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  5. GOLDEN HAVEN CARE, INC.

GOLDEN HAVEN CARE, INC.

Company Details

Entity Name: GOLDEN HAVEN CARE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 17 Jul 2003
Company Number: CORP_62984414
File Number: 62984414
Type of Business: Business Corporations
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GOLDEN HAVEN CARE, INC. 401(K) PLAN 2011 200153380 2012-06-05 GOLDEN HAVEN CARE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 7083581267
Plan sponsor’s address 6525 WEST NORTH AVENUE, SUITE 207, OAK PARK, IL, 60302

Plan administrator’s name and address
Administrator’s EIN 200153380
Plan administrator’s name GOLDEN HAVEN CARE, INC.
Plan administrator’s address 6525 WEST NORTH AVENUE, SUITE 207, OAK PARK, IL, 60302
Administrator’s telephone number 7083581267

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing JAN CORPUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-05
Name of individual signing JAN CORPUS
Valid signature Filed with authorized/valid electronic signature
GOLDEN HAVEN CARE, INC. 401(K) PLAN 2011 200153380 2012-06-05 GOLDEN HAVEN CARE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 7083581267
Plan sponsor’s address 6525 WEST NORTH AVENUE, SUITE 207, OAK PARK, IL, 60302

Plan administrator’s name and address
Administrator’s EIN 200153380
Plan administrator’s name GOLDEN HAVEN CARE, INC.
Plan administrator’s address 6525 WEST NORTH AVENUE, SUITE 207, OAK PARK, IL, 60302
Administrator’s telephone number 7083581267

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing JAN CORPUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-05
Name of individual signing JAN CORPUS
Valid signature Filed with authorized/valid electronic signature
GOLDEN HAVEN CARE, INC. 401(K) PLAN 2010 200153380 2011-09-07 GOLDEN HAVEN CARE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 7083581267
Plan sponsor’s address 6525 WEST NORTH AVENUE, SUITE 207, OAK PARK, IL, 60302

Plan administrator’s name and address
Administrator’s EIN 200153380
Plan administrator’s name GOLDEN HAVEN CARE, INC.
Plan administrator’s address 6525 WEST NORTH AVENUE, SUITE 207, OAK PARK, IL, 60302
Administrator’s telephone number 7083581267

Signature of
Role Plan administrator
Date 2011-09-07
Name of individual signing MILAGRINA CORPUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-07
Name of individual signing MILAGRINA CORPUS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MELVIN ANTHONY ADALIN, 6525 NORTH AVE STE 107, OAK PARK, 60302, COOK-NOT IN CITY OF CHICAGO Agent 2024-10-10

President

Name and Address Role
ROSAELMA VILLAFRANCA 5916 W. FOSTER AVE CHICAGO IL 60630 President

Secretary

Name and Address Role
MELVIN ANTHONY ADALIN, 1222 NARTESIAN AVE, CHICAGO IL 60622 Secretary

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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