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  5. WOLZ HEALTH, INC.

WOLZ HEALTH, INC.

Company Details

Entity Name: WOLZ HEALTH, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 Jan 2004
Company Number: CORP_63323969
File Number: 63323969
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HERRIN BEHAVIORAL HEALTH LTD 401(K) PLAN 2015 200694477 2016-06-17 HERRIN BEHAVIORAL HEALTH LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-20
Business code 621399
Sponsor’s telephone number 6189889843
Plan sponsor’s address PO BOX 100, ENERGY, IL, 629330100

Signature of
Role Plan administrator
Date 2016-06-17
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-17
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
HERRIN BEHAVIORAL HEALTH LTD 401K PLAN 2014 200694477 2015-07-18 HERRIN BEHAVIORAL HEALTH LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-20
Business code 621399
Sponsor’s telephone number 6189889843
Plan sponsor’s address PO BOX 100, ENERGY, IL, 629330100

Signature of
Role Plan administrator
Date 2015-07-18
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-18
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
HERRIN BEHAVIORAL HEALTH LTD 401K PLAN 2013 200694477 2014-05-20 HERRIN BEHAVIORAL HEALTH LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-20
Business code 621399
Sponsor’s telephone number 6189889843
Plan sponsor’s address PO BOX 100, ENERGY, IL, 629330100

Signature of
Role Plan administrator
Date 2014-05-15
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-15
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
HERRIN BEHAVIORAL HEALTH LTD 401K PLAN 2012 200694477 2013-05-16 HERRIN BEHAVIORAL HEALTH LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-20
Business code 621399
Sponsor’s telephone number 6189889843
Plan sponsor’s address PO BOX 100, ENERGY, IL, 629330100

Signature of
Role Plan administrator
Date 2013-05-16
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-16
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
HERRIN BEHAVIORAL HEALTH LTD 401K PLAN 2011 200694477 2012-06-01 HERRIN BEHAVIORAL HEALTH LTD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-20
Business code 621399
Sponsor’s telephone number 6189889843
Plan sponsor’s address PO BOX 100, ENERGY, IL, 629330100

Plan administrator’s name and address
Administrator’s EIN 200694477
Plan administrator’s name HERRIN BEHAVIORAL HEALTH LTD
Plan administrator’s address PO BOX 100, ENERGY, IL, 629330100
Administrator’s telephone number 6189889843

Signature of
Role Plan administrator
Date 2012-06-01
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-01
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
HERRIN BEHAVIORAL HEALTH LTD 401K PLAN 2010 200694477 2011-07-23 HERRIN BEHAVIORAL HEALTH LTD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-20
Business code 621399
Sponsor’s telephone number 6189889843
Plan sponsor’s address PO BOX 100, ENERGY, IL, 629330100

Plan administrator’s name and address
Administrator’s EIN 200694477
Plan administrator’s name HERRIN BEHAVIORAL HEALTH LTD
Plan administrator’s address PO BOX 100, ENERGY, IL, 629330100
Administrator’s telephone number 6189889843

Signature of
Role Plan administrator
Date 2011-07-23
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
HERRIN BEHAVIORAL HEALTH LTD 401K PLAN 2009 200694477 2010-06-14 HERRIN BEHAVIORAL HEALTH LTD 1
Three-digit plan number (PN) 001
Effective date of plan 2006-04-20
Business code 621399
Sponsor’s telephone number 6189889843
Plan sponsor’s address PO BOX 100, ENERGY, IL, 629330100

Plan administrator’s name and address
Administrator’s EIN 200694477
Plan administrator’s name HERRIN BEHAVIORAL HEALTH LTD
Plan administrator’s address PO BOX 100, ENERGY, IL, 629330100
Administrator’s telephone number 6189889843

Signature of
Role Plan administrator
Date 2010-06-10
Name of individual signing ALYSON WOLZ
Valid signature Filed with incorrect/unrecognized electronic signature
HERRIN BEHAVIORAL HEALTH LTD 401K PLAN 2009 200694477 2010-07-30 HERRIN BEHAVIORAL HEALTH LTD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-20
Business code 621399
Sponsor’s telephone number 6189889843
Plan sponsor’s address PO BOX 100, ENERGY, IL, 629330100

Plan administrator’s name and address
Administrator’s EIN 200694477
Plan administrator’s name HERRIN BEHAVIORAL HEALTH LTD
Plan administrator’s address PO BOX 100, ENERGY, IL, 629330100
Administrator’s telephone number 6189889843

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing ALYSON WOLZ
Valid signature Filed with authorized/valid electronic signature
HERRIN BEHAVIORAL HEALTH LTD 401K PLAN 2009 200694477 2010-06-10 HERRIN BEHAVIORAL HEALTH LTD 1
Three-digit plan number (PN) 001
Effective date of plan 2006-04-20
Business code 621399
Sponsor’s telephone number 6189889843
Plan sponsor’s address PO BOX 100, ENERGY, IL, 629330100

Plan administrator’s name and address
Administrator’s EIN 200694477
Plan administrator’s name HERRIN BEHAVIORAL HEALTH LTD
Plan administrator’s address PO BOX 100, ENERGY, IL, 629330100
Administrator’s telephone number 6189889843

Signature of
Role Plan administrator
Date 2010-06-10
Name of individual signing ALYSON WOLZ
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-06-10
Name of individual signing ALYSON WOLZ
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
ALYSON WOLZ, 8174 DAY RD, CARBONDALE, 62901, JACKSON Agent 2004-01-30

President

Name and Address Role
ALYSON WOLZ 9174 DAY RD CARBONDALE IL 62902 President

Secretary

Name and Address Role
NONE Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
HERRIN BEHAVIORAL HEALTH No data 2016-01-09 2020-06-12 Involuntary Cancellation No data

Historical Names

Name Change Date
GOYA HEALTH, LTD. 2016-01-29
HERRIN BEHAVIORAL HEALTH, LTD. 2014-02-21

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

NONE

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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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