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WASHINGTON COUNTY SENIOR SERVICES, INC.

Company Details

Entity Name: WASHINGTON COUNTY SENIOR SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 22 Dec 1980
Company Number: CORP_52252229
File Number: 52252229
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAX DEFERRED ANNUITY PLAN OF WASHINGTON COUNTY SENIOR SERVICES, INC. 2021 371092072 2022-10-14 WASHINGTON COUNTY SENIOR SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-01
Business code 624200
Sponsor’s telephone number 6182436533
Plan sponsor’s address PO BOX 369, OKAWVILLE, IL, 622710369

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing OPAL KOCH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF WASHINGTON COUNTY SENIOR SERVICES, INC. 2020 371092072 2021-06-24 WASHINGTON COUNTY SENIOR SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-01
Business code 624200
Sponsor’s telephone number 6182436533
Plan sponsor’s address PO BOX 369, OKAWVILLE, IL, 622710369

Signature of

Role Plan administrator
Date 2021-06-24
Name of individual signing OPAL KOCH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF WASHINGTON COUNTY SENIOR SERVICES, INC. 2019 371092072 2020-07-30 WASHINGTON COUNTY SENIOR SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-01
Business code 624200
Sponsor’s telephone number 6182436533
Plan sponsor’s address PO BOX 369, OKAWVILLE, IL, 622710369

Signature of

Role Plan administrator
Date 2020-07-30
Name of individual signing OPAL KOCH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF WASHINGTON COUNTY SENIOR SERVICES, INC. 2018 371092072 2019-07-30 WASHINGTON COUNTY SENIOR SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-01
Business code 624100
Sponsor’s telephone number 6182436533
Plan sponsor’s address PO BOX 369, OKAWVILLE, IL, 622710369

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing OPAL KOCH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF WASHINGTON COUNTY SENIOR SERVICES INC 2017 371092072 2018-06-07 WASHINGTON COUNTY SENIOR SERVICES INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-01
Business code 624100
Sponsor’s telephone number 6182436533
Plan sponsor’s address PO BOX 369, OKAWVILLE, IL, 622710369

Signature of

Role Plan administrator
Date 2018-06-07
Name of individual signing OPAL KOCH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF WASHINGTON COUNTY SENIOR SERVICES, INC. 2016 371092072 2017-07-28 WASHINGTON COUNTY SENIOR SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-01
Business code 624100
Sponsor’s telephone number 6182436533
Plan sponsor’s address PO BOX 369, OKAWVILLE, IL, 622710369

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing OPAL KOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-28
Name of individual signing OPAL KOCH
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF WASHINGTON COUNTY SEN SENIOR SERVICES, INC. 2015 371092072 2016-07-29 WASHINGTON COUNTY SENIOR SERVICES, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-01
Business code 624100
Sponsor’s telephone number 6182436533
Plan sponsor’s address PO BOX 369, OKAWVILLE, IL, 622710369

Signature of

Role Plan administrator
Date 2016-07-29
Name of individual signing OPAL KOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-29
Name of individual signing OPAL KOCH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DARLA RENNEGARBE, 305 N. NACHVILLE ST. PO BOX 369, OKAWVILLE, 62271, WASHINGTON Agent 2023-06-23

Historical Names

Name Change Date
SENIOR CITIZEN'S MULTIPURPOSE CENTER 1986-05-09

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State