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  5. THE NURSE SOURCE LTD.

THE NURSE SOURCE LTD.

Company Details

Entity Name: THE NURSE SOURCE LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Oct 1989
Company Number: CORP_55709076
File Number: 55709076
Type of Business: Business Corporations
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE NURSE SOURCE, LTD. 401(K) PLAN 2023 363687686 2024-11-19 THE NURSE SOURCE, LTD. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-06-01
Business code 561300
Sponsor’s telephone number 7737771500
Plan sponsor’s address 6160 N. CICERO, SUITE 124, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2024-11-19
Name of individual signing MICHAEL SLEPAK
Valid signature Filed with authorized/valid electronic signature
THE NURSE SOURCE, LTD. 401K PLAN 2023 363687686 2024-10-07 THE NURSE SOURCE, LTD. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-06-01
Business code 561300
Sponsor’s telephone number 7737771500
Plan sponsor’s address 6160 NORTH CICERO, SUITE 124, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing MICHAEL SLEPAK
Valid signature Filed with authorized/valid electronic signature
THE NURSE SOURCE, LTD. 401K PLAN 2022 363687686 2023-07-05 THE NURSE SOURCE, LTD. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-06-01
Business code 561300
Sponsor’s telephone number 7737771500
Plan sponsor’s address 6160 NORTH CICERO, SUITE 124, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2023-07-05
Name of individual signing MICHAEL SLEPAK
Valid signature Filed with authorized/valid electronic signature
THE NURSE SOURCE, LTD. 401K PLAN 2021 363687686 2022-09-21 THE NURSE SOURCE, LTD. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-06-01
Business code 561300
Sponsor’s telephone number 7737771500
Plan sponsor’s address 6160 NORTH CICERO, SUITE 124, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2022-09-21
Name of individual signing MICHAEL SLEPAK
Valid signature Filed with authorized/valid electronic signature
THE NURSE SOURCE, LTD. 401K PLAN 2020 363687686 2021-10-11 THE NURSE SOURCE, LTD. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-06-01
Business code 561300
Sponsor’s telephone number 7737771500
Plan sponsor’s address 6160 NORTH CICERO, SUITE 124, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing MICHAEL SLEPAK
Valid signature Filed with authorized/valid electronic signature
THE NURSE SOURCE, LTD. 401K PLAN 2019 363687686 2020-08-18 THE NURSE SOURCE, LTD. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-06-01
Business code 561300
Sponsor’s telephone number 7737771500
Plan sponsor’s address 6160 NORTH CICERO, SUITE 124, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2020-08-18
Name of individual signing MICHAEL SLEPAK
Valid signature Filed with authorized/valid electronic signature
THE NURSE SOURCE, LTD. 401K PLAN 2018 363687686 2019-10-02 THE NURSE SOURCE, LTD. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-06-01
Business code 561300
Sponsor’s telephone number 7737771500
Plan sponsor’s address 6160 NORTH CICERO, SUITE 124, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing MICHAEL SLEPAK
Valid signature Filed with authorized/valid electronic signature
THE NURSE SOURCE, LTD. 401K PLAN 2017 363687686 2018-09-11 THE NURSE SOURCE, LTD. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-06-01
Business code 561300
Sponsor’s telephone number 7737771500
Plan sponsor’s address 6160 NORTH CICERO, SUITE 124, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2018-09-11
Name of individual signing MICHAEL SLEPAK
Valid signature Filed with authorized/valid electronic signature
THE NURSE SOURCE, LTD. 401K PLAN 2016 363687686 2017-10-16 THE NURSE SOURCE, LTD. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-06-01
Business code 561300
Sponsor’s telephone number 7737771500
Plan sponsor’s address 6160 N. CICERO, SUITE 124, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing MICHAEL SLEPAK
Valid signature Filed with authorized/valid electronic signature
THE NURSE SOURCE, LTD. 401K PLAN 2015 363687686 2016-09-20 THE NURSE SOURCE, LTD. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-06-01
Business code 561300
Sponsor’s telephone number 7737771500
Plan sponsor’s address 6160 N. CICERO, SUITE 124, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing MICHAEL SLEPAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MITCHELL RUCHIM, 3000 DUNDEE RD STE 415, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO Agent 2023-10-24

President

Name and Address Role
MICHAEL SLEPAK, 9339 N KENNETHSKOKIE 60076 President

Secretary

Name and Address Role
LILIA SAFIR Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
INNOVATIVE WELLNESS CENTER No data 1995-12-11 2001-03-01 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 1

Related by officers

LILIA SAFIR

BALLROOM COUTURE, INC.

MITCHELL RUCHIM, 3000 DUNDEE RD STE 415, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO

AGO LLC

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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