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ELMHURST EXTENDED CARE CENTER, INC.

Company Details

Entity Name: ELMHURST EXTENDED CARE CENTER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 09 Aug 1960
Date of Dissolution: 12 Mar 2014
Company Number: CORP_40148051
File Number: 40148051
Date Status Change: 12 Mar 2014
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELMHURST EXTENDED CARE CENTER, INC. 401(K) PLAN 2012 362472961 2014-02-24 ELMHURST EXTENDED CARE CENTER, INC 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 6305165000
Plan sponsor’s address 200 E. LAKE STREET, ELMHURST, IL, 60126

Signature of

Role Plan administrator
Date 2013-10-07
Name of individual signing JOHN MASSARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-07
Name of individual signing JOHN MASSARD
Valid signature Filed with authorized/valid electronic signature
ELMHURST EXTENDED CARE CENTER, INC. 401(K) PLAN 2011 362472961 2012-09-10 ELMHURST EXTENDED CARE CENTER, INC 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 6305165000
Plan sponsor’s address 200 E. LAKE STREET, ELMHURST, IL, 60126

Plan administrator’s name and address

Administrator’s EIN 362472961
Plan administrator’s name ELMHURST EXTENDED CARE CENTER, INC
Plan administrator’s address 200 E. LAKE STREET, ELMHURST, IL, 60126
Administrator’s telephone number 6305165000

Signature of

Role Plan administrator
Date 2012-09-10
Name of individual signing JOHN MASSARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-10
Name of individual signing JOHN MASSARD
Valid signature Filed with authorized/valid electronic signature
ELMHURST EXTENDED CARE CENTER INC 401(K) PLAN 2010 362472961 2011-10-07 ELMHURST EXTENDED CARE CENTER INC 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 6308344337
Plan sponsor’s address 200 EAST LAKE STREET, ELMHURST, IL, 60126

Plan administrator’s name and address

Administrator’s EIN 362472961
Plan administrator’s name ELMHURST EXTENDED CARE CENTER INC
Plan administrator’s address 200 EAST LAKE STREET, ELMHURST, IL, 60126
Administrator’s telephone number 6308344337

Signature of

Role Plan administrator
Date 2011-10-07
Name of individual signing JOHN MASSARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-07
Name of individual signing JOHN MASSARD
Valid signature Filed with authorized/valid electronic signature
ELMHURST EXTENDED CARE CENTER INC 401(K) PLAN 2009 362472961 2010-10-18 ELMHURST EXTENDED CARE CENTER INC 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 623000
Sponsor’s telephone number 6308344337
Plan sponsor’s address 200 EAST LAKE STREET, ELMHURST, IL, 60126

Plan administrator’s name and address

Administrator’s EIN 362472961
Plan administrator’s name ELMHURST EXTENDED CARE CENTER INC
Plan administrator’s address 200 EAST LAKE STREET, ELMHURST, IL, 60126
Administrator’s telephone number 6308344337

Signature of

Role Plan administrator
Date 2010-10-18
Name of individual signing JOHN MASSARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-18
Name of individual signing JOHN MASSARD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KEITH A GOLDBERG, 1701 E LAKE AVE STE 255, GLENVIEW, 60025, COOK-NOT IN CITY OF CHICAGO Agent 2009-02-24

President

Name and Address Role
JOHN MASSARD 200 EAST LAKE STREET WLMHURST President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 2000 300000 100

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State