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WEBSTER-CANTRELL HALL

Company Details

Entity Name: WEBSTER-CANTRELL HALL
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Merged/Consolidated
Date Formed: 05 Jun 1974
Company Number: CORP_50459365
File Number: 50459365
Date Status Change: 31 Jan 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEBSTER-CANTRELL HALL 401(K) PLAN 2021 370982024 2022-05-16 WEBSTER-CANTRELL HALL 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 624100
Sponsor’s telephone number 2174236961
Plan sponsor’s address 1942 EAST CANTRELL, DECATUR, IL, 62521

Signature of

Role Plan administrator
Date 2022-05-16
Name of individual signing CAROL BAUGHMAN
Valid signature Filed with authorized/valid electronic signature
HEALTH ALLIANCE 2019 370982024 2020-07-29 WEBSTER-CANTRELL HALL 32
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2019-01-01
Business code 624100
Sponsor’s telephone number 2174236961
Plan sponsor’s mailing address 1942 E CANTRELL ST, DECATUR, IL, 625213214
Plan sponsor’s address 1942 E CANTRELL ST, DECATUR, IL, 625213214

Number of participants as of the end of the plan year

Active participants 32

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing CAROL BAUGHMAN
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL 2019 370982024 2020-08-31 WEBSTER-CANTRELL HALL 87
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-01-01
Business code 624100
Sponsor’s telephone number 2174236961
Plan sponsor’s mailing address 1942 E CANTRELL ST, DECATUR, IL, 625213214
Plan sponsor’s address 1942 E CANTRELL ST, DECATUR, IL, 625213214

Signature of

Role Plan administrator
Date 2020-08-31
Name of individual signing CAROL BAUGHMAN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF WEBSTER-CANTRELL HALL 2018 370982024 2019-07-17 WEBSTER-CANTRELL HALL 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-10-01
Business code 624100
Sponsor’s telephone number 2174236961
Plan sponsor’s address 1942 E CANTRELL ST, DECATUR, IL, 625213214

Signature of

Role Plan administrator
Date 2019-07-17
Name of individual signing CAROL BAUGHMAN
Valid signature Filed with authorized/valid electronic signature
UNITED HEALTHCARE 2018 370982024 2019-07-22 WEBSTER-CANTRELL HALL 55
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2017-01-01
Business code 624100
Sponsor’s telephone number 2174236961
Plan sponsor’s mailing address 1942 E CANTRELL ST, DECATUR, IL, 625213214
Plan sponsor’s address 1942 E CANTRELL ST, DECATUR, IL, 625213214

Number of participants as of the end of the plan year

Active participants 50

Signature of

Role Plan administrator
Date 2019-07-22
Name of individual signing CAROL BAUGHMAN
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL 2018 370982024 2019-07-22 WEBSTER-CANTRELL HALL 97
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-01-01
Business code 624100
Sponsor’s telephone number 2174236961
Plan sponsor’s mailing address 1942 E CANTRELL ST, DECATUR, IL, 625213214
Plan sponsor’s address 1942 E CANTRELL ST, DECATUR, IL, 625213214

Number of participants as of the end of the plan year

Active participants 87

Signature of

Role Plan administrator
Date 2019-07-22
Name of individual signing CAROL BAUGHMAN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF WEBSTER CANTRELL HALL 2017 370982024 2018-07-24 WEBSTER CANTRELL HALL 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-10-01
Business code 624100
Sponsor’s telephone number 2174236961
Plan sponsor’s address 1942 E CANTRELL ST, DECATUR, IL, 625213214

Signature of

Role Plan administrator
Date 2018-07-24
Name of individual signing CAROL BAUGHMAN
Valid signature Filed with authorized/valid electronic signature
UNITED HEALTHCARE 2017 370982024 2018-07-30 WEBSTER-CANTRELL HALL 55
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2017-01-01
Business code 624100
Sponsor’s telephone number 2174236961
Plan sponsor’s mailing address 1942 E CANTRELL ST, DECATUR, IL, 625213214
Plan sponsor’s address 1942 E CANTRELL ST, DECATUR, IL, 625213214

Number of participants as of the end of the plan year

Active participants 55

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing CAROL BAUGHMAN
Valid signature Filed with authorized/valid electronic signature
WEBSTER-CANTRELL HALL-MUTUAL OF OMAHA 2017 370982024 2018-08-24 WEBSTER-CANTRELL HALL 108
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2017-03-01
Business code 624100
Sponsor’s telephone number 2174236961
Plan sponsor’s mailing address 1942 E CANTRELL ST, DECATUR, IL, 625213214
Plan sponsor’s address 1942 E CANTRELL ST, DECATUR, IL, 625213214

Number of participants as of the end of the plan year

Active participants 86

Signature of

Role Plan administrator
Date 2018-08-24
Name of individual signing CAROL BAUGHMAN
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL 2017 370982024 2018-07-26 WEBSTER-CANTRELL HALL 111
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-01-01
Business code 624100
Sponsor’s telephone number 2174236961
Plan sponsor’s mailing address 1942 E CANTRELL ST, DECATUR, IL, 625213214
Plan sponsor’s address 1942 E CANTRELL ST, DECATUR, IL, 625213214

Number of participants as of the end of the plan year

Active participants 97

Signature of

Role Plan administrator
Date 2018-07-26
Name of individual signing CAROL BAUGHMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL WARNER, 1942 E CANTRELL, DECATUR, 62521, MACON Agent 2018-07-30

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State