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PEORIA ACADEMY, INC.

Company Details

Entity Name: PEORIA ACADEMY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 24 Jan 2000
Company Number: CORP_60887888
File Number: 60887888
Type of Business: Not for Profit
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEORIA ACADEMY, INC. 401(K) PLAN 2022 364346113 2023-12-07 PEORIA ACADEMY, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 611000
Sponsor’s telephone number 3096927570
Plan sponsor’s address 2711 W WILLOW KNOLLS DRIVE, PEORIA, IL, 61614

Signature of

Role Plan administrator
Date 2023-12-07
Name of individual signing KENNETH BACHELOR
Valid signature Filed with authorized/valid electronic signature
PEORIA ACADEMY, INC. 401(K) PLAN 2022 364346113 2023-09-29 PEORIA ACADEMY, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 611000
Sponsor’s telephone number 3096927570
Plan sponsor’s address 2711 W WILLOW KNOLLS DRIVE, PEORIA, IL, 61614

Signature of

Role Plan administrator
Date 2023-09-29
Name of individual signing KENNETH BACHELOR
Valid signature Filed with authorized/valid electronic signature
PEORIA ACADEMY, INC. 401(K) PLAN 2021 364346113 2023-01-24 PEORIA ACADEMY, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 611000
Sponsor’s telephone number 3096927570
Plan sponsor’s address 2711 W WILLOW KNOLLS DRIVE, PEORIA, IL, 61614

Signature of

Role Plan administrator
Date 2023-01-24
Name of individual signing KENNETH BACHELOR
Valid signature Filed with authorized/valid electronic signature
PEORIA ACADEMY, INC. 401(K) PLAN 2020 364346113 2022-04-14 PEORIA ACADEMY, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 611000
Sponsor’s telephone number 3096927570
Plan sponsor’s address 2711 W WILLOW KNOLLS DRIVE, PEORIA, IL, 61614

Signature of

Role Plan administrator
Date 2022-04-14
Name of individual signing KENNETH BACHELOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-14
Name of individual signing KENNETH BACHELOR
Valid signature Filed with authorized/valid electronic signature
PEORIA ACADEMY, INC. 401(K) PLAN 2019 364346113 2020-09-30 PEORIA ACADEMY, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 611000
Sponsor’s telephone number 3096927570
Plan sponsor’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116

Plan administrator’s name and address

Administrator’s EIN 364346113
Plan administrator’s name PEORIA ACADEMY, INC.
Plan administrator’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116
Administrator’s telephone number 3096927570

Signature of

Role Plan administrator
Date 2020-09-30
Name of individual signing SHERRY HAYES
Valid signature Filed with authorized/valid electronic signature
PEORIA ACADEMY, INC. 401(K) PLAN 2018 364346113 2020-04-14 PEORIA ACADEMY, INC. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 611000
Sponsor’s telephone number 3096927570
Plan sponsor’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116

Plan administrator’s name and address

Administrator’s EIN 364346113
Plan administrator’s name PEORIA ACADEMY, INC.
Plan administrator’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116
Administrator’s telephone number 3096927570

Signature of

Role Plan administrator
Date 2020-04-14
Name of individual signing SHERRY HAYES
Valid signature Filed with authorized/valid electronic signature
PEORIA ACADEMY, INC. 401(K) PLAN 2017 364346113 2018-11-16 PEORIA ACADEMY, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 611000
Sponsor’s telephone number 3096927570
Plan sponsor’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116

Plan administrator’s name and address

Administrator’s EIN 364346113
Plan administrator’s name PEORIA ACADEMY, INC.
Plan administrator’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116
Administrator’s telephone number 3096927570

Signature of

Role Plan administrator
Date 2018-11-16
Name of individual signing MIKE VACHOW
Valid signature Filed with authorized/valid electronic signature
PEORIA ACADEMY, INC. 401(K) PLAN 2016 364346113 2018-01-09 PEORIA ACADEMY, INC. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 611000
Sponsor’s telephone number 3096927570
Plan sponsor’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116

Plan administrator’s name and address

Administrator’s EIN 364346113
Plan administrator’s name PEORIA ACADEMY, INC.
Plan administrator’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116
Administrator’s telephone number 3096927570

Signature of

Role Plan administrator
Date 2018-01-09
Name of individual signing CHERYL MURZYN
Valid signature Filed with authorized/valid electronic signature
PEORIA ACADEMY, INC. 401(K) PLAN 2015 364346113 2016-11-18 PEORIA ACADEMY, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 611000
Sponsor’s telephone number 3096927570
Plan sponsor’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116

Plan administrator’s name and address

Administrator’s EIN 364346113
Plan administrator’s name PEORIA ACADEMY, INC.
Plan administrator’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116
Administrator’s telephone number 3096927570

Signature of

Role Plan administrator
Date 2016-11-18
Name of individual signing CHERYL MURZYN
Valid signature Filed with authorized/valid electronic signature
PEORIA ACADEMY, INC. 401(K) PLAN 2014 364346113 2015-11-19 PEORIA ACADEMY, INC. 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 611000
Sponsor’s telephone number 3096927570
Plan sponsor’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116

Plan administrator’s name and address

Administrator’s EIN 364346113
Plan administrator’s name PEORIA ACADEMY, INC.
Plan administrator’s address 2711 W. WILLOW KNOLLS DR, PEORIA, IL, 616141116
Administrator’s telephone number 3096927570

Signature of

Role Plan administrator
Date 2015-11-19
Name of individual signing CHERYL MURZYN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOSHUA D. HERMAN, 416 MAIN ST STE 1125, PEORIA, 61602, PEORIA Agent 2019-04-12

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State