEBBI NIEMIEC
Valid signature Filed with authorized/valid electronic signature
CPF RETIREMENT SAVINGS PLAN 2018 364218984 2019-06-13 CLAIMS PROCESSING FACILITY, INC. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 541990
Sponsor’s telephone number 6302816550
Plan sponsor’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563

Signature of

Role Plan administrator
Date 2019-06-13
Name of individual signing DEBBI NIEMIEC
Valid signature Filed with authorized/valid electronic signature
CPF RETIREMENT SAVINGS PLAN 2017 364218984 2018-08-16 CLAIMS PROCESSING FACILITY, INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 541990
Sponsor’s telephone number 6302816550
Plan sponsor’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563

Signature of

Role Plan administrator
Date 2018-08-16
Name of individual signing DEBBI NIEMIEC
Valid signature Filed with authorized/valid electronic signature
CPF RETIREMENT SAVINGS PLAN 2016 364218984 2017-10-09 CLAIMS PROCESSING FACILITY, INC 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 541990
Sponsor’s telephone number 6302816550
Plan sponsor’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563

Signature of

Role Plan administrator
Date 2017-10-09
Name of individual signing DEBBI NIEMIEC
Valid signature Filed with authorized/valid electronic signature
CPF RETIREMENT SAVINGS PLAN 2012 364218984 2013-05-23 CLAIMS PROCESSING FACILITY, INC. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 541990
Sponsor’s telephone number 6302816565
Plan sponsor’s mailing address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563
Plan sponsor’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563

Plan administrator’s name and address

Administrator’s EIN 364218984
Plan administrator’s name CLAIMS PROCESSING FACILITY, INC.
Plan administrator’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563
Administrator’s telephone number 6302816565

Number of participants as of the end of the plan year

Active participants 29
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 34
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-05-23
Name of individual signing HARRIET HOLDERNESS
Valid signature Filed with authorized/valid electronic signature
CPF RETIREMENT SAVINGS PLAN 2011 364218984 2012-06-05 CLAIMS PROCESSING FACILITY, INC. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 541990
Sponsor’s telephone number 6302816565
Plan sponsor’s mailing address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563
Plan sponsor’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563

Plan administrator’s name and address

Administrator’s EIN 364218984
Plan administrator’s name CLAIMS PROCESSING FACILITY, INC.
Plan administrator’s address 1771 WEST DIEHL ROAD, SUITE 220, NAPERVILLE, IL, 60563
Administrator’s telephone number 6302816565

Number of participants as of the end of the plan year

Active participants 25
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 31
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-06-05
Name of individual signing HARRIET HOLDERNESS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TEENA MARY MANDELE, 1771 W DIEHL RD SUITE 220, NAPERVILLE, 60563, DU PAGE Agent 2023-03-15

President

Name and Address Role
TEENA MANDELE 903 ELM ST SUGARGROVE IL 60554 President

Secretary

Name and Address Role
STACY GERDES 23923 HUNT CLUB CT NAPERVILLE IL 60564 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CPF, INC. Assume Name 2009-05-19 2005-09-01 No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 300 150000 0.01

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State