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  5. JAI YESU PSYCHIATRIC SERVICES, S.C.

JAI YESU PSYCHIATRIC SERVICES, S.C.

Company Details

Entity Name: JAI YESU PSYCHIATRIC SERVICES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Reinstated
Date Formed: 13 Nov 2009
Company Number: CORP_67011139
File Number: 67011139
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
JAI YESU PSYCHIATRIC SERVICES, S.C. 401(K) PLAN 2023 271309416 2024-10-12 JAI YESU PSYCHIATRIC SERVICES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 5404673615
Plan sponsor’s address 4711 LAPORTE AVENUE, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2024-10-12
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-12
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
JAI YESU PSYCHIATRIC SERVICES, S.C. 401(K) PLAN 2021 271309416 2022-09-28 JAI YESU PSYCHIATRIC SERVICES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 5404673615
Plan sponsor’s address 4711 LAPORTE AVENUE, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-28
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
JAI YESU PSYCHIATRIC SERVICES, S.C. 401(K) PLAN 2020 271309416 2021-07-26 JAI YESU PSYCHIATRIC SERVICES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 5404673615
Plan sponsor’s address 4711 LAPORTE AVENUE, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2021-07-26
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-26
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
JAI YESU PSYCHIATRIC SERVICES, S.C. 401(K) PLAN 2019 271309416 2020-10-13 JAI YESU PSYCHIATRIC SERVICES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 5404673615
Plan sponsor’s address 4711 LAPORTE AVENUE, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
JAI YESU PSYCHIATRIC SERVICES, S.C. 401(K) PLAN 2018 271309416 2019-10-13 JAI YESU PSYCHIATRIC SERVICES, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 5404673615
Plan sponsor’s address 4711 LAPORTE AVENUE, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2019-10-13
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-13
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
JAI YESU PSYCHIATRIC SERVICES, S.C. 401(K) PLAN 2017 271309416 2018-10-15 JAI YESU PSYCHIATRIC SERVICES, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 5404673615
Plan sponsor’s address 4711 LAPORTE AVENUE, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
JAI YESU PSYCHIATRIC SERVICES, S.C. 401(K) PLAN 2016 271309416 2017-10-15 JAI YESU PSYCHIATRIC SERVICES, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 5404673615
Plan sponsor’s address 4711 LAPORTE AVENUE, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2017-10-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
JAI YESU PSYCHIATRIC SERVICES, S.C. 401(K) PLAN 2015 271309416 2016-10-14 JAI YESU PSYCHIATRIC SERVICES, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621112
Sponsor’s telephone number 5404673615
Plan sponsor’s address 4711 LAPORTE AVENUE, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOSE MATHEWS, 4711 LAPORTE AVE, CHICAGO, 60630, COOK-NOT IN CITY OF CHICAGO Agent 2010-11-03

President

Name and Address Role
JOSE MATHEWS 901 SARA ST VACAVILLE IL, 95687 President

Secretary

Name and Address Role
JOSE MATHEWS 901 SARA ST VACAVILLE IL, 95687 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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