Entity Name: | COUNSELING RESOURCE INSTITUTE, PLLC |
Jurisdiction: | Illinois |
Entity Type: | Limited Liability Company |
Status: | Goodstanding |
Date Formed: | 18 Apr 2017 |
Company Number: | LLC_06268099 |
File Number: | 06268099 |
Type of Management: | Member Managed |
Date Status Change: | 19 Apr 2024 |
Address | 207 W. JEFFERSON STREET, SUITE 315, BLOOMINGTON, 61701, IL |
Place of Formation: | ILLINOIS |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
FAMILY MEDICINE OF COLUMBIA, LTD. 401K PLAN | 2012 | 371403747 | 2013-07-30 | FAMILY MEDICINE OF COLUMBIA, LTD. | 2 | |||||||||||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2013-07-30 |
Name of individual signing | KRYSTYNA WASIAK |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2013-07-30 |
Name of individual signing | KRYSTYNA WASIAK |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-06-01 |
Business code | 621111 |
Sponsor’s telephone number | 6182812233 |
Plan sponsor’s address | 13 RED FOX ROAD, BELLEVILLE, IL, 62223 |
Plan administrator’s name and address
Administrator’s EIN | 371403747 |
Plan administrator’s name | FAMILY MEDICINE OF COLUMBIA, LTD. |
Plan administrator’s address | 13 RED FOX ROAD, BELLEVILLE, IL, 62223 |
Administrator’s telephone number | 6182812233 |
Signature of
Role | Plan administrator |
Date | 2012-07-03 |
Name of individual signing | KRYSTYNA WASIAK |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2012-07-03 |
Name of individual signing | KRYSTYNA WASIAK |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2008-06-01 |
Business code | 621111 |
Sponsor’s telephone number | 6182812233 |
Plan sponsor’s address | 123 WEDGEWOOD DRIVE, COLUMBIA, IL, 622362561 |
Plan administrator’s name and address
Administrator’s EIN | 371403747 |
Plan administrator’s name | FAMILY MEDICINE OF COLUMBIA LTD |
Plan administrator’s address | 123 WEDGEWOOD DRIVE, COLUMBIA, IL, 622362561 |
Administrator’s telephone number | 6182812233 |
Signature of
Role | Plan administrator |
Date | 2011-06-27 |
Name of individual signing | ANDRZEJ J. WASIAK |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2011-06-27 |
Name of individual signing | ANDRZEJ J. WASIAK |
Valid signature | Filed with authorized/valid electronic signature |
Name and Address | Role | Appointment Date |
---|---|---|
GEORGE WOOD, 207 W JEFFERSON ST STE 400, BLOOMINGTON, 61701 | Agent | 2017-04-18 |
Name and Address | Role | Appointment Date |
---|---|---|
FREEMAN-SMITH, FAYE YVONNE, 207 W. JEFFERSON STREET, SUITE 315, BLOOMINGTON, IL, 61701 | Manager | 2024-04-19 |
Name | Change Date |
---|---|
COUNSELING RESOURCE INSTITUTE, LLC | 2023-03-29 |
Date of last update: 16 Jan 2025