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  5. EXCELLENT HOME HEALTH CARE, INC.

EXCELLENT HOME HEALTH CARE, INC.

Company Details

Entity Name: EXCELLENT HOME HEALTH CARE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 12 Mar 2003
Company Number: CORP_62744197
File Number: 62744197
Type of Business: All Inclusive Purpose
Address 3800 W DIVERSEY AVE, CHICAGO, IL, 60647
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXCELLENT HOME HEALTH CARE 401(K) PLAN 2019 611445316 2020-06-25 EXCELLENT HOME HEALTH CARE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 8476742719
Plan sponsor’s address 3901 WEST OAKTON STREET, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2020-06-25
Name of individual signing BENJAMIN LISING
Valid signature Filed with authorized/valid electronic signature
EXCELLENT HOME HEALTH CARE 401(K) PLAN 2018 611445316 2019-09-13 EXCELLENT HOME HEALTH CARE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 8476742719
Plan sponsor’s address 3901 WEST OAKTON STREET, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2019-09-13
Name of individual signing BENJAMIN LISING
Valid signature Filed with authorized/valid electronic signature
EXCELLENT HOME HEALTH CARE 401(K) PLAN 2017 611445316 2018-07-06 EXCELLENT HOME HEALTH CARE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 8476742719
Plan sponsor’s address 3901 WEST OAKTON STREET, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing BENJAMIN LISING
Valid signature Filed with authorized/valid electronic signature
EXCELLENT HOME HEALTH CARE 401(K) PLAN 2016 611445316 2017-09-25 EXCELLENT HOME HEALTH CARE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 8476742719
Plan sponsor’s address 3901 WEST OAKTON STREET, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2017-09-25
Name of individual signing BENJAMIN LISING
Valid signature Filed with authorized/valid electronic signature
EXCELLENT HOME HEALTH CARE 401(K) PLAN 2015 611445316 2016-06-15 EXCELLENT HOME HEALTH CARE, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 8476742719
Plan sponsor’s address 3901 WEST OAKTON STREET, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing BENJAMIN LISING
Valid signature Filed with authorized/valid electronic signature
EXCELLENT HOME HEALTH CARE 401(K) PLAN 2014 611445316 2015-05-29 EXCELLENT HOME HEALTH CARE, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 8476742719
Plan sponsor’s address 3901 WEST OAKTON STREET, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2015-05-29
Name of individual signing BENJAMIN LISING
Valid signature Filed with authorized/valid electronic signature
EXCELLENT HOME HEALTH CARE 401(K) PLAN 2013 611445316 2014-06-18 EXCELLENT HOME HEALTH CARE, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 8476742719
Plan sponsor’s address 3901 WEST OAKTON, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2014-06-18
Name of individual signing BENJAMIN LISING
Valid signature Filed with authorized/valid electronic signature
EXCELLENT HOME HEALTH CARE 401(K) PLAN 2012 611445316 2013-06-25 EXCELLENT HOME HEALTH CARE, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 8476743202
Plan sponsor’s address 3901 WEST OAKTON, SKOKIE, IL, 600763431

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing BENJAMIN LISING
Valid signature Filed with authorized/valid electronic signature
EXCELLENT HOME HEALTH CARE 401(K) PLAN 2011 611445316 2012-07-05 EXCELLENT HOME HEALTH CARE, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8476742719
Plan sponsor’s address 3901 WEST OAKTON STREET, SKOKIE, IL, 60076

Plan administrator’s name and address
Administrator’s EIN 611445316
Plan administrator’s name EXCELLENT HOME HEALTH CARE, INC.
Plan administrator’s address 3901 WEST OAKTON AVENUE, SKOKIE, IL, 60076
Administrator’s telephone number 8476742719

Signature of
Role Plan administrator
Date 2012-07-05
Name of individual signing BENJAMIN LISING
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANITA C. CABANLIT, 3901 OAKTON ST., SKOKIE, 60076, COOK-NOT IN CITY OF CHICAGO Agent 2024-03-29

President

Name and Address Role Account Number
BENJAMIN G LISING President 262058
FRUCTUOSA O LISING, 3901 W OAKTON ST SKOKIE 60076 President No data

Vice president

Name and Address Role Account Number
FRUCTUOSA O LISING Vice president 262058

Secretary

Name and Address Role Account Number
FRUCTUOSA O LISING, 3901 W OAKTON ST SKOKIE 60076 Secretary 262058

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 1353693 Issued 1010 Limited Business License No data 2006-11-17 2006-11-16 2007-11-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 1

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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