| Entity Name: | AMERICAN LUNG ASSOCIATION OF THE UPPER MIDWEST |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Merged/Consolidated |
| Date Formed: | 01 Jul 2005 |
| Company Number: | CORP_64176137 |
| File Number: | 64176137 |
| Type of Business: | Not for Profit |
| Date Status Change: | 30 Jun 2017 |
| Place of Formation: | ILLINOIS |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | AMERICAN LUNG ASSOCIATION OF THE UPPER MIDWEST, MINNESOTA | ec80f806-8cd4-e011-a886-001ec94ffe7f | MINNESOTA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN LUNG ASSOCIATION OF THE UPPER MIDWEST 403(B) PLAN #2 | 2014 | 204392201 | 2016-04-04 | AMERICAN LUNG ASSOCIATION OF THE UPPER MIDWEST | 72 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2016-04-04 |
| Name of individual signing | BRIAN LEIBL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 2012-07-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 2177875864 |
| Plan sponsor’s address | 3000 KELLY LANE, SPRINGFIELD, IL, 627116226 |
Signature of
| Role | Plan administrator |
| Date | 2015-02-27 |
| Name of individual signing | BRIAN LEIBL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 2012-07-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 2177875864 |
| Plan sponsor’s address | 3000 KELLY LANE, SPRINGFIELD, IL, 627116226 |
Signature of
| Role | Plan administrator |
| Date | 2014-04-11 |
| Name of individual signing | LAURA SCOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-07-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 2177875864 |
| Plan sponsor’s address | 3000 KELLY LANE, SPRINGFIELD, IL, 62711 |
Plan administrator’s name and address
| Administrator’s EIN | 204392201 |
| Plan administrator’s name | AMERICAN LUNG ASSOCIATION OF THE UPPER MIDWEST |
| Plan administrator’s address | 3000 KELLY LANE, SPRINGFIELD, IL, 62711 |
| Administrator’s telephone number | 2177875864 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-08 |
| Name of individual signing | HAROLD WIMMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-02-08 |
| Name of individual signing | HAROLD WIMMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LAURA A SCOTT, 3000 KELLY LANE, SPRINGFIELD, 62711, SANGAMON | Agent | 2013-06-14 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| AMERICAN LUNG ASSOCIATION OF SOUTH DAKOTA | No data | 2012-09-17 | 2015-12-01 | Involuntary Cancellation | No data |
| AMERICAN LUNG ASSOCIATION OF INDIANA, INC. | No data | 2008-07-02 | 2015-12-01 | Involuntary Cancellation | No data |
| AMERICAN LUNG ASSOCIATION OF INDIANA | No data | 2008-06-26 | 2010-07-07 | Expired | No data |
| AMERICAN LUNG ASSOCIATION OF ILLINOIS - GREATER CHICAGO | No data | 2008-02-19 | 2015-12-01 | Involuntary Cancellation | No data |
| AMERICAN LUNG ASSOCIATION OF NORTH DAKOTA | No data | 2006-05-24 | 2015-12-01 | Involuntary Cancellation | No data |
| AMERICAN LUNG ASSOCIATION OF WISCONSIN | No data | 2006-01-03 | 2015-12-01 | Involuntary Cancellation | No data |
| AMERICAN LUNG ASSOCIATION OF MINNESOTA | No data | 2005-07-01 | 2015-12-01 | Involuntary Cancellation | No data |
| AMERICAN LUNG ASSOCIATION OF IOWA | No data | 2005-07-01 | 2015-12-01 | Involuntary Cancellation | No data |
| AMERICAN LUNG ASSOCIATION OF ILLINOIS | No data | 2005-07-01 | 2015-12-01 | Involuntary Cancellation | No data |
Date of last update: 16 Jan 2025
