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  5. MIDWEST HOME HEALTHCARE, INC.

MIDWEST HOME HEALTHCARE, INC.

Company Details

Entity Name: MIDWEST HOME HEALTHCARE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 09 Aug 2004
Company Number: CORP_63693588
File Number: 63693588
Type of Business: All Inclusive Purpose
Address 5901 N CICERO AVE 2 210, CHICAGO, IL, 60646
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST HOME HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2016 201481200 2017-10-13 MIDWEST HOME HEALTHCARE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 7736859025
Plan sponsor’s address 15020 S. CICERO AVE., SUITE ABC, OAK FOREST, IL, 60452
MIDWEST HOME HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN & TRUST 2015 201481200 2016-10-05 MIDWEST HOME HEALTHCARE, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 7736277911
Plan sponsor’s address 15020 S CICERO AVE, 1ST FLOOR, OAK FOREST, IL, 60452

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing FRITZ LUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-05
Name of individual signing FRITZ LUZ
Valid signature Filed with authorized/valid electronic signature
MIDWEST HOME HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN & TRUST 2014 201481200 2016-10-07 MIDWEST HOME HEALTHCARE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 7736277911
Plan sponsor’s address 15020 S CICERO AVE., 1ST FLOOR, OAK FOREST, IL, 60452

Signature of
Role Plan administrator
Date 2016-10-07
Name of individual signing FRITZ LUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-07
Name of individual signing FRITZ LUZ
Valid signature Filed with authorized/valid electronic signature
MIDWEST HOME HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN & TRUST 2014 201481200 2015-06-25 MIDWEST HOME HEALTHCARE, INC. 20
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 7736277911
Plan sponsor’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2015-06-25
Name of individual signing FRANCISCO LUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-25
Name of individual signing FRANCISCO LUZ
Valid signature Filed with authorized/valid electronic signature
MIDWEST HOME HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN & TRUST 2013 201481200 2014-10-07 MIDWEST HOME HEALTHCARE, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 7736277911
Plan sponsor’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing FRANCISCO LUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-07
Name of individual signing FRANCISCO LUZ
Valid signature Filed with authorized/valid electronic signature
MIDWEST HOME HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN & TRUST 2012 201481200 2013-10-15 MIDWEST HOME HEALTHCARE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 7736277911
Plan sponsor’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing DAVIS FERRERIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing DAVIS FERRERIA
Valid signature Filed with authorized/valid electronic signature
MIDWEST HOME HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN & TRUST 2011 201481200 2012-10-15 MIDWEST HOME HEALTHCARE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 7736277911
Plan sponsor’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646

Plan administrator’s name and address
Administrator’s EIN 201481200
Plan administrator’s name MIDWEST HOME HEALTHCARE, INC.
Plan administrator’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646
Administrator’s telephone number 7736277911

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DAVIS FERRERIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing DAVIS FERRERIA
Valid signature Filed with authorized/valid electronic signature
MIDWEST HOME HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN & TRUST 2010 201481200 2011-10-13 MIDWEST HOME HEALTHCARE, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 7736277911
Plan sponsor’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646

Plan administrator’s name and address
Administrator’s EIN 201481200
Plan administrator’s name MIDWEST HOME HEALTHCARE, INC.
Plan administrator’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646
Administrator’s telephone number 7736277911

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing DAVIS FERRERIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing DAVIS FERRERIA
Valid signature Filed with authorized/valid electronic signature
MIDWEST HOME HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN & TRUST 2009 201481200 2011-10-13 MIDWEST HOME HEALTHCARE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7736277911
Plan sponsor’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646

Plan administrator’s name and address
Administrator’s EIN 201481200
Plan administrator’s name MIDWEST HOME HEALTHCARE, INC.
Plan administrator’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646
Administrator’s telephone number 7736277911

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing DAVIS FERRERIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing DAVIS FERRERIA
Valid signature Filed with authorized/valid electronic signature
MIDWEST HOME HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN & TRUST 2009 201481200 2010-09-15 MIDWEST HOME HEALTHCARE, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7736277911
Plan sponsor’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646

Plan administrator’s name and address
Administrator’s EIN 201481200
Plan administrator’s name MIDWEST HOME HEALTHCARE, INC.
Plan administrator’s address 5901 N. CICERO AVE., SUITE 400, CHICAGO, IL, 60646
Administrator’s telephone number 7736277911

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing DAVIS FERRERIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-14
Name of individual signing DAVIS FERRERIA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
FRITZ LUZ, 7820 GRAPHIC DR STE 207, TINLEY PARK, 60477, WILL Agent 2023-04-24

President

Name and Address Role
FRITZ LUZ 7820 GRAPHIC DRIVE,STE 207 TINLEY PARK IL 60477 President

Secretary

Name and Address Role
ABI BOXWALLA 7820 GRAPHIC DRIVE STE 207 TINLEY PARK IL 60477 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
AT HOME QUALITY CARE-CHICAGO IL Assume Name 2014-12-04 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 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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