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PROVIDENCE VENTURE OPERATING INC.

Company Details

Entity Name: PROVIDENCE VENTURE OPERATING INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Mar 2012
Date of Dissolution: 09 Aug 2024
Company Number: CORP_68415675
File Number: 68415675
Type of Business: All Inclusive Purpose
Date Status Change: 09 Aug 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVIDENCE VENTURE OPERATING INC 401K PLAN 2019 900810319 2020-10-15 PROVIDENCE VENTURE OPERATING INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-11-09
Business code 812190
Sponsor’s telephone number 3129073431
Plan sponsor’s mailing address 8650 FLINT LN, ORLAND PARK, IL, 604621486
Plan sponsor’s address 8650 FLINT LN, ORLAND PARK, IL, 604621486

Number of participants as of the end of the plan year

Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing ALLEN MORRIS
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE VENTURE OPERATING INC 401K PLAN 2018 900810319 2019-10-13 PROVIDENCE VENTURE OPERATING INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-11-09
Business code 812190
Sponsor’s telephone number 3129073431
Plan sponsor’s mailing address 8650 FLINT LN, ORLAND PARK, IL, 604621486
Plan sponsor’s address 8650 FLINT LN, ORLAND PARK, IL, 604621486

Number of participants as of the end of the plan year

Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2019-10-13
Name of individual signing ALLEN MORRIS
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE VENTURE OPERATING INC 401K PLAN 2017 900810319 2018-10-15 PROVIDENCE VENTURE OPERATING INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-11-09
Business code 812190
Sponsor’s telephone number 3129073431
Plan sponsor’s mailing address 8650 FLINT LN, ORLAND PARK, IL, 604621486
Plan sponsor’s address 8650 FLINT LN, ORLAND PARK, IL, 604621486

Number of participants as of the end of the plan year

Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing ALLEN MORRIS
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE VENTURE OPERATING INC. 2015 900810319 2016-10-12 PROVIDENCE VENTURE OPERATING INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-11-09
Business code 812190
Sponsor’s telephone number 6305602904
Plan sponsor’s mailing address 8650 FLINT LN, ORLAND PARK, IL, 604621486
Plan sponsor’s address 8650 FLINT LN, ORLAND PARK, IL, 604621486

Number of participants as of the end of the plan year

Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing ALLEN MORRIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL R. LISS, 1301 W 22ND ST STE 709, OAK BROOK, 60523, DU PAGE Agent 2012-03-19

President

Name and Address Role
BARBARA MORRIS 8650 FLINT LN ORLAND PARK IL 60462 President

Shares

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

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State