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BUSHUE HUMAN RESOURCES, INC.

Company Details

Entity Name: BUSHUE HUMAN RESOURCES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 16 Dec 1998
Company Number: CORP_60252653
File Number: 60252653
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BUSHUE HUMAN RESOURCES INC MEDOVA LIFESTYLE HEALTH PLAN 2022 371379177 2024-04-11 BUSHUE HUMAN RESOURCES INC 0
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Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 561110
Sponsor’s telephone number 2173423046
Plan sponsor’s address 302 E JEFFERSON AVE, EFFINGHAM, IL, 624013496

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT, INC.
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2024-04-11
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
BUSHUE HUMAN RESOURCES INC MEDOVA LIFESTYLE HEALTH PLAN 2021 371379177 2022-09-30 BUSHUE HUMAN RESOURCES INC 8
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 561110
Sponsor’s telephone number 2173423046
Plan sponsor’s address PO BOX 89, EFFINGHAM, IL, 624010089

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEPHEN T BUSHUE, 302 E JEFFERSON AVE STE 1, EFFINGHAM, 62401, EFFINGHAM Agent 2019-08-28

President

Name and Address Role
STEPHEN T BUSHUE, POB 89 EFFINGHAM 62401 President

Secretary

Name and Address Role
TRAVIS J BUSHUE, PO BOX 89, EFFINGHAM, IL 62401 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
DETECTIVE BOARD 117001686 No data No data LICENSED PRIVATE DETECTIVE AGENCY No data 2014-03-28 2023-06-02 2026-08-31
DETECTIVE BOARD 262000006 No data No data LICENSED FINGERPRINT VENDOR AGENCY No data 2013-01-18 2023-05-31 2026-08-31

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State