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  5. HEARTLAND BEHAVIORAL HEALTH, S.C.

HEARTLAND BEHAVIORAL HEALTH, S.C.

Company Details

Entity Name: HEARTLAND BEHAVIORAL HEALTH, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 15 Apr 2005
Company Number: CORP_64196529
File Number: 64196529
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEARTLAND BEHAVIORAL HEALTH S.C. 401(K) PLAN 2023 731733667 2024-07-01 HEARTLAND BEHAVIORAL HEALTH S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3096861147
Plan sponsor’s address 5005 N GLEN PARK PLACE RD., PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2024-07-01
Name of individual signing ANDREW HERITCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-01
Name of individual signing CHARLOTTE MELTON
Valid signature Filed with authorized/valid electronic signature
HEARTLAND BEHAVIORAL HEALTH S.C. 401(K) PLAN 2022 731733667 2023-04-12 HEARTLAND BEHAVIORAL HEALTH S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3096861147
Plan sponsor’s address 5005 N GLEN PARK PLACE RD., PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2023-04-12
Name of individual signing ANDREW HERITCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-12
Name of individual signing CHARLOTTE MELTON
Valid signature Filed with authorized/valid electronic signature
HEARTLAND BEHAVIORAL HEALTH S.C. 401(K) PLAN 2021 731733667 2022-04-27 HEARTLAND BEHAVIORAL HEALTH S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3096861147
Plan sponsor’s address 5005 N GLEN PARK PLACE RD., PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2022-04-27
Name of individual signing ANDREW HERITCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-27
Name of individual signing CHARLOTTE MELTON
Valid signature Filed with authorized/valid electronic signature
HEARTLAND BEHAVIORAL HEALTH S.C. 401(K) PLAN 2020 731733667 2021-02-15 HEARTLAND BEHAVIORAL HEALTH S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3096861147
Plan sponsor’s address 5005 N GLEN PARK PLACE RD., PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2021-02-15
Name of individual signing ANDREW HERITCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-15
Name of individual signing CHARLOTTE MELTON
Valid signature Filed with authorized/valid electronic signature
HEARTLAND BEHAVIORAL HEALTH S.C. 401(K) PLAN 2019 731733667 2020-07-22 HEARTLAND BEHAVIORAL HEALTH S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3096861147
Plan sponsor’s address 5005 N GLEN PARK PLACE RD., PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing ANDREW HERITCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-19
Name of individual signing CHARLOTTE MELTON
Valid signature Filed with authorized/valid electronic signature
HEARTLAND BEHAVIORAL HEALTH S.C. 401(K) PLAN 2018 731733667 2019-02-21 HEARTLAND BEHAVIORAL HEALTH S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3096861147
Plan sponsor’s address 5005 N GLEN PARK PLACE RD., PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2019-02-21
Name of individual signing ANDREW HERITCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-21
Name of individual signing CHARLOTTE MELTON
Valid signature Filed with authorized/valid electronic signature
HEARTLAND BEHAVIORAL HEALTH S.C. 401(K) PLAN 2017 731733667 2018-06-06 HEARTLAND BEHAVIORAL HEALTH S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3096861147
Plan sponsor’s address 5005 N GLEN PARK PLACE RD, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2018-06-04
Name of individual signing ANDREW HERITCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-06
Name of individual signing CHARLOTTE MELTON
Valid signature Filed with authorized/valid electronic signature
HEARTLAND BEHAVIORAL HEALTH S.C. 401(K) PLAN 2016 731733667 2017-07-31 HEARTLAND BEHAVIORAL HEALTH S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3096861147
Plan sponsor’s address 3116 N. DRIES LANE, STE. 201, PEORIA, IL, 61604

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing ANDREW HERITCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-31
Name of individual signing CHARLOTTE MELTON
Valid signature Filed with authorized/valid electronic signature
HEARTLAND BEHAVIORAL HEALTH S.C. 401(K) PLAN 2015 731733667 2016-08-01 HEARTLAND BEHAVIORAL HEALTH S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3096861147
Plan sponsor’s address 3116 N. DRIES LANE, STE. 201, PEORIA, IL, 61604
HEARTLAND BEHAVIORAL HEALTH S.C. 401(K) PLAN 2014 731733667 2015-06-19 HEARTLAND BEHAVIORAL HEALTH S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3096861147
Plan sponsor’s address 3116 N. DRIES LANE, STE. 201, PEORIA, IL, 61604

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing ANDREW HERITCH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES W. BENCKENDORF, 101 NE RANDOLPH AVE, PEORIA, 61606, PEORIA Agent 2005-04-15

President

Name and Address Role
ANDREW J. HERITCH M.D. 40 HICKORY RIDGE DR MORTON IL 61550 President

Secretary

Name and Address Role
ANDREW J. HERITCH M.D. 40 HICKORY RIDGE DR MORTON IL 61550 Secretary

Historical Names

Name Change Date
PEORIA PSYCHIATRIC SERVICES, S.C. 2005-06-27

Shares

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

Related by officers

JAMES W. BENCKENDORF, 101 NE RANDOLPH AVE, PEORIA, 61606, PEORIA

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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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