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  5. ALPINE FIRESIDE HEALTH CENTER, LTD.

ALPINE FIRESIDE HEALTH CENTER, LTD.

Company Details

Entity Name: ALPINE FIRESIDE HEALTH CENTER, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 20 Oct 1972
Company Number: CORP_50113787
File Number: 50113787
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Y49LUVNYLD64 2025-03-15 3650 N ALPINE RD, ROCKFORD, IL, 61114, 4806, USA 3650 N ALPINE RD, ROCKFORD, IL, 61114, 4806, USA

Business Information
Congressional District 16
State/Country of Incorporation IL, USA
Activation Date 2024-03-20
Initial Registration Date 2024-02-22
Entity Start Date 1972-01-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 623110

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MICHELLE CRUDEN
Role ADMINISTRATOR
Address 3650 N.ALPINE, ROCKFORD, IL, 61114, USA
Government Business
Title PRIMARY POC
Name MICHELLE CRUDEN
Role ADMINISTRATOR
Address 3650 N.ALPINE, ROCKFORD, IL, 61114, USA
Past Performance
Title PRIMARY POC
Name HOLGEIR OKSNEVAD
Role CEO
Address 5247 AMERICAN RD, ROCKFORD, IL, 61109, USA
Title ALTERNATE POC
Name LORI HIGGS
Role FINANCIAL CONTROLLER
Address 5247 AMERICAN RD, ROCKFORD, IL, 61109, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALPINE FIRESIDE 401K PLAN 2023 362753251 2024-08-22 ALPINE FIRESIDE HEALTH CENTER, LTD 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 623000
Sponsor’s telephone number 8158777408
Plan sponsor’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114

Signature of
Role Plan administrator
Date 2024-07-22
Name of individual signing MICHELLE CRUDEN
Valid signature Filed with authorized/valid electronic signature
ALPINE FIRESIDE 401K PLAN 2022 362753251 2023-09-20 ALPINE FIRESIDE HEALTH CENTER, LTD 53
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 623000
Sponsor’s telephone number 8158777408
Plan sponsor’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114

Signature of
Role Plan administrator
Date 2023-09-20
Name of individual signing MICHELLE CRUDEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-20
Name of individual signing MICHELLE CRUDEN
Valid signature Filed with authorized/valid electronic signature
ALPINE FIRESIDE 401K PLAN 2022 362753251 2023-09-20 ALPINE FIRESIDE HEALTH CENTER, LTD 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 623000
Sponsor’s telephone number 8158777408
Plan sponsor’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114

Signature of
Role Plan administrator
Date 2023-09-20
Name of individual signing MICHELLE CRUDEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-20
Name of individual signing MICHELLE CRUDEN
Valid signature Filed with authorized/valid electronic signature
ALPINE FIRESIDE 401(K) PLAN 2021 362753251 2022-05-09 ALPINE FIRESIDE HEALTH CENTER, LTD 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 623000
Sponsor’s telephone number 8158777408
Plan sponsor’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114

Signature of
Role Plan administrator
Date 2022-05-05
Name of individual signing MICHELLE CRUDEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-05
Name of individual signing MICHELLE CRUDEN
Valid signature Filed with authorized/valid electronic signature
ALPINE FIRESIDE 401(K) PLAN 2020 362753251 2021-07-29 ALPINE FIRESIDE HEALTH CENTER, LTD. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 623000
Sponsor’s telephone number 8158777408
Plan sponsor’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing GORDON OKSNEVAD
Valid signature Filed with authorized/valid electronic signature
ALPINE FIRESIDE 401(K) PLAN 2019 362753251 2020-09-21 ALPINE FIRESIDE HEALTH CENTER, LTD. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 623000
Sponsor’s telephone number 8158777408
Plan sponsor’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114

Signature of
Role Plan administrator
Date 2020-09-21
Name of individual signing GORDON OKSNEVAD
Valid signature Filed with authorized/valid electronic signature
ALPINE FIRESIDE 401(K) PLAN 2018 362753251 2019-07-02 ALPINE FIRESIDE HEALTH CENTER, LTD. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 623000
Sponsor’s telephone number 8158777408
Plan sponsor’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing GORDON OKSNEVAD
Valid signature Filed with authorized/valid electronic signature
ALPINE FIRESIDE 401(K) PLAN 2017 362753251 2018-07-03 ALPINE FIRESIDE HEALTH CENTER, LTD. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 623000
Sponsor’s telephone number 8158777408
Plan sponsor’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114

Signature of
Role Plan administrator
Date 2018-07-03
Name of individual signing GORDON OKSNEVAD
Valid signature Filed with authorized/valid electronic signature
ALPINE FIRESIDE 401(K) PLAN 2016 362753251 2017-09-05 ALPINE FIRESIDE HEALTH CENTER, LTD. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 623000
Sponsor’s telephone number 8158777408
Plan sponsor’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114
ALPINE FIRESIDE 401(K) PLAN 2011 362753251 2012-07-24 ALPINE FIRESIDE HEALTH CENTER, LTD. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 623000
Sponsor’s telephone number 8154618800
Plan sponsor’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114

Plan administrator’s name and address
Administrator’s EIN 362753251
Plan administrator’s name ALPINE FIRESIDE HEALTH CENTER, LTD.
Plan administrator’s address 3650 N. ALPINE ROAD, ROCKFORD, IL, 61114
Administrator’s telephone number 8154618800

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing GORDON OKSNEVAD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HOLGEIR OKSNEVAD, 3650 N ALPINE RD, ROCKFORD, 61114, WINNEBAGO Agent 2023-04-27

President

Name and Address Role
HOLGEIR OKSNEVAD 1405 OTTER CREEK DR DURAND IL 61024 President

Secretary

Name and Address Role
ROY OKSNEVAD 39N HARVARD AVE VILLA PARK IL 60181-2328 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 100000 No data

Related by officers

No related officers

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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