| Entity Name: | GAFFEY HOME NURSING & HOSPICE INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 21 Sep 1987 |
| Company Number: | CORP_54806639 |
| File Number: | 54806639 |
| Type of Business: | Business Corporations |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEARTLAND HOME NURSING INC 401K PLAN | 2009 | 363543766 | 2010-12-01 | HEARTLAND HOME NURSING INC | 1 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 363543766 |
| Plan administrator’s name | HEARTLAND HOME NURSING INC |
| Plan administrator’s address | 3408 EAST 23RD STREET, STERLING, IL, 61081 |
| Administrator’s telephone number | 8156263467 |
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 | 1 |
| 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 | 1 |
| 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 | 2010-12-01 |
| Name of individual signing | DAN GAFFEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| S KIM GAFFEY, 3408 RIVER RD, STERLING, 61081, WHITESIDE | Agent | 2009-06-24 |
| Name and Address | Role |
|---|---|
| S, KIM GAFFEY, 1918 MOONLIGHTBAY STERLING 61081 | President |
| Name and Address | Role |
|---|---|
| BRENT GAFFEY HUBBARD ST STERLING IL. 61081 | Secretary |
| Name | Change Date |
|---|---|
| HEARTLAND HOME NURSING INC. | 2010-05-06 |
| NORTHWESTERN HOME HEALTH CARE INC. | 1992-03-16 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 250000 | 175000000 | 0.1 |
Date of last update: 13 Jan 2025
