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SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.

Company Details

Entity Name: SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 09 Dec 1983
Company Number: CORP_53288553
File Number: 53288553
Type of Business: Charitable or benevolent
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
N7PJN47ZP3Z4 2024-12-03 2041 GOOSE LAKE RD, SAUGET, IL, 62206, 2822, USA 2041 GOOSE LAKE RD., SAUGET, IL, 62206, 2822, USA

Business Information

Congressional District 13
State/Country of Incorporation IL, USA
Activation Date 2023-12-06
Initial Registration Date 2004-03-31
Entity Start Date 1984-01-09
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621399

Points of Contacts

Electronic Business
Title PRIMARY POC
Name NANCY FLEMING
Role CONTROLLER
Address SOUTHERN IL HEALTHCARE FOUNDATION, 2041 GOOSE LAKE ROAD, SAUGET, IL, 62206, 2822, USA
Government Business
Title PRIMARY POC
Name DAVID WEIL
Address SOUTHERN IL HEALTHCARE FOUNDATION, 2041 GOOSE LAKE ROAD, SAUGET, IL, 62206, USA
Title ALTERNATE POC
Name DAVID WEIL
Address SOUTHERN IL HEALTHCARE FOUNDATION, 2041 GOOSE LAKE ROAD, SAUGET, IL, 62206, USA
Past Performance
Title PRIMARY POC
Name DAVID WEIL
Address SOUTHERN IL HEALTHCARE FOUNDATION, 2041 GOOSE LAKE ROAD, SAUGET, IL, 62206, 1808, USA
Title ALTERNATE POC
Name DAVID WEIL
Address SOUTHERN IL HEALTHCARE FOUNDATION, 2041 GOOSE LAKE ROAD, SAUGET, IL, 62206, 1808, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC. EMPLOYER CONTRIBUTION TAX SHELTERED ANNUITY PLAN 2013 371158318 2016-03-14 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621493
Sponsor’s telephone number 6183325414
Plan sponsor’s address 8080 STATE STREET, EAST ST LOUIS, IL, 62203

Signature of

Role Plan administrator
Date 2016-03-14
Name of individual signing NANCY HAAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-14
Name of individual signing NANCY HAAS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC. EMPLOYER CONTRIBUTION TAX SHELTERED ANNUITY PLAN 2012 371158318 2013-10-14 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621493
Sponsor’s telephone number 6183325414
Plan sponsor’s address 8080 STATE STREET, EAST ST LOUIS, IL, 62203

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing STEPHEN LAWRENCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing STEPHEN LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC EMPLOYER CONTRIBUTION TAX SHELTERED ANNUITY PLAN 2011 371158318 2012-10-12 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621493
Sponsor’s telephone number 6183325414
Plan sponsor’s address 8080 STATE STREET, EAST ST LOUIS, IL, 62203

Plan administrator’s name and address

Administrator’s EIN 371158318
Plan administrator’s name SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC.
Plan administrator’s address 8080 STATE STREET, EAST ST LOUIS, IL, 62203
Administrator’s telephone number 6183325414

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing STEPHEN LAWRENCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing STEPHEN LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC. EMPLOYER CONTRIBUTION TAX SHELTERED ANNUITY PLAN 2010 371158318 2011-09-29 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621493
Sponsor’s telephone number 6183325414
Plan sponsor’s address 8080 STATE STREET, EAST ST LOUIS, IL, 62203

Plan administrator’s name and address

Administrator’s EIN 371158318
Plan administrator’s name SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC.
Plan administrator’s address 8080 STATE STREET, EAST ST LOUIS, IL, 62203
Administrator’s telephone number 6183325414

Signature of

Role Plan administrator
Date 2011-09-29
Name of individual signing STEPHEN LAWRENCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-29
Name of individual signing STEPHEN LAWRENCE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC. EMPLOYER CONTRIBUTION TAX SHELTERED ANNUITY PLAN 2009 371158318 2010-10-11 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621493
Sponsor’s telephone number 6183325414
Plan sponsor’s address 8080 STATE STREET, EAST ST LOUIS, IL, 62203

Plan administrator’s name and address

Administrator’s EIN 371158318
Plan administrator’s name SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC.
Plan administrator’s address 8080 STATE STREET, EAST ST LOUIS, IL, 62203
Administrator’s telephone number 6183325414

Signature of

Role Plan administrator
Date 2010-10-11
Name of individual signing STEPHEN LAWRENCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing STEPHEN LAWRENCE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PETE THEMAS, 2041 GOOSE LAKE RD, SAUGET, 62206, ST. CLAIR Agent 2009-06-03

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
LIFE ALLY HEALTH ALLIANCE NFP Assume Name 2024-03-27 No data No data No data
SIHF INSTACARE NFP Assume Name 2023-08-22 No data No data No data
SIHF HEALTHCARE NFP Assume Name 2017-06-05 No data No data No data
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. No data 2014-07-10 2020-11-05 Voluntary Cancellation No data
WEBER MEDICAL CLINIC PHARMACY NFP Assume Name 2012-06-25 No data No data No data
WEST BELLEVILLE HEALTH CENTER No data 2002-05-14 2011-05-02 Involuntary Cancellation No data
SOUTHERN ILLINOIS HEALTHCARE CENTERS No data 1996-05-13 2011-05-02 Involuntary Cancellation No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State