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SECOND AMENDMENT SISTERS FOUNDATION, INC.

Company Details

Entity Name: SECOND AMENDMENT SISTERS FOUNDATION, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 15 Jul 2002
Date of Dissolution: 01 Dec 2004
Company Number: CORP_62314052
File Number: 62314052
Type of Business: Educational, research or scientific
Date Status Change: 01 Dec 2004
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BELLA BREW COFFEE & BEVERAGE CO 401K PROFIT SHARING PLAN 2012 364122457 2013-06-14 BELLA BREW COFFEE & BEVERAGE CO 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 722300
Sponsor’s telephone number 7082330066
Plan sponsor’s address 5002 W 123RD STREET, ALSIP, IL, 60803

Signature of

Role Plan administrator
Date 2013-06-14
Name of individual signing DONNA MICELI
Valid signature Filed with authorized/valid electronic signature
BELLA BREW COFFEE & BEVERAGE CO 401K PROFIT SHARING PLAN 2011 364122457 2012-07-18 BELLA BREW COFFEE & BEVERAGE CO 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 722300
Sponsor’s telephone number 7082330066
Plan sponsor’s address 5002 W 123RD STREET, ALSIP, IL, 60803

Plan administrator’s name and address

Administrator’s EIN 364122457
Plan administrator’s name BELLA BREW COFFEE & BEVERAGE CO
Plan administrator’s address 5002 W 123RD STREET, ALSIP, IL, 60803
Administrator’s telephone number 7082330066

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing DONNA MICELI
Valid signature Filed with authorized/valid electronic signature
BELLA BREW COFFEE BEVERAGE 2009 364122457 2010-05-24 BELLA BREW COFFEE BEVERAGE 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 722300
Sponsor’s telephone number 7082330066
Plan sponsor’s address 7742 W 99TH STREET, HICKORY HILLS, IL, 60457

Plan administrator’s name and address

Administrator’s EIN 364122457
Plan administrator’s name BELLA BREW COFFEE BEVERAGE
Plan administrator’s address 7742 W 99TH STREET, HICKORY HILLS, IL, 60457
Administrator’s telephone number 7082330066

Signature of

Role Plan administrator
Date 2010-05-24
Name of individual signing BELLA BREW COFFEE BEVERAGE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JULI BEDNARZYK, 2107 WINDING LAKES DR, PLAINFIELD, 60544, WILL Agent 2002-07-15

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State