Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Cook
    4. ›
  4. 60626
    5. ›
  5. CLARK MANOR CONVALESCENT CENTER, INC.

CLARK MANOR CONVALESCENT CENTER, INC.

Company Details

Entity Name: CLARK MANOR CONVALESCENT CENTER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 04 May 1992
Date of Dissolution: 13 Oct 2017
Company Number: CORP_56823573
File Number: 56823573
Type of Business: All Inclusive Purpose
Date Status Change: 13 Oct 2017
Address 7433 N CLARK ST 1-5, CHICAGO, IL, 60626
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLARK MANOR UNION 401K PLAN 2015 363829755 2016-07-29 CLARK MANOR CONVALESCENT CENTER, INC. 85
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-04-01
Business code 623000
Sponsor’s telephone number 7733388778
Plan sponsor’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing DAVID SCHNELL
Valid signature Filed with authorized/valid electronic signature
CLARK MANOR CONVALESCENT CENTER, INC. 401(K) RETIREMENT PLAN 2015 363829755 2016-07-29 CLARK MANOR CONVALESCENT CENTER, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-05-01
Business code 623000
Sponsor’s telephone number 7733388778
Plan sponsor’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing DAVID SCHNELL
Valid signature Filed with authorized/valid electronic signature
CLARK MANOR UNION 401K PLAN 2014 363829755 2015-09-11 CLARK MANOR CONVALESCENT CENTER, INC. 76
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-04-01
Business code 623000
Sponsor’s telephone number 7733388778
Plan sponsor’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619

Signature of
Role Plan administrator
Date 2015-09-11
Name of individual signing DAVID SCHNELL
Valid signature Filed with authorized/valid electronic signature
CLARK MANOR CONVALESCENT CENTER, INC. 401K RETIREMENT PLAN 2014 363829755 2015-09-11 CLARK MANOR CONVALESCENT CENTER, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-05-01
Business code 623000
Sponsor’s telephone number 7733388778
Plan sponsor’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619

Signature of
Role Plan administrator
Date 2015-09-11
Name of individual signing DAVID SCHNELL
Valid signature Filed with authorized/valid electronic signature
CLARK MANOR UNION 401K PLAN 2013 363829755 2014-10-08 CLARK MANOR CONVALESCENT CENTER, INC. 79
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-04-01
Business code 623000
Sponsor’s telephone number 7733388778
Plan sponsor’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing DAVID SCHNELL
Valid signature Filed with authorized/valid electronic signature
CLARK MANOR CONVALESCENT CENTER, INC. 401K RETIREMENT PLAN 2013 363829755 2014-10-06 CLARK MANOR CONVALESCENT CENTER, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-05-01
Business code 623000
Sponsor’s telephone number 7733388778
Plan sponsor’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing DAVID SCHNELL
Valid signature Filed with authorized/valid electronic signature
CLARK MANOR CONVALESCENT CENTER, INC. 401K RETIREMENT PLAN 2012 363829755 2013-10-11 CLARK MANOR CONVALESCENT CENTER, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-05-01
Business code 623000
Sponsor’s telephone number 7733388778
Plan sponsor’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing DAVID SCHNELL
Valid signature Filed with authorized/valid electronic signature
CLARK MANOR UNION 401K PLAN 2012 363829755 2013-10-11 CLARK MANOR CONVALESCENT CENTER, INC. 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-04-01
Business code 623000
Sponsor’s telephone number 7733388778
Plan sponsor’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing DAVID SCHNELL
Valid signature Filed with authorized/valid electronic signature
CLARK MANOR UNION 401K PLAN 2011 363829755 2012-10-15 CLARK MANOR CONVALESCENT CENTER, INC. 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-04-01
Business code 623000
Sponsor’s telephone number 7733388778
Plan sponsor’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619

Plan administrator’s name and address
Administrator’s EIN 363829755
Plan administrator’s name CLARK MANOR CONVALESCENT CENTER, INC.
Plan administrator’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619
Administrator’s telephone number 7733388778

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DAVID SCHNELL
Valid signature Filed with authorized/valid electronic signature
CLARK MANOR CONVALESCENT CENTER, INC. 401K RETIREMENT PLAN 2011 363829755 2012-10-15 CLARK MANOR CONVALESCENT CENTER, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-05-01
Business code 623000
Sponsor’s telephone number 7733388778
Plan sponsor’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619

Plan administrator’s name and address
Administrator’s EIN 363829755
Plan administrator’s name CLARK MANOR CONVALESCENT CENTER, INC.
Plan administrator’s address 7433 N. CLARK STREET, CHICAGO, IL, 606261619
Administrator’s telephone number 7733388778

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DAVID SCHNELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MAURICIO SCHABES, 7433 N CLARK ST, CHICAGO, 60626, COOK-NOT IN CITY OF CHICAGO Agent 2006-04-27

President

Name and Address Role Account Number
DAVID SCHNELL, 7433 N CLARK ST., CHICAGO, IL, 60626 President 366860

Secretary

Name and Address Role Account Number
JACK RAJCHENBACH Secretary 366860

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2210020 Issued 4404 Regulated Business License 699 - Long Term Care Facility 2013-12-12 2013-12-16 2015-12-15
BUSINESS LICENSE 2120969 Cancelled 1005 Long-Term Care Facility No data 2011-11-16 2011-11-16 2013-12-15
SOCIAL WORKER 159000812 No data No data REGISTERED SOCIAL WORKER CE SPONSOR No data 2002-11-15 2003-12-15 2005-11-30

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1816660 No data

Related by officers

JACK RAJCHENBACH

THE GROVE AT LINCOLN PARK LIVING & REHAB CENTER, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Illinois Office of the Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 ilorg.com, Part of Big Data Integrated