| Entity Name: | IMPACT STAFFING, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 22 Oct 1999 |
| Company Number: | LLC_00334057 |
| File Number: | 00334057 |
| Type of Management: | Manager Managed |
| Date Status Change: | 04 Sep 2024 |
| Address | 4324 N. ELSTON, CHICAGO, 60641, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IMPACT STAFFING LLC 401(K) PLAN | 2023 | 364318736 | 2024-08-19 | IMPACT STAFFING LLC | 269 | |||||||||||||||||||||||||||||||||||||||||||||
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| IMPACT STAFFING LLC 401K PLAN | 2020 | 364318736 | 2021-08-10 | IMPACT STAFFING LLC | 4 | |||||||||||||||||||||||||||||||||||||||||||||
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| Active participants | 4 |
| 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 that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2021-08-10 |
| Name of individual signing | LISA KAIHARA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-08-10 |
| Name of individual signing | LISA KAIHARA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MATTHEW P CONNELLY, 333 W WACKER DR STE 1900, CHICAGO, 60606 | Agent | 2022-10-25 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KAIHARA, LISA A, 5238 W MULFORD ST, SKOKIE, IL, 60077 | Manager | 2024-09-04 |
| ALDERMAN, DAVID, 414 ADMIRAL COURT, DESTIN, FL, 32541 | Manager | 2024-09-04 |
| Name and Address | Role | Account Number |
|---|---|---|
| DAVID L ALDERMAN | Member | 48959 |
| LISA A VITACCO KAIHARA | Member | 48959 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2911798 | Issued | 4404 | Regulated Business License | 833 - Operation of Day Labor Agency / Temporary Staffing of Workers Where Wage Payments are Made Directly or Indirectly by the Agency | 2023-06-30 | 2023-06-30 | 2025-08-15 |
| BUSINESS LICENSE | 80860 | Issued | 1010 | Limited Business License | No data | 2018-10-11 | 2017-08-16 | 2019-08-15 |
Date of last update: 20 Jan 2025
