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  5. SHELBY COUNTY COMMUNITY SERVICES, INC.

SHELBY COUNTY COMMUNITY SERVICES, INC.

Company Details

Entity Name: SHELBY COUNTY COMMUNITY SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 23 May 1975
Company Number: CORP_50666506
File Number: 50666506
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
RZ8UAHNKPQB1 2025-02-07 1810 W SOUTH 3RD ST, SHELBYVILLE, IL, 62565, 9595, USA 1810 W SOUTH 3RD ST, SHELBYVILLE, IL, 62565, 9595, USA

Business Information
Congressional District 15
State/Country of Incorporation IL, USA
Activation Date 2024-02-12
Initial Registration Date 2016-05-12
Entity Start Date 1975-05-23
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 115112, 621420, 623210, 624120
Product and Service Codes 9330

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SUSAN LOVE
Role MS
Address 1810 WEST SOUTH 3RD STREET, SHELBYVILLE, IL, 62565, USA
Title ALTERNATE POC
Name JAMIE HARDIMON
Role MS
Address 1810 W S 3RD ST, SHELBYVILLE, IL, 62565, USA
Government Business
Title PRIMARY POC
Name SUSAN LOVE
Role MR
Address 1810 WEST SOUTH 3RD ST, SHELBYVILLE, IL, 62565, USA
Title ALTERNATE POC
Name JAMIE HARDIMON
Role MS
Address 1810 W S 3RD ST, SHELBYVILLE, IL, 62565, USA
Past Performance
Title PRIMARY POC
Name JAMIE HARDIMON
Role MS
Address 1810 W S 3RD ST, SHELBYVILLE, IL, 62565, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF SHELBY COUNTY COMMUNITY SERVICES, INC. 2021 370993757 2022-07-22 SHELBY COUNTY COMMUNITY SERVICES, INC. 92
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-07-01
Business code 624200
Sponsor’s telephone number 2177745587
Plan sponsor’s address 1810 W SOUTH 3RD ST, SHELBYVILLE, IL, 625659595

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing JAMIE HARDIMON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SHELBY COUNTY COMMUNITY SERVICES, INC. 2020 370993757 2021-07-26 SHELBY COUNTY COMMUNITY SERVICES, INC. 111
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-07-01
Business code 624200
Sponsor’s telephone number 2177745587
Plan sponsor’s address 1810 W SOUTH 3RD ST, SHELBYVILLE, IL, 625659595

Signature of
Role Plan administrator
Date 2021-07-26
Name of individual signing JAMIE HARDIMON
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF SHELBY COUNTY COMMUNITY SERVICES, INC. 2019 370993757 2020-07-14 SHELBY COUNTY COMMUNITY SERVICES, INC. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-07-01
Business code 624200
Sponsor’s telephone number 2177745587
Plan sponsor’s address 1810 W SOUTH 3RD ST, SHELBYVILLE, IL, 625659595

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing JAMIE HARDIMON
Valid signature Filed with authorized/valid electronic signature
SHELBY COUNTY COMMUNITY SERVICES, INC. 403(B) PLAN 2010 370993797 2011-06-16 SHELBY COUNTY COMMUNITY SERVICES, INC 150
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 624310
Sponsor’s telephone number 2177745587
Plan sponsor’s mailing address P.O. BOX 650, SHELBYVILLE, IL, 62565
Plan sponsor’s address 1810 W. S. THIRD ST., SHELBYVILLE, IL, 62565

Plan administrator’s name and address
Administrator’s EIN 370993797
Plan administrator’s name SHELBY COUNTY COMMUNITY SERVICES, INC
Plan administrator’s address P.O. BOX 650, SHELBYVILLE, IL, 62565
Administrator’s telephone number 2177745587

Number of participants as of the end of the plan year
Active participants 0
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 with account balances as of the end of the plan year 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 2011-06-16
Name of individual signing RICHARD W. GLOEDE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-16
Name of individual signing RICHARD W. GLOEDE
Valid signature Filed with authorized/valid electronic signature
SHELBY COUNTY COMMUNITY SERVICES, INC. 403(B) PLAN 2009 370993797 2010-10-07 SHELBY COUNTY COMMUNITY SERVICES, INC 146
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 624310
Sponsor’s telephone number 2177745587
Plan sponsor’s mailing address P.O. BOX 650, SHELBYVILLE, IL, 62565
Plan sponsor’s address 1810 W. S. THIRD ST., SHELBYVILLE, IL, 62565

Plan administrator’s name and address
Administrator’s EIN 370993797
Plan administrator’s name SHELBY COUNTY COMMUNITY SERVICES, INC
Plan administrator’s address P.O. BOX 650, SHELBYVILLE, IL, 62565
Administrator’s telephone number 2177745587

Number of participants as of the end of the plan year
Active participants 138
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 with account balances as of the end of the plan year 28
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 2010-10-06
Name of individual signing RICHARD W. GLOEDE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing RICHARD W. GLOEDE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SUSAN A LOVE, 1810 W S THIRD ST, SHELBYVILLE, 62565, SHELBY Agent 2019-04-26

Historical Names

Name Change Date
SHELBY COUNTY MENTAL HEALTH AND REHABILITATION CENTER 1988-06-27

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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