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A TOUCH OF GRACE HOSPICE, INC.

Company Details

Entity Name: A TOUCH OF GRACE HOSPICE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Jul 2004
Date of Dissolution: 14 Dec 2012
Company Number: CORP_63665126
File Number: 63665126
Type of Business: All Inclusive Purpose
Date Status Change: 14 Dec 2012
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A TOUCH OF GRACE HOSPICE 401(K) PLAN 2010 260089949 2011-09-30 A TOUCH OF GRACE HOSPICE 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-01
Business code 621399
Sponsor’s telephone number 7084993400
Plan sponsor’s address 8250 S. CICERO AVENUE, BURBANK, IL, 60459

Plan administrator’s name and address

Administrator’s EIN 260089949
Plan administrator’s name A TOUCH OF GRACE HOSPICE
Plan administrator’s address 8250 S. CICERO AVENUE, BURBANK, IL, 60459
Administrator’s telephone number 7084993400

Signature of

Role Plan administrator
Date 2011-09-30
Name of individual signing PASHUN MCNULTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-30
Name of individual signing PASHUN MCNULTY
Valid signature Filed with authorized/valid electronic signature
A TOUCH OF GRACE HOSPICE 401(K) PLAN 2009 260089949 2010-10-15 A TOUCH OF GRACE HOSPICE 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-01
Business code 621399
Sponsor’s telephone number 7084993400
Plan sponsor’s address 8250 S. CICERO AVENUE, BURBANK, IL, 60459

Plan administrator’s name and address

Administrator’s EIN 260089949
Plan administrator’s name A TOUCH OF GRACE HOSPICE
Plan administrator’s address 8250 S. CICERO AVENUE, BURBANK, IL, 60459
Administrator’s telephone number 7084993400

Signature of

Role Plan administrator
Date 2010-10-15
Name of individual signing PASHUN MCNULTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing PASHUN MCNULTY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JENNIFER D MOORE, 6010 S MARSHFIELD, CHICAGO, 60636, COOK-NOT IN CITY OF CHICAGO Agent 2012-05-07

President

Name and Address Role
JENNIFER D MOORE 6010 S MARSHFIELD CHICAGO IL 60636 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 10000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State