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  5. DEL-MOR, INCORPORATED

DEL-MOR, INCORPORATED

Company Details

Entity Name: DEL-MOR, INCORPORATED
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 17 Feb 1987
Date of Dissolution: 01 Jul 1989
Company Number: CORP_54554486
File Number: 54554486
Type of Business: Business Corporations
Date Status Change: 01 Jul 1989
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BURGESS SQUARE HEALTHCARE CENTRE, INC. 401(K) PLAN AND TRUST 2010 363328030 2011-02-22 BURGESS SQUARE HEALTHCARE CENTRE, INC. 63
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 623000
Sponsor’s telephone number 6309712645
Plan sponsor’s address 5801 SOUTH CASS AVENUE, WESTMONT, IL, 605592300

Plan administrator’s name and address
Administrator’s EIN 363328030
Plan administrator’s name BURGESS SQUARE HEALTHCARE CENTRE, INC.
Plan administrator’s address 5801 SOUTH CASS AVENUE, WESTMONT, IL, 605592300
Administrator’s telephone number 6309712645

Signature of
Role Plan administrator
Date 2011-02-22
Name of individual signing JOHN F VRBA
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-02-22
Name of individual signing JOHN F VRBA
Valid signature Filed with incorrect/unrecognized electronic signature
BURGESS SQUARE HEALTHCARE CENTRE, INC. 401(K) PLAN AND TRUST 2010 363328030 2011-03-01 BURGESS SQUARE HEALTHCARE CENTRE, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 623000
Sponsor’s telephone number 6309712645
Plan sponsor’s address 5801 SOUTH CASS AVENUE, WESTMONT, IL, 605592300

Plan administrator’s name and address
Administrator’s EIN 363328030
Plan administrator’s name BURGESS SQUARE HEALTHCARE CENTRE, INC.
Plan administrator’s address 5801 SOUTH CASS AVENUE, WESTMONT, IL, 605592300
Administrator’s telephone number 6309712645

Signature of
Role Plan administrator
Date 2011-03-01
Name of individual signing JOHN F VRBA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-01
Name of individual signing JOHN F VRBA
Valid signature Filed with authorized/valid electronic signature
BURGESS SQUARE HEALTHCARE CENTRE, INC. 401(K) PLAN AND TRUST 2009 363328030 2010-05-24 BURGESS SQUARE HEALTHCARE CENTRE, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 623000
Sponsor’s telephone number 6309712645
Plan sponsor’s address 5801 SOUTH CASS AVENUE, WESTMONT, IL, 605592300

Plan administrator’s name and address
Administrator’s EIN 363328030
Plan administrator’s name BURGESS SQUARE HEALTHCARE CENTRE, INC.
Plan administrator’s address 5801 SOUTH CASS AVENUE, WESTMONT, IL, 605592300
Administrator’s telephone number 6309712645

Signature of
Role Plan administrator
Date 2010-05-20
Name of individual signing JOHN VRBA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROBERTA J DE LUCA, 1977 BANYON TREE, COLLINSVILLE, 62234, MADISON Agent 1987-02-17

President

Name and Address Role
ROBERTA J DELUCA, 1977 BANYAN TREE, COLLINSVILLE, 62234 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 10

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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