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  5. SUNRISE MANOR OF VIRDEN, INC.

SUNRISE MANOR OF VIRDEN, INC.

Company Details

Entity Name: SUNRISE MANOR OF VIRDEN, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Sep 1980
Date of Dissolution: 09 Feb 2018
Company Number: CORP_52166551
File Number: 52166551
Date Status Change: 09 Feb 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNRISE MANOR OF VIRDEN INC RETIREMENT PLAN 2013 371087841 2014-06-16 SUNRISE MANOR OF VIRDEN 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 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
SUNRISE MANOR OF VIRDEN INC RETIREMENT PLAN 2012 371087841 2013-07-09 SUNRISE MANOR OF VIRDEN 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
SUNRISE MANOR OF VIRDEN INC RETIREMENT PLAN 2011 371087841 2012-07-31 SUNRISE MANOR OF VIRDEN INC 7
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 371087841
Plan administrator’s name SUNRISE MANOR OF VIRDEN 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 4
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
SUNRISE MANOR OF VIRDEN INC RETIREMENT PLAN 2010 371087841 2011-07-29 SUNRISE MANOR OF VIRDEN INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2177878530
Plan sponsor’s mailing address 2653 W LAWRENCE AVE, SPRINGFIELD, IL, 62704
Plan sponsor’s address 333 S WRIGHTSMAN, VIRDEN, IL, 62690

Plan administrator’s name and address
Administrator’s EIN 371087841
Plan administrator’s name SUNRISE MANOR OF VIRDEN INC
Plan administrator’s address 2653 W LAWRENCE AVE, SPRINGFIELD, IL, 62704
Administrator’s telephone number 2177878530

Number of participants as of the end of the plan year
Active participants 7
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 8
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 2011-07-29
Name of individual signing DWAN GROSS
Valid signature Filed with authorized/valid electronic signature
SUNRISE MANOR OF VIRDEN INC RETIREMENT PLAN 2009 371087841 2010-06-15 SUNRISE MANOR OF VIRDEN INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 2177878530
Plan sponsor’s mailing address 2653 W LAWRENCE AVE, SPRINGFIELD, IL, 62704
Plan sponsor’s address 333 S WRIGHTSMAN, VIRDEN, IL, 62690

Plan administrator’s name and address
Administrator’s EIN 371087841
Plan administrator’s name SUNRISE MANOR OF VIRDEN INC
Plan administrator’s address 2653 W LAWRENCE AVE, SPRINGFIELD, IL, 62704
Administrator’s telephone number 2177878530

Number of participants as of the end of the plan year
Active participants 8
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 10
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 2010-06-15
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 S DURKIN DR, SPRINGFIELD, 62704, SANGAMON Agent 2012-05-25

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 3000 3000000 No data

Related by officers

JERRY W JENNINGS, 416 NATCHEZ TRACE SPRINGFIELD 62707

HILLTOP NURSING HOME, INC. MEADOW MANOR INCORPORATED

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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