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SOUTHLAND CARE COORDINATION PARTNERS, INC.

Company Details

Entity Name: SOUTHLAND CARE COORDINATION PARTNERS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Apr 2014
Company Number: CORP_69509223
File Number: 69509223
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NCJHCH6SZB55 2021-11-24 600 HOLIDAY PLAZA DR STE 230, MATTESON, IL, 60443, 3094, USA 600 HOLIDAY PLAZA DRIVE, SUITE 200, MATTESON, IL, 60443, USA

Business Information

URL www.southlandcco.com
Division Name SOUTHLAND CARE COORDINATION PARTNERS
Division Number SOUTHLAND
Congressional District 02
State/Country of Incorporation IL, USA
Activation Date 2020-06-22
Initial Registration Date 2020-05-28
Entity Start Date 2014-04-01
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name ANDRE MCCLERKLIN
Role PRESIDENT
Address 600 HOLIDAY PLAZA DRIVE, SUITE 200, MATTESON, IL, 60443, USA
Government Business
Title PRIMARY POC
Name ANDRE MCCLERKLIN
Role PRESIDENT
Address 600 HOLIDAY PLAZA DRIVE, SUITE 200, MATTESON, IL, 60443, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHLAND CARE COORDINATION PARTNERS, INC. 401(K) PLAN 2023 465263071 2024-07-12 SOUTHLAND CARE COORDINATION PARTNERS, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621900
Sponsor’s telephone number 7089964000
Plan sponsor’s address 2555 W. LINCOLN HIGHWAY, SUITE 200, OLYMPIA FIELDS, IL, 60461

Signature of

Role Plan administrator
Date 2024-07-12
Name of individual signing ANDRE MCCLERKLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-12
Name of individual signing ANDRE MCCLERKLIN
Valid signature Filed with authorized/valid electronic signature
SOUTHLAND CARE COORDINATION PARTNERS, INC. 401(K) PLAN 2022 465263071 2023-10-16 SOUTHLAND CARE COORDINATION PARTNERS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621900
Sponsor’s telephone number 7089964000
Plan sponsor’s address 600 HOLIDAY PLAZA DRIVE, SUITE 200, MATTESON, IL, 60443

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing ANDRE MCCLERKLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing ANDRE MCCLERKLIN
Valid signature Filed with authorized/valid electronic signature
SOUTHLAND CARE COORDINATION PARTNERS, INC. 401(K) PLAN 2021 465263071 2022-10-14 SOUTHLAND CARE COORDINATION PARTNERS, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621900
Sponsor’s telephone number 7089964000
Plan sponsor’s address 600 HOLIDAY PLAZA DRIVE, SUITE 200, MATTESON, IL, 60443

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing ANDRE MCCLERKLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing ANDRE MCCLERKLIN
Valid signature Filed with authorized/valid electronic signature
SOUTHLAND CARE COORDINATION PARTNERS, INC. 401(K) PLAN 2020 465263071 2021-10-14 SOUTHLAND CARE COORDINATION PARTNERS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621900
Sponsor’s telephone number 7089964000
Plan sponsor’s address 600 HOLIDAY PLAZA DRIVE, SUITE 200, MATTESON, IL, 60443

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing ANDRE MCCLERKLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing ANDRE MCCLERKLIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANDRE MCCLERKLIN, 2555 LINCOLN HWY STE 200, OLYMPIA FIELDS, 60461, COOK-NOT IN CITY OF CHICAGO Agent 2024-09-03

President

Name and Address Role
ANDRE MCCLERKLIN, 22801 NIAMHCOURT, RICHTON PARK IL 60471 President

Secretary

Name and Address Role
EDWIN UKPABY, 793 BROOKWOOD DROLYMPIA FIELDS 60461 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
SCCP PROPERTY MANAGEMENT Assume Name 2022-02-17 No data No data No data
SCCP Assume Name 2020-06-23 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 69200000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State