| Entity Name: | DIVINE PROVIDENCE HOME HEALTH AGENCY, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 31 Dec 2003 |
| Date of Dissolution: | 03 Sep 2019 |
| Company Number: | CORP_63277843 |
| File Number: | 63277843 |
| Type of Business: | Health services – Nursing homes, hospitals, and clinics |
| Date Status Change: | 03 Sep 2019 |
| Address | 3550 W PETERSON AVE 3 304, CHICAGO, IL, 60659 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIVINE PROVIDENCE HOME HEALTH 401(K) PROFIT SHARING PLAN | 2018 | 542137357 | 2019-09-09 | DIVINE PROVIDENCE HOME HEALTH AGENCY, INC. | 45 | |||||||||||||||||||||||||||||||
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| DIVINE PROVIDENCE HOME HEALTH 401(K) PROFIT SHARING PLAN | 2017 | 542137357 | 2018-05-30 | DIVINE PROVIDENCE HOME HEALTH AGENCY, INC. | 47 | |||||||||||||||||||||||||||||||
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| DIVINE PROVIDENCE HOME HEALTH 401(K) PROFIT SHARING PLAN | 2016 | 542137357 | 2017-09-19 | DIVINE PROVIDENCE HOME HEALTH AGENCY, INC. | 46 | |||||||||||||||||||||||||||||||
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| DIVINE PROVIDENCE HOME HEALTH 401(K) PROFIT SHARING PLAN | 2015 | 542137357 | 2016-03-01 | DIVINE PROVIDENCE HOME HEALTH AGENCY, INC. | 48 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 542137357 |
| Plan administrator’s name | DIVINE PROVIDENCE HOME HEALTH |
| Plan administrator’s address | 3550 W. PETERSON AVE., CHICAGO, IL, 60659 |
| Administrator’s telephone number | 7734333320 |
Signature of
| Role | Plan administrator |
| Date | 2016-03-01 |
| Name of individual signing | ARNOLD DONATO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ARNOLD J DONATO, 6316 N LINCOLN AVE UNIT 2, CHICAGO, 60659, COOK-NOT IN CITY OF CHICAGO | Agent | 2019-05-30 |
| Name and Address | Role |
|---|---|
| ROSALIE DONATO 3550 W. PETERSON AVE, 304, CHICAGO, IL 60659 | President |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| DIVINE PROVIDENCE HOME HEALTH AGENCY, INC. | No data | 2007-02-20 | 2012-01-09 | Voluntary Cancellation | No data |
| Name | Change Date |
|---|---|
| DIVINE PROVIDENCE HOME HEALTH SERVICES INC. | 2012-01-09 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1500 | 1500000 | No data |
| COMMON | B | Voting Rights | 26535 | 26535000 | 0.1 |
Date of last update: 30 Jan 2025
