| Entity Name: | FAIRVIEW RESIDENCE OF ROCKFORD |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Dissolved |
| Date Formed: | 22 Mar 1994 |
| Date of Dissolution: | 10 Aug 2012 |
| Company Number: | CORP_57735015 |
| File Number: | 57735015 |
| Type of Business: | Not for Profit |
| Date Status Change: | 10 Aug 2012 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JABAT 401(K) PLAN | 2011 | 222013717 | 2012-03-09 | JABAT, INC. | 55 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 222013717 |
| Plan administrator’s name | JABAT, INC. |
| Plan administrator’s address | PO BOX 38, OLNEY, IL, 62450 |
| Administrator’s telephone number | 6183923010 |
Signature of
| Role | Plan administrator |
| Date | 2012-03-09 |
| Name of individual signing | RITA KMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 326100 |
| Sponsor’s telephone number | 6183923010 |
| Plan sponsor’s address | PO BOX 38, OLNEY, IL, 62450 |
Plan administrator’s name and address
| Administrator’s EIN | 222013717 |
| Plan administrator’s name | JABAT, INC. |
| Plan administrator’s address | PO BOX 38, OLNEY, IL, 62450 |
| Administrator’s telephone number | 6183923010 |
Signature of
| Role | Plan administrator |
| Date | 2011-01-27 |
| Name of individual signing | RITA KMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 326100 |
| Sponsor’s telephone number | 6183923010 |
| Plan sponsor’s address | PO BOX 38, OLNEY, IL, 62450 |
Plan administrator’s name and address
| Administrator’s EIN | 222013717 |
| Plan administrator’s name | JABAT, INC. |
| Plan administrator’s address | PO BOX 38, OLNEY, IL, 62450 |
| Administrator’s telephone number | 6183923010 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-16 |
| Name of individual signing | RITA KMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RICHARD W OLSON, 210 VILLAGE DR, DOWNERS GROVE, 60516, DU PAGE | Agent | 2009-04-22 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| COSMO | 189004886 | No data | No data | BCENT SALON/SHOP REGISTRATION | No data | 2000-03-17 | 2014-10-16 | 2016-11-30 |
| Name | Change Date |
|---|---|
| FAIRVIEW HOME HEALTH SERVICES, INC. | 1999-06-11 |
Date of last update: 27 Jan 2025
