| Entity Name: | EMBASSY CARE CENTER, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 12 Jan 1993 |
| Date of Dissolution: | 08 Jun 2012 |
| Company Number: | CORP_57139528 |
| File Number: | 57139528 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 08 Jun 2012 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMBASSY CARE CENTER, INC. UNION RETIREMENT PLAN | 2010 | 204913784 | 2012-05-14 | EMBASSY CARE CENTER, INC. | 64 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 204913784 |
| Plan administrator’s name | EMBASSY CARE CENTER, INC. |
| Plan administrator’s address | 7520 NORTH SKOKIE BOULEVARD, SKOKIE, IL, 60077 |
| Administrator’s telephone number | 8479821195 |
Signature of
| Role | Plan administrator |
| Date | 2012-05-14 |
| Name of individual signing | NACHSHON DRAIMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-08-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 8479821195 |
| Plan sponsor’s address | 7520 NORTH SKOKIE BOULEVARD, SKOKIE, IL, 60077 |
Plan administrator’s name and address
| Administrator’s EIN | 204913784 |
| Plan administrator’s name | EMBASSY CARE CENTER, INC. |
| Plan administrator’s address | 7520 NORTH SKOKIE BOULEVARD, SKOKIE, IL, 60077 |
| Administrator’s telephone number | 8479821195 |
Signature of
| Role | Plan administrator |
| Date | 2011-12-22 |
| Name of individual signing | NACHSHON DRAIMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ALAN J MANDEL, 7520 SKOKIE BLVD, SKOKIE, 60077, COOK-NOT IN CITY OF CHICAGO | Agent | 2005-08-09 |
| Name and Address | Role |
|---|---|
| NACHSHON DRAIMAN 7520 SKOKIE BOULEVARD SKOKIE IL 60077 | President |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| EMBASSY CARE CENTER | No data | 1993-02-19 | 2009-06-01 | Involuntary Cancellation | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 1960 | 1960000 | No data |
Date of last update: 16 Jan 2025
