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COUNSELING RESOURCE INSTITUTE, PLLC

Company Details

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

form 5500

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
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

Signature of

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
FAMILY MEDICINE OF COLUMBIA, LTD. 401K PLAN 2011 371403747 2012-07-03 FAMILY MEDICINE OF COLUMBIA, LTD. 3
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
FAMILY MEDICINE OF COLUMBIA LTD 401K PLAN 2010 371403747 2011-06-27 FAMILY MEDICINE OF COLUMBIA LTD 3
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

Agent

Name and Address Role Appointment Date
GEORGE WOOD, 207 W JEFFERSON ST STE 400, BLOOMINGTON, 61701 Agent 2017-04-18

Manager

Name and Address Role Appointment Date
FREEMAN-SMITH, FAYE YVONNE, 207 W. JEFFERSON STREET, SUITE 315, BLOOMINGTON, IL, 61701 Manager 2024-04-19

Historical Names

Name Change Date
COUNSELING RESOURCE INSTITUTE, LLC 2023-03-29

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State