HL LEGACY, INC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

HARBOR LIGHT HOSPICE WELFARE BENEFIT PLAN

2011

363933525

2013-04-18

HOSPICE OF AMERICA INC

214

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2011-01-01
Business code	621399
Sponsor’s telephone number	6309420100
Plan sponsor’s DBA name	HARBOR LIGHT HOSPICE
Plan sponsor’s mailing address	800 ROOSEVELT ROAD, BUILDING C, SUITE 206, GLEN ELLYN, IL, 60137
Plan sponsor’s address	800 ROOSEVELT ROAD, BUILDING C, SUITE 206, GLEN ELLYN, IL, 60137

Plan administrator’s name and address

Administrator’s EIN	363933525
Plan administrator’s name	HOSPICE OF AMERICA INC
Plan administrator’s address	800 ROOSEVELT ROAD, BUILDING C, SUITE 206, GLEN ELLYN, IL, 60137
Administrator’s telephone number	6309420100

Number of participants as of the end of the plan year

Active participants

353

Signature of

Role	Plan administrator
Date	2013-04-17
Name of individual signing	GREGORY THOME
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
MICHAEL J POLACHEK, 1000 HART RD STE 300, BARRINGTON, 60010, LAKE	Agent	2013-07-18

Name and Address	Role
FRANKLIN ROSENBAUM, 422 E 9TH STREET, HINSDALE, IL, 60521	President

Name and Address	Role
CURTIS DANEKAS, 1323 W WINDHILL DRIVE, PALATINE, IL, 60067	Secretary

Name	Change Date
HOSPICE OF AMERICA, INC.	2020-12-02

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	10000000	10000000	No data

Date of last update: 27 Jan 2025