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  5. GOTTLIEB HEALTH RESOURCES, INC.

GOTTLIEB HEALTH RESOURCES, INC.

Company Details

Entity Name: GOTTLIEB HEALTH RESOURCES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 21 May 1982
Date of Dissolution: 08 Apr 2010
Company Number: CORP_52742269
File Number: 52742269
Type of Business: Educational, research or scientific
Date Status Change: 08 Apr 2010
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GOTTLIEB HEALTH RESOURCES, INC. EMPLOYEES PENSION PLAN 2009 363225661 2010-10-01 GOTTLIEB HEALTH RESOURCES, INC. 1886
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 7084504966
Plan sponsor’s mailing address 701 W. NORTH AVE., MELROSE PARK, IL, 60160
Plan sponsor’s address 701 W. NORTH AVE., MELROSE PARK, IL, 60160

Plan administrator’s name and address
Administrator’s EIN 363225661
Plan administrator’s name GOTTLIEB HEALTH RESOURCES, INC.
Plan administrator’s address 701 W. NORTH AVE., MELROSE PARK, IL, 60160
Administrator’s telephone number 7084504966

Number of participants as of the end of the plan year
Active participants 959
Retired or separated participants receiving benefits 313
Other retired or separated participants entitled to future benefits 629
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 26
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 35

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing ELLYN CHIN
Valid signature Filed with authorized/valid electronic signature
GOTTLIEB HEALTH RESOURCES, INC. EMPLOYEES PENSION PLAN 2009 363225661 2010-09-22 GOTTLIEB HEALTH RESOURCES, INC. 1886
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 7084504966
Plan sponsor’s mailing address 701 W. NORTH AVE., MELROSE PARK, IL, 60160
Plan sponsor’s address 701 W. NORTH AVE., MELROSE PARK, IL, 60160

Plan administrator’s name and address
Administrator’s EIN 363225661
Plan administrator’s name GOTTLIEB HEALTH RESOURCES, INC.
Plan administrator’s address 701 W. NORTH AVE., MELROSE PARK, IL, 60160
Administrator’s telephone number 7084504966

Number of participants as of the end of the plan year
Active participants 959
Retired or separated participants receiving benefits 313
Other retired or separated participants entitled to future benefits 629
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 26
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 35

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing ELLYN CHIN
Valid signature Filed with authorized/valid electronic signature
GOTTLIEB HEALTH RESOURCES, INC. EMPLOYEES PENSION PLAN 2009 363225661 2010-09-22 GOTTLIEB HEALTH RESOURCES, INC. 1886
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 7084504966
Plan sponsor’s mailing address 701 W. NORTH AVE., MELROSE PARK, IL, 60160
Plan sponsor’s address 701 W. NORTH AVE., MELROSE PARK, IL, 60160

Plan administrator’s name and address
Administrator’s EIN 363225661
Plan administrator’s name GOTTLIEB HEALTH RESOURCES, INC.
Plan administrator’s address 701 W. NORTH AVE., MELROSE PARK, IL, 60160
Administrator’s telephone number 7084504966

Number of participants as of the end of the plan year
Active participants 959
Retired or separated participants receiving benefits 313
Other retired or separated participants entitled to future benefits 629
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 26
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 35

Signature of
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing ELLYN CHIN
Valid signature Filed with authorized/valid electronic signature
GOTTLIEB HEALTH RESOURCES, INC. EMPLOYEES PENSION PLAN 2009 363225661 2010-09-22 GOTTLIEB HEALTH RESOURCES, INC. 1886
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 7084504966
Plan sponsor’s mailing address 701 W. NORTH AVE., MELROSE PARK, IL, 60160
Plan sponsor’s address 701 W. NORTH AVE., MELROSE PARK, IL, 60160

Plan administrator’s name and address
Administrator’s EIN 363225661
Plan administrator’s name GOTTLIEB HEALTH RESOURCES, INC.
Plan administrator’s address 701 W. NORTH AVE., MELROSE PARK, IL, 60160
Administrator’s telephone number 7084504966

Number of participants as of the end of the plan year
Active participants 959
Retired or separated participants receiving benefits 313
Other retired or separated participants entitled to future benefits 629
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 26
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 35

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing ELLYN CHIN
Valid signature Filed with authorized/valid electronic signature
GOTTLIEB HEALTH RESOURCES, INC. EMPLOYEES PENSION PLAN 2009 363225661 2010-09-22 GOTTLIEB HEALTH RESOURCES, INC. 1886
Three-digit plan number (PN) 001
Effective date of plan 1967-01-01
Business code 622000
Sponsor’s telephone number 7084504966
Plan sponsor’s mailing address 701 W. NORTH AVE., MELROSE PARK, IL, 60160
Plan sponsor’s address 701 W. NORTH AVE., MELROSE PARK, IL, 60160

Plan administrator’s name and address
Administrator’s EIN 363225661
Plan administrator’s name GOTTLIEB HEALTH RESOURCES, INC.
Plan administrator’s address 701 W. NORTH AVE., MELROSE PARK, IL, 60160
Administrator’s telephone number 7084504966

Number of participants as of the end of the plan year
Active participants 959
Retired or separated participants receiving benefits 313
Other retired or separated participants entitled to future benefits 629
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 26
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 35

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing ELLYN CHIN
Valid signature Filed with authorized/valid electronic signature
GOTTLIEB HEALTH RESOURCES EMPLOYEES' GROUP LONG TERM DISABILITY PLAN 2009 363225661 2010-07-15 GOTTLIEB HEALTH RESOURCES, INC. 859
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 7084504932
Plan sponsor’s mailing address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612
Plan sponsor’s address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612

Plan administrator’s name and address
Administrator’s EIN 363225661
Plan administrator’s name GOTTLIEB HEALTH RESOURCES, INC.
Plan administrator’s address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612
Administrator’s telephone number 7084504932

Number of participants as of the end of the plan year
Active participants 859
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-15
Name of individual signing BRETT WAKEFIELD
Valid signature Filed with authorized/valid electronic signature
GOTTLIEB HEALTH RESOURCES EMPLOYEES' GROUP LIFE INSURANCE PLAN 2009 363225661 2010-07-15 GOTTLIEB HEALTH RESOURCES, INC. 895
File View Page
Three-digit plan number (PN) 517
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 7084504932
Plan sponsor’s mailing address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612
Plan sponsor’s address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612

Plan administrator’s name and address
Administrator’s EIN 363225661
Plan administrator’s name GOTTLIEB HEALTH RESOURCES, INC.
Plan administrator’s address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612
Administrator’s telephone number 7084504932

Number of participants as of the end of the plan year
Active participants 895
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-15
Name of individual signing BRETT WAKEFIELD
Valid signature Filed with authorized/valid electronic signature
GOTTLIEB HEALTH RESOURCES EMPLOYEES' GROUP LONG TERM DISABILITY PLAN 2009 363225661 2010-07-01 GOTTLIEB HEALTH RESOURCES, INC. 859
Three-digit plan number (PN) 503
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 7084504932
Plan sponsor’s mailing address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612
Plan sponsor’s address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612

Plan administrator’s name and address
Administrator’s EIN 363225661
Plan administrator’s name GOTTLIEB HEALTH RESOURCES, INC.
Plan administrator’s address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612
Administrator’s telephone number 7084504932

Number of participants as of the end of the plan year
Active participants 859
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing BRETT WAKEFIELD
Valid signature Filed with authorized/valid electronic signature
GOTTLIEB HEALTH RESOURCES EMPLOYEES' GROUP LIFE INSURANCE PLAN 2009 363225661 2010-07-01 GOTTLIEB HEALTH RESOURCES, INC. 895
Three-digit plan number (PN) 517
Effective date of plan 2007-01-01
Business code 622000
Sponsor’s telephone number 7084504932
Plan sponsor’s mailing address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612
Plan sponsor’s address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612

Plan administrator’s name and address
Administrator’s EIN 363225661
Plan administrator’s name GOTTLIEB HEALTH RESOURCES, INC.
Plan administrator’s address 701 W. NORTH AVENUE, MELROSE PARK, IL, 601601612
Administrator’s telephone number 7084504932

Number of participants as of the end of the plan year
Active participants 895
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing BRETT WAKEFIELD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CHARLES E REITER III, 2160 S FIRST AVENUE, MAYWOOD, 60153, COOK-NOT IN CITY OF CHICAGO Agent 2008-07-02

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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