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  5. AT HOME HEALTH, INC.

AT HOME HEALTH, INC.

Company Details

Entity Name: AT HOME HEALTH, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 07 Mar 2000
Date of Dissolution: 02 Aug 2004
Company Number: CORP_60948291
File Number: 60948291
Type of Business: Not for Profit
Date Status Change: 02 Aug 2004
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AT HOMEHEALTH INC 401 K PROFIT SHARING PLAN TRUST 2011 208717403 2012-07-05 AT HOME HEALTH . 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Plan administrator’s name and address
Administrator’s EIN 208717403
Plan administrator’s name AT HOME HEALTH .
Plan administrator’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533
Administrator’s telephone number 7732799244

Signature of
Role Plan administrator
Date 2012-07-05
Name of individual signing AT HOME HEALTH .
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 401 K PROFIT SHARING PLAN TRUST 2010 208717403 2011-07-21 AT HOME HEALTH . 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE SUITE 104, CHICAGO, IL, 60659

Plan administrator’s name and address
Administrator’s EIN 208717403
Plan administrator’s name AT HOME HEALTH .
Plan administrator’s address 3344 W PETERSON AVE SUITE 104, CHICAGO, IL, 60659
Administrator’s telephone number 7732799244

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing AT HOME HEALTH .
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 2009 208717403 2010-08-04 AT HOME HEALTH . 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE SUITE 104, CHICAGO, IL, 60659

Plan administrator’s name and address
Administrator’s EIN 208717403
Plan administrator’s name AT HOME HEALTH .
Plan administrator’s address 3344 W PETERSON AVE SUITE 104, CHICAGO, IL, 60659
Administrator’s telephone number 7732799244

Signature of
Role Plan administrator
Date 2010-08-04
Name of individual signing AT HOME HEALTH .
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 2009 208717403 2010-07-23 AT HOME HEALTH . 2
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE SUITE 104, CHICAGO, IL, 60659

Plan administrator’s name and address
Administrator’s EIN 208717403
Plan administrator’s name AT HOME HEALTH .
Plan administrator’s address 3344 W PETERSON AVE SUITE 104, CHICAGO, IL, 60659
Administrator’s telephone number 7732799244

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing AT HOME HEALTH .
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
PATRICIA LYNN HEIBNER, 2311 W CHERRY, HERRIN, 62948, WILLIAMSON Agent 2000-03-07

Related by officers

No related officers

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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