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  5. PLATINUM CARE AMBULANCE INC.

PLATINUM CARE AMBULANCE INC.

Company Details

Entity Name: PLATINUM CARE AMBULANCE INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 04 Dec 2003
Date of Dissolution: 11 May 2018
Company Number: CORP_63244511
File Number: 63244511
Type of Business: Transportation – Passenger
Date Status Change: 11 May 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLATINUM CARE AMBULANCE INC 401K PROFIT SHARING PLAN & TRUST 2017 200509091 2018-07-11 PLATINUM CARE AMBULANCE INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621900
Sponsor’s telephone number 6309019559
Plan sponsor’s address 1692 QUINCY AVE SUITE 108, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing JIM ISDELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM CARE AMBULANCE INC 401K PROFIT SHARING PLAN & TRUST 2016 200509091 2017-06-14 PLATINUM CARE AMBULANCE INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621900
Sponsor’s telephone number 6309019559
Plan sponsor’s address 1692 QUINCY AVE SUITE 108, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2017-06-14
Name of individual signing KRIS ISDELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM CARE AMBULANCE INC 401K PROFIT SHARING PLAN & TRUST 2015 200509091 2016-06-16 PLATINUM CARE AMBULANCE INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621900
Sponsor’s telephone number 6309019559
Plan sponsor’s address 1692 QUINCY AVE SUITE 108, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2016-06-16
Name of individual signing JIM ISDELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM CARE AMBULANCE INC 401K PROFIT SHARING PLAN & TRUST 2014 200509091 2015-06-10 PLATINUM CARE AMBULANCE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621900
Sponsor’s telephone number 6309019559
Plan sponsor’s address 1692 QUINCY AVE SUITE 108, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2015-06-10
Name of individual signing KRIS ISDELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM CARE AMBULANCE INC 401K PROFIT SHARING PLAN & TRUST 2013 200509091 2014-07-11 PLATINUM CARE AMBULANCE INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621900
Sponsor’s telephone number 6309019559
Plan sponsor’s address 1692 QUINCY AVE SUITE 108, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2014-07-11
Name of individual signing KRIS ISDELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM CARE AMBULANCE INC 401 K PROFIT SHARING PLAN TRUST 2012 200509091 2014-12-31 PLATINUM CARE AMBULANCE INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 6307788585
Plan sponsor’s address 1692 QUINCY AVE STE 108, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2014-12-30
Name of individual signing KRISTIN ISDELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM CARE AMBULANCE INC 401 K PROFIT SHARING PLAN TRUST 2011 200509091 2012-05-10 PLATINUM CARE AMBULANCE INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 6307788585
Plan sponsor’s address 1692 QUINCY AVE STE 108, NAPERVILLE, IL, 605405012

Plan administrator’s name and address
Administrator’s EIN 200509091
Plan administrator’s name PLATINUM CARE AMBULANCE INC
Plan administrator’s address 1692 QUINCY AVE STE 108, NAPERVILLE, IL, 605405012
Administrator’s telephone number 6307788585

Signature of
Role Plan administrator
Date 2012-05-10
Name of individual signing PLATINUM CARE AMBULANCE INC
Valid signature Filed with authorized/valid electronic signature
PLATINUM CARE AMBULANCE INC 401 K PROFIT SHARING PLAN TRUST 2010 200509091 2011-05-12 PLATINUM CARE AMBULANCE INC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 6307788585
Plan sponsor’s address 1692 QUINCY AVE, STE 108, NAPERVILLE, IL, 605400000

Plan administrator’s name and address
Administrator’s EIN 200509091
Plan administrator’s name PLATINUM CARE AMBULANCE INC
Plan administrator’s address 1692 QUINCY AVE, STE 108, NAPERVILLE, IL, 605400000
Administrator’s telephone number 6307788585

Signature of
Role Plan administrator
Date 2011-05-12
Name of individual signing PLATINUM CARE AMBULANCE INC
Valid signature Filed with authorized/valid electronic signature
PLATINUM CARE AMBULANCE INC 2009 200509091 2010-06-07 PLATINUM CARE AMBULANCE INC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 6307788585
Plan sponsor’s address 1692 QUINCY AVE, STE 108, NAPERVILLE, IL, 605400000

Plan administrator’s name and address
Administrator’s EIN 200509091
Plan administrator’s name PLATINUM CARE AMBULANCE INC
Plan administrator’s address 1692 QUINCY AVE, STE 108, NAPERVILLE, IL, 605400000
Administrator’s telephone number 6307788585

Signature of
Role Plan administrator
Date 2010-06-07
Name of individual signing PLATINUM CARE AMBULANCE INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JIM H ISDELL, 1692 QUINCY AVE #108, NAPERVILLE, 60540, DU PAGE Agent 2007-11-14

President

Name and Address Role
JIM ISDELL 3835 JUNEBREEZE LN NAPERVILLE IL 60564 President

Shares

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

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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