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  5. HOME STAFF, INC.

HOME STAFF, INC.

Company Details

Entity Name: HOME STAFF, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 22 Sep 1994
Company Number: CORP_57995157
File Number: 57995157
Type of Business: Business Corporations
Address 303 W ERIE ST 300, CHICAGO, IL, 60610
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOME STAFF, INC. 401-K PROFIT SHARING PLAN 2021 363978221 2022-08-31 HOME STAFF, INC. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 621610
Sponsor’s telephone number 3144121128
Plan sponsor’s address 5509 N CUMBERLAND AVE, SUITE 514, CHICAGO, IL, 60656

Signature of
Role Plan administrator
Date 2022-08-31
Name of individual signing JOHN ELLIS
Valid signature Filed with authorized/valid electronic signature
HOME STAFF, INC. 401-K PROFIT SHARING PLAN 2020 363978221 2021-06-24 HOME STAFF, INC. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 621610
Sponsor’s telephone number 3144121128
Plan sponsor’s address 5509 N CUMBERLAND AVE, SUITE 514, CHICAGO, IL, 60656

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing DAVE KROC
Valid signature Filed with authorized/valid electronic signature
HOME STAFF, INC. 401-K PROFIT SHARING PLAN 2019 363978221 2020-06-17 HOME STAFF, INC. 104
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 621610
Sponsor’s telephone number 3122091417
Plan sponsor’s address 5509 N CUMBERLAND AVE, SUITE 514, CHICAGO, IL, 60656

Signature of
Role Plan administrator
Date 2020-06-17
Name of individual signing DKROC9055
Valid signature Filed with authorized/valid electronic signature
HOME STAFF, INC. 401-K PROFIT SHARING PLAN 2019 363978221 2020-06-30 HOME STAFF, INC. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 621610
Sponsor’s telephone number 3122091417
Plan sponsor’s address 5509 N CUMBERLAND AVE, SUITE 514, CHICAGO, IL, 60656

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing DAVID KROC
Valid signature Filed with authorized/valid electronic signature
HOME STAFF, INC. 401-K PROFIT SHARING PLAN 2018 363978221 2019-06-14 HOME STAFF, INC. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 621610
Sponsor’s telephone number 7734676002
Plan sponsor’s address 5509 N CUMBERLAND AVE, SUITE 514, CHICAGO, IL, 60656

Signature of
Role Plan administrator
Date 2019-06-14
Name of individual signing BRADLEY KROC
Valid signature Filed with authorized/valid electronic signature
HOME STAFF, INC. 401-K PROFIT SHARING PLAN 2017 363978221 2018-09-05 HOME STAFF, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-03-01
Business code 621610
Sponsor’s telephone number 7734676002
Plan sponsor’s address 5509 N CUMBERLAND AVE, SUITE 514, CHICAGO, IL, 60656

Signature of
Role Plan administrator
Date 2018-09-05
Name of individual signing BRADLEY KROC
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JUSTIN SCHNEIDER, 23 GLEN ED PROFESSIONAL PARK, GLEN CARBON, 62034, MADISON Agent 2024-07-23

President

Name and Address Role Account Number
KATHEY G VERBECK, 23 GLEN ED PROF PK, GLEN CARBON, IL 62034 President No data
KATHEY VERBECK President 478708
JUDITH M KROC President 35690

Secretary

Name and Address Role Account Number
JUSTIN SCHNEIDER, 23 GLEN ED PROF PK, GLEN CARBON, IL 62034 Secretary No data
Jeremy Verbeck Secretary 478708
JUDITH M KROC Secretary 35690

Shareholder

Name and Address Role Account Number
Health Care Management Systems Inc Shareholder 478708
Justin Schneider Shareholder 478708

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2808481 Issued 1010 Limited Business License 602 - Administrative Commercial Office 2023-11-07 2023-09-16 2025-09-15
BUSINESS LICENSE 45124 Issued 1010 Limited Business License No data 2004-01-09 2004-02-16 2005-02-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 50000 1000000 No data

Related by officers

KATHEY G VERBECK, 23 GLEN ED PROF PK, GLEN CARBON, IL 62034

ADVANTAGE NURSING SERVICES, INC.

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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