| Entity Name: | KERI POWELL THERAPY, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 07 Dec 2011 |
| Company Number: | CORP_68082234 |
| File Number: | 68082234 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KERI POWELL THERAPY, INC. 401(K) PLAN | 2023 | 454058427 | 2024-07-30 | KERI POWELL THERAPY, INC. | 43 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-30 |
| Name of individual signing | JOHN ANSAY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 2173520200 |
| Plan sponsor’s address | 2125 S. NEIL STREET, CHAMPAIGN, IL, 61820 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-26 |
| Name of individual signing | KERI POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-07-26 |
| Name of individual signing | KERI POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 2173520200 |
| Plan sponsor’s address | 701 DEVONSHIRE DRIVE SUITE B1, CHAMPAIGN, IL, 61820 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-20 |
| Name of individual signing | KERI POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-09-20 |
| Name of individual signing | KERI POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 2173520200 |
| Plan sponsor’s address | 701 DEVONSHIRE DRIVE SUITE B1, CHAMPAIGN, IL, 61820 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-16 |
| Name of individual signing | KERI POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-07-16 |
| Name of individual signing | KERI POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 2173520200 |
| Plan sponsor’s address | 701 DEVONSHIRE DRIVE SUITE B1, CHAMPAIGN, IL, 61820 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-09 |
| Name of individual signing | KERI POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-10-09 |
| Name of individual signing | KERI POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KERI B POWELL, 7 DUNLAP CT, SAVOY, 61874, CHAMPAIGN | Agent | 2020-11-06 |
| Name and Address | Role |
|---|---|
| NONE | Secretary |
| Name and Address | Role |
|---|---|
| KERI POWELL, 2125 S NEIL ST CHAMPAIGN, IL 61820 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1500 | 1000000 | No data |
Date of last update: 27 Jan 2025
