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  5. CHICAGOLAND HOME HEALTH PROVIDER, INC.

CHICAGOLAND HOME HEALTH PROVIDER, INC.

Company Details

Entity Name: CHICAGOLAND HOME HEALTH PROVIDER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 08 Oct 2004
Company Number: CORP_63805548
File Number: 63805548
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHICAGOLAND HOME HEALTH PROVIDER INC. RETIREMENT PLAN 2023 201738309 2024-10-01 CHICAGOLAND HOME HEALTH PROVIDER 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8472963950
Plan sponsor’s address 1974 MINER STREET, SUITE 101, DES PLAINES, IL, 60016

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing EVELYN SAPLAL
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND HOME HEALTH PROVIDER INC. RETIREMENT PLAN 2022 201738309 2023-10-16 CHICAGOLAND HOME HEALTH PROVIDER 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8472963950
Plan sponsor’s address 1974 MINER STREET, SUITE 101, DES PLAINES, IL, 60016

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing EVELYN SAPLAL
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND HOME HEALTH PROVIDER INC. RETIREMENT PLAN 2021 201738309 2022-05-26 CHICAGOLAND HOME HEALTH PROVIDER 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8472963950
Plan sponsor’s address 1974 MINER STREET, DES PLAINES, IL, 60016

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing EVELYN SAPLAL
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND HOME HEALTH PROVIDER INC. RETIREMENT PLAN 2020 201738309 2021-11-19 CHICAGOLAND HOME HEALTH PROVIDER 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8472963950
Plan sponsor’s address 1974 MINER STREET, DES PLAINES, IL, 60016

Signature of
Role Plan administrator
Date 2021-11-19
Name of individual signing EVELYN SAPLAL
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND HOME HEALTH PROVIDER INC. RETIREMENT PLAN 2019 201738309 2020-07-02 CHICAGOLAND HOME HEALTH PROVIDER 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8472963950
Plan sponsor’s address 1974 MINER STREET, DES PLAINES, IL, 60016

Signature of
Role Plan administrator
Date 2020-07-02
Name of individual signing EVELYN SAPLAL
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND HOME HEALTH PROVIDER INC. RETIREMENT PLAN 2018 201738309 2019-07-15 CHICAGOLAND HOME HEALTH PROVIDER 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8472963950
Plan sponsor’s address 1974 MINER STREET, DES PLAINES, IL, 60016

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing EVELYN SAPLAL
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND HOME HEALTH PROVIDER INC. RETIREMENT PLAN 2017 201738309 2018-10-30 CHICAGOLAND HOME HEALTH PROVIDER 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8472964579
Plan sponsor’s address 1974 MINER STREET, DES PLAINES, IL, 60016

Signature of
Role Plan administrator
Date 2018-10-30
Name of individual signing EVELYN SAPLAL
Valid signature Filed with authorized/valid electronic signature
CHICAGOLAND HOME HEALTH PROVIDER, INC. 401K PLAN 2016 201738309 2017-10-15 CHICAGOLAND HOME HEALTH PROVIDER, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8472963950
Plan sponsor’s address 1974 MINER ST., SUITE 101, DES PLAINES, IL, 60016
CHICAGOLAND HOME HEALTH PROVIDER, INC. 401K PLAN 2015 201738309 2016-09-27 CHICAGOLAND HOME HEALTH PROVIDER, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8472963950
Plan sponsor’s address 2604 DEMPSTER STREET, SUITE 508, SUITE 508, PARK RIDGE, IL, 60068
CHICAGOLAND HOME HEALTH PROVIDER, INC. 401K PLAN 2014 201738309 2015-10-12 CHICAGOLAND HOME HEALTH PROVIDER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621610
Sponsor’s telephone number 8472963950
Plan sponsor’s address 2604 DEMPSTER STREET, SUITE 508, PARK RIDGE, IL, 60068

Agent

Name and Address Role Appointment Date
EVELYN SAPLALA, 1974 MINER ST STE 101, DES PLAINES, 60016, COOK-NOT IN CITY OF CHICAGO Agent 2016-10-25

President

Name and Address Role
EVELYN SAPLALA 4229 N HIGHLANDAVE ARLINGTON HEIGHS 60004 President

Secretary

Name and Address Role
CARLOS SAPLALA 4229 N. HIGHLAND AVE. ARLINGTON HTS. 60004 Secretary

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: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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