| Entity Name: | HEALTHCARE STAFFING INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 08 Apr 2003 |
| Date of Dissolution: | 13 Nov 2014 |
| Company Number: | CORP_62787376 |
| File Number: | 62787376 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 13 Nov 2014 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHCARE STAFFING, INC. RETIREMENT TRUST | 2012 | 383678575 | 2013-07-15 | HEALTHCARE STAFFING, INC. | 2 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-07-15 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-11-01 |
| Business code | 561300 |
| Sponsor’s telephone number | 6302269515 |
| Plan sponsor’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
Plan administrator’s name and address
| Administrator’s EIN | 383678575 |
| Plan administrator’s name | HEALTHCARE STAFFING, INC. |
| Plan administrator’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
| Administrator’s telephone number | 6302269515 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-10 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-10 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-11-01 |
| Business code | 561300 |
| Sponsor’s telephone number | 6302269515 |
| Plan sponsor’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
Plan administrator’s name and address
| Administrator’s EIN | 383678575 |
| Plan administrator’s name | HEALTHCARE STAFFING, INC. |
| Plan administrator’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
| Administrator’s telephone number | 6302269515 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-17 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-17 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-11-01 |
| Business code | 561300 |
| Sponsor’s telephone number | 6302269515 |
| Plan sponsor’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
Plan administrator’s name and address
| Administrator’s EIN | 383678575 |
| Plan administrator’s name | HEALTHCARE STAFFING, INC. |
| Plan administrator’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
| Administrator’s telephone number | 6302269515 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-17 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-17 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-11-01 |
| Business code | 561300 |
| Sponsor’s telephone number | 6302269515 |
| Plan sponsor’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
Plan administrator’s name and address
| Administrator’s EIN | 383678575 |
| Plan administrator’s name | HEALTHCARE STAFFING, INC. |
| Plan administrator’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
| Administrator’s telephone number | 6302269515 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-31 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-31 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-11-01 |
| Business code | 561300 |
| Sponsor’s telephone number | 6302269515 |
| Plan sponsor’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
Plan administrator’s name and address
| Administrator’s EIN | 383678575 |
| Plan administrator’s name | HEALTHCARE STAFFING, INC. |
| Plan administrator’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
| Administrator’s telephone number | 6302269515 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-17 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-17 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-11-01 |
| Business code | 561300 |
| Sponsor’s telephone number | 6302269515 |
| Plan sponsor’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
Plan administrator’s name and address
| Administrator’s EIN | 383678575 |
| Plan administrator’s name | HEALTHCARE STAFFING, INC. |
| Plan administrator’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
| Administrator’s telephone number | 6302269515 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-17 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-17 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-11-01 |
| Business code | 561300 |
| Sponsor’s telephone number | 6302269515 |
| Plan sponsor’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
Plan administrator’s name and address
| Administrator’s EIN | 383678575 |
| Plan administrator’s name | HEALTHCARE STAFFING, INC. |
| Plan administrator’s address | 101 ROYCE ROAD, SUITE 16, BOLINGBROOK, IL, 60440 |
| Administrator’s telephone number | 6302269515 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-17 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-17 |
| Name of individual signing | AMRENDRA KUMAR |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| HARSHADA KUMAR, 558 CLEAVLAND DR, BOLINGBROOK, 60440, WILL | Agent | 2009-12-09 |
| Name and Address | Role |
|---|---|
| AMRENDRA KUMAR, 101 ROYCE RD STE 16, BOLINGBROOK 60440 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 3000 | 3000000 | No data |
Date of last update: 16 Jan 2025
