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  5. NORTHSHORE HOME HEALTH CARE INC.

NORTHSHORE HOME HEALTH CARE INC.

Company Details

Entity Name: NORTHSHORE HOME HEALTH CARE INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 26 Oct 2004
Company Number: CORP_63857971
File Number: 63857971
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHSHORE HOME HEALTH CARE, INC. 401(K) P/S PLAN 2015 830413830 2016-03-10 NORTHSHORE HOME HEALTH CARE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8474901112
Plan sponsor’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173

Plan administrator’s name and address
Administrator’s EIN 830413830
Plan administrator’s name NORTHSHORE HOME HEALTH CARE, INC.
Plan administrator’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8474901112

Signature of
Role Plan administrator
Date 2016-03-10
Name of individual signing REMA NAIR
Valid signature Filed with authorized/valid electronic signature
NORTHSHORE HOME HEALTH CARE, INC. 401(K) P/S PLAN 2014 830413830 2015-08-21 NORTHSHORE HOME HEALTH CARE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8474901112
Plan sponsor’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173

Plan administrator’s name and address
Administrator’s EIN 830413830
Plan administrator’s name NORTHSHORE HOME HEALTH CARE, INC.
Plan administrator’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8474901112

Signature of
Role Plan administrator
Date 2015-08-21
Name of individual signing REMA NAIR
Valid signature Filed with authorized/valid electronic signature
NORTHSHORE HOME HEALTH CARE, INC. 401(K) P/S PLAN 2013 830413830 2014-07-17 NORTHSHORE HOME HEALTH CARE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8474901112
Plan sponsor’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173

Plan administrator’s name and address
Administrator’s EIN 830413830
Plan administrator’s name NORTHSHORE HOME HEALTH CARE, INC.
Plan administrator’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8474901112

Signature of
Role Plan administrator
Date 2014-07-17
Name of individual signing REMA NAIR
Valid signature Filed with authorized/valid electronic signature
NORTHSHORE HOME HEALTH CARE, INC. 401(K) P/S PLAN 2012 830413830 2013-06-27 NORTHSHORE HOME HEALTH CARE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8474901112
Plan sponsor’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173

Plan administrator’s name and address
Administrator’s EIN 830413830
Plan administrator’s name NORTHSHORE HOME HEALTH CARE, INC.
Plan administrator’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8474901112

Signature of
Role Plan administrator
Date 2013-06-27
Name of individual signing REMA NAIR
Valid signature Filed with authorized/valid electronic signature
NORTHSHORE HOME HEALTH CARE, INC. 401(K) P/S PLAN 2011 830413830 2012-05-31 NORTHSHORE HOME HEALTH CARE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8474901112
Plan sponsor’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173

Plan administrator’s name and address
Administrator’s EIN 830413830
Plan administrator’s name NORTHSHORE HOME HEALTH CARE, INC.
Plan administrator’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8474901112

Signature of
Role Plan administrator
Date 2012-05-31
Name of individual signing DEEPAK NAIR
Valid signature Filed with authorized/valid electronic signature
NORTHSHORE HOME HEALTH CARE, INC. 401(K) P/S PLAN 2010 830413830 2011-04-15 NORTHSHORE HOME HEALTH CARE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8474901112
Plan sponsor’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173

Plan administrator’s name and address
Administrator’s EIN 830413830
Plan administrator’s name NORTHSHORE HOME HEALTH CARE, INC.
Plan administrator’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8474901112

Signature of
Role Plan administrator
Date 2011-04-15
Name of individual signing DEEPAK NAIR
Valid signature Filed with authorized/valid electronic signature
NORTHSHORE HOME HEALTH CARE, INC. 401(K) P/S PLAN 2009 830413830 2010-06-24 NORTHSHORE HOME HEALTH CARE, 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 8474901112
Plan sponsor’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173

Plan administrator’s name and address
Administrator’s EIN 830413830
Plan administrator’s name NORTHSHORE HOME HEALTH CARE, INC.
Plan administrator’s address 719 E. GOLF ROAD, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8474901112

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing DEEPAK NAIR
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
FRANCIS CLEMENT, 127 E LAKE ST STE 302, BLOOMINGDALE, 60108, DU PAGE Agent 2020-02-25

Secretary

Name and Address Role
BIJU FRANCIS 127 E LAKE ST STE302 BLOOMINGDALE IL, 60108 Secretary

President

Name and Address Role
FRANCIS CLEMENT 127 E LAKE STSTE 302 BLOOMINGDALE IL, 60108 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

BIJU FRANCIS 127 E LAKE ST STE302 BLOOMINGDALE IL, 60108

NORTHSHORE HOME HEALTH CARE II, INC.

FRANCIS CLEMENT, 127 E LAKE ST STE 302, BLOOMINGDALE, 60108, DU PAGE

NORTHSHORE HOME HEALTH CARE II, INC. NORTHSHORE HOMECARE & HOSPICE CORPORATION

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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