| Entity Name: | AUGUSTYN FAMILY SERVICES INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 16 Apr 2014 |
| Company Number: | CORP_69573266 |
| File Number: | 69573266 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUGUSTYN FAMILY SERVICES 401(K) PLAN | 2023 | 465412043 | 2024-05-08 | AUGUSTYN FAMILY SERVICES INC | 10 | |||||||||||||||||||||||||||||||
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| 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 | 2024-05-08 |
| Name of individual signing | QIAN LIU |
| 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 | 621330 |
| Sponsor’s telephone number | 7737199479 |
| Plan sponsor’s address | 1801 WEST WARNER AVENUE, SUITE 200, CHICAGO, IL, 60613 |
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 | 2023-05-30 |
| Name of individual signing | CHRISTINE RIMER |
| 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 | 812990 |
| Sponsor’s telephone number | 7733558617 |
| Plan sponsor’s address | 1930 W BRADLEY PL, CHICAGO, IL, 60613 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-29 |
| Name of individual signing | JEN MADLA |
| 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 | 812990 |
| Sponsor’s telephone number | 7733558617 |
| Plan sponsor’s address | 1801 W WARNER AVE SUITE 200, CHICAGO, IL, 60613 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-20 |
| Name of individual signing | JEN MADLA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KATIE AUGUSTYN, 1801 W WARNER AVE STE 200, CHICAGO, 60613, COOK-NOT IN CITY OF CHICAGO | Agent | 2018-06-15 |
| Name and Address | Role |
|---|---|
| KATIE AUGUSTYN 1930 W BRADLEYCHICAGO ILLINOIS 60613 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10 | 10000 | No data |
Date of last update: 16 Jan 2025
