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  5. HILLTOP NURSING HOME, INC.

HILLTOP NURSING HOME, INC.

Company Details

Entity Name: HILLTOP NURSING HOME, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Revoked
Date Formed: 27 Mar 1970
Company Number: CORP_49642792
File Number: 49642792
Date Status Change: 11 Aug 2017
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HILLTOP NURSING HOME INC RETIREMENT PLAN 2020 370776670 2021-07-15 HILLTOP NURSING HOME INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343
Plan sponsor’s address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343

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
HILLTOP NURSING HOME INC RETIREMENT PLAN 2019 370776670 2020-07-14 HILLTOP NURSING HOME INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343
Plan sponsor’s address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343

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 1
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 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
HILLTOP NURSING HOME INC RETIREMENT PLAN 2018 370776670 2019-07-10 HILLTOP NURSING HOME INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343
Plan sponsor’s address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343

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 1
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 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
HILLTOP NURSING HOME INC RETIREMENT PLAN 2017 370776670 2018-07-21 HILLTOP NURSING HOME INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343
Plan sponsor’s address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343

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 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
HILLTOP NURSING HOME INC RETIREMENT PLAN 2016 370776670 2017-04-27 HILLTOP NURSING HOME INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343
Plan sponsor’s address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343

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 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
HILLTOP NURSING HOME INC RETIREMENT PLAN 2015 370776670 2016-07-28 HILLTOP NURSING HOME INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343
Plan sponsor’s address 850 S DURKIN DR, SPRINGFIELD, IL, 627041343

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 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
HILLTOP NURSING HOME INC RETIREMENT PLAN 2014 370776670 2015-06-23 HILLTOP NURSING HOME INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN, SPRINGFIELD, IL, 62704
Plan sponsor’s address 850 S DURKIN, SPRINGFIELD, IL, 62704

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 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
HILLTOP NURSING HOME INC RETIREMENT PLAN 2013 370776670 2014-06-16 HILLTOP NURSING HOME INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN, SPRINGFIELD, IL, 62704
Plan sponsor’s address 850 S DURKIN, SPRINGFIELD, IL, 62704

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 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
HILLTOP NURSING HOME INC RETIREMENT PLAN 2012 370776670 2013-07-09 HILLTOP NURSING HOME INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN, SPRINGFIELD, IL, 62704
Plan sponsor’s address 850 S DURKIN, SPRINGFIELD, IL, 62704

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 3
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 2013-07-09
Name of individual signing DWAN GROSS
Valid signature Filed with authorized/valid electronic signature
HILLTOP NURSING HOME INC RETIREMENT PLAN 2011 370776670 2012-07-31 HILLTOP NURSING HOME INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2175467575
Plan sponsor’s mailing address 850 S DURKIN, SPRINGFIELD, IL, 62704
Plan sponsor’s address 850 S DURKIN, SPRINGFIELD, IL, 62704

Plan administrator’s name and address
Administrator’s EIN 370776670
Plan administrator’s name HILLTOP NURSING HOME INC
Plan administrator’s address 850 S DURKIN, SPRINGFIELD, IL, 62704
Administrator’s telephone number 2175467575

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 6
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 2012-07-31
Name of individual signing DWAN GROSS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JERRY W JENNINGS, 850 SOUTH DURKIN DR, SPRINGFIELD, 62704, SANGAMON Agent 2012-04-11

President

Name and Address Role
JERRY W JENNINGS, 416 NATCHEZ TRACE SPRINGFIELD 62707 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 500 165000 No data

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Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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