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  5. WALKER NURSING HOME, INC.

WALKER NURSING HOME, INC.

Company Details

Entity Name: WALKER NURSING HOME, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Goodstanding
Date Formed: 04 Oct 1972
Company Number: CORP_50104117
File Number: 50104117
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WALKER NURSING HOME, INC. 401(K) PLAN 2015 370960906 2016-07-19 WALKER NURSING HOME, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 2174523218
Plan sponsor’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing BRYAN WHITE
Valid signature Filed with authorized/valid electronic signature
WALKER NURSING HOME, INC. 401(K) PLAN 2014 370960906 2016-02-10 WALKER NURSING HOME, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 2174523218
Plan sponsor’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691

Signature of
Role Plan administrator
Date 2016-02-10
Name of individual signing BRYAN WHITE
Valid signature Filed with authorized/valid electronic signature
WALKER NURSING HOME, INC. 401(K) PLAN 2014 370960906 2015-07-31 WALKER NURSING HOME, INC. 51
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 2174523218
Plan sponsor’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691

Signature of
Role Plan administrator
Date 2015-07-31
Name of individual signing BRYAN WHITE
Valid signature Filed with authorized/valid electronic signature
WALKER NURSING HOME, INC. 401(K) PLAN 2013 370960906 2015-07-29 WALKER NURSING HOME, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 2174523218
Plan sponsor’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing BRYAN WHITE
Valid signature Filed with authorized/valid electronic signature
WALKER NURSING HOME, INC. 401(K) PLAN 2013 370960906 2014-04-03 WALKER NURSING HOME, INC. 52
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 2174523218
Plan sponsor’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691

Signature of
Role Plan administrator
Date 2014-04-03
Name of individual signing BRYAN WHITE
Valid signature Filed with authorized/valid electronic signature
WALKER NURSING HOME, INC. 401(K) PLAN 2012 370960906 2013-10-04 WALKER NURSING HOME, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 2174523218
Plan sponsor’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691

Signature of
Role Plan administrator
Date 2013-10-04
Name of individual signing BRYAN WHITE
Valid signature Filed with authorized/valid electronic signature
WALKER NURSING HOME, INC. 401(K) PLAN 2011 370960906 2012-07-02 WALKER NURSING HOME, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 2174523218
Plan sponsor’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691

Plan administrator’s name and address
Administrator’s EIN 370960906
Plan administrator’s name WALKER NURSING HOME, INC.
Plan administrator’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691
Administrator’s telephone number 2174523218

Signature of
Role Plan administrator
Date 2012-07-02
Name of individual signing RACHEL WHITE
Valid signature Filed with authorized/valid electronic signature
WALKER NURSING HOME, INC. 401(K) PLAN 2010 370960906 2011-09-21 WALKER NURSING HOME, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 2174523218
Plan sponsor’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691

Plan administrator’s name and address
Administrator’s EIN 370960906
Plan administrator’s name WALKER NURSING HOME, INC.
Plan administrator’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691
Administrator’s telephone number 2174523218

Signature of
Role Plan administrator
Date 2011-09-21
Name of individual signing RACHEL WHITE
Valid signature Filed with authorized/valid electronic signature
WALKER NURSING HOME, INC. 401(K) PLAN 2009 370960906 2011-08-08 WALKER NURSING HOME, INC. No data
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 2174523218
Plan sponsor’s mailing address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691
Plan sponsor’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691

Plan administrator’s name and address
Administrator’s EIN 370960906
Plan administrator’s name WALKER NURSING HOME, INC.
Plan administrator’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691
Administrator’s telephone number 2174523218
WALKER NURSING HOME, INC. 401(K) PLAN 2009 370960906 2010-09-29 WALKER NURSING HOME, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 2174523218
Plan sponsor’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691

Plan administrator’s name and address
Administrator’s EIN 370960906
Plan administrator’s name WALKER NURSING HOME, INC.
Plan administrator’s address 530 EAST BEARDSTOWN ST., VIRGINIA, IL, 62691
Administrator’s telephone number 2174523218

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing RACHEL WHITE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN P LEAHY, 2319 W JEFFERSON ST, SPRINGFIELD, 62702, SANGAMON Agent 2015-09-02

Secretary

Name and Address Role
RACHEL WHITE, 5013 EAGLE RIDGE, SPRINGFIELD, IL 62711 Secretary

President

Name and Address Role
MARY ANN WHITE, 3916 ROCKY FALLS ROAD, SPRINGFIELD, IL 62711 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 3000 1064000 No data

Related by officers

JOHN P LEAHY, 2319 W JEFFERSON ST, SPRINGFIELD, 62702, SANGAMON

YANKEETOWN TRUCKING, INC.

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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