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ROCKFORD WELLNESS COLLECTIVE, S.C.

Company Details

Entity Name: ROCKFORD WELLNESS COLLECTIVE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Mar 2012
Company Number: CORP_68405025
File Number: 68405025
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
ROCKFORD WELLNESS CENTER, SC 401(K) PLAN 2023 454720438 2024-05-14 ROCKFORD WELLNESS CENTER, SC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 623000
Sponsor’s telephone number 8157080125
Plan sponsor’s address 4224 MARAY DR, SUITE 1B, ROCKFORD, IL, 61107

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-14
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
ROCKFORD WELLNESS CENTER, SC 401(K) PLAN 2022 454720438 2023-05-27 ROCKFORD WELLNESS CENTER, SC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 623000
Sponsor’s telephone number 8157080125
Plan sponsor’s address 6019 FINCHAM DRIVE, SUITE 1B, ROCKFORD, IL, 61108

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD WELLNESS CENTER, SC 401(K) PLAN 2021 454720438 2022-06-01 ROCKFORD WELLNESS CENTER, SC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 623000
Sponsor’s telephone number 8157080125
Plan sponsor’s address 6019 FINCHAM DRIVE, SUITE 1B, ROCKFORD, IL, 61108

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-06-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DOUGLAS WILLIAMS, 6019 FINCHAM DR STE 1B, ROCKFORD, 61108, WINNEBAGO Agent 2017-03-21

President

Name and Address Role
KIMBERLY S WILLIAMS, 3603 HIGHCREST RD ROCKFORD IL 61107 President

Secretary

Name and Address Role
AS ABOVE Secretary

Historical Names

Name Change Date
ROCKFORD WELLNESS CORPORATION, S.C. 2022-05-12
ROCKFORD WELLNESS CENTER, SC 2014-09-03
ROCKFORD WELLNESS CORPORATION 2012-10-03

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State