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  5. CAREFIRST HOME HEALTH SERVICES, INC.

CAREFIRST HOME HEALTH SERVICES, INC.

Company Details

Entity Name: CAREFIRST HOME HEALTH SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 14 Apr 2005
Date of Dissolution: 10 Jul 2017
Company Number: CORP_64196375
File Number: 64196375
Type of Business: All Inclusive Purpose
Date Status Change: 10 Jul 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAREFIRST HOME HEALTH SERVICES, INC. 401(K) PLAN 2019 202687926 2020-07-27 CAREFIRST HOME HEALTH SERVICES, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-29
Business code 621610
Sponsor’s telephone number 8476779662
Plan sponsor’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing RAMSEY FAMACION
Valid signature Filed with authorized/valid electronic signature
CAREFIRST HOME HEALTH SERVICES, INC. 401(K) PLAN 2018 202687926 2019-07-29 CAREFIRST HOME HEALTH SERVICES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-29
Business code 621610
Sponsor’s telephone number 8476779662
Plan sponsor’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing RAMSEY FAMACION
Valid signature Filed with authorized/valid electronic signature
CAREFIRST HOME HEALTH SERVICES, INC. 401(K) PLAN 2017 202687926 2018-07-05 CAREFIRST HOME HEALTH SERVICES, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-29
Business code 621610
Sponsor’s telephone number 8476779662
Plan sponsor’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712

Signature of
Role Plan administrator
Date 2018-07-05
Name of individual signing RAMSEY FAMACION
Valid signature Filed with authorized/valid electronic signature
CAREFIRST HOME HEALTH SERVICES, INC. 401(K) PLAN 2016 202687926 2017-09-21 CAREFIRST HOME HEALTH SERVICES, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-22
Business code 621610
Sponsor’s telephone number 8476779662
Plan sponsor’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712

Signature of
Role Plan administrator
Date 2017-09-21
Name of individual signing RAMSEY FAMACION
Valid signature Filed with authorized/valid electronic signature
CAREFIRST HOME HEALTH SERVICES, INC. 401(K) PLAN 2015 202687926 2016-05-26 CAREFIRST HOME HEALTH SERVICES, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-22
Business code 621610
Sponsor’s telephone number 8476779662
Plan sponsor’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing RAMSEY FAMACION
Valid signature Filed with authorized/valid electronic signature
CAREFIRST HOME HEALTH SERVICES 401(K) PLAN 2014 202687926 2015-10-01 CAREFIRST HOME HEALTH SERVICES, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-22
Business code 621610
Sponsor’s telephone number 8476779662
Plan sponsor’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing RAMSEY FAMACION
Valid signature Filed with authorized/valid electronic signature
CAREFIRST HOME HEALTH SERVICES, INC. 401(K) PLAN 2013 202687926 2014-10-07 CAREFIRST HOME HEALTH SERVICES, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-22
Business code 621610
Sponsor’s telephone number 8476779662
Plan sponsor’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712

Plan administrator’s name and address
Administrator’s EIN 202687926
Plan administrator’s name CAREFIRST HOME HEALTH SERVICES, INC.
Plan administrator’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712
Administrator’s telephone number 8476779662

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing RAMSEY FAMACION
Valid signature Filed with authorized/valid electronic signature
CAREFIRST HOME HEALTH SERVICES 401K PLAN 2012 202687926 2013-09-26 CAREFIRST HOME HEALTH SERVICES INC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-22
Business code 621610
Sponsor’s telephone number 8476779662
Plan sponsor’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712

Plan administrator’s name and address
Administrator’s EIN 202687926
Plan administrator’s name CAREFIRST HOME HEALTH SERVICES, INC.
Plan administrator’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712
Administrator’s telephone number 8476779662

Signature of
Role Plan administrator
Date 2013-09-26
Name of individual signing RAMSEY FAMACION
Valid signature Filed with authorized/valid electronic signature
CAREFIRST HOME HEALTH SERVICES 401(K) PLAN 2011 202687926 2012-06-13 CAREFIRST HOME HEALTH SERVICES INC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-22
Business code 621610
Sponsor’s telephone number 8476779662
Plan sponsor’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712

Plan administrator’s name and address
Administrator’s EIN 202687926
Plan administrator’s name CAREFIRST HOME HEALTH SERVICES, INC.
Plan administrator’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712
Administrator’s telephone number 8476779662

Signature of
Role Plan administrator
Date 2012-06-13
Name of individual signing RAMSEY FAMACION
Valid signature Filed with authorized/valid electronic signature
CAREFIRST HOME HEALTH SERVICES 401(K) PLAN 2010 202687926 2011-06-30 CAREFIRST HOME HEALTH SERVICES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-22
Business code 621610
Sponsor’s telephone number 8476779662
Plan sponsor’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712

Plan administrator’s name and address
Administrator’s EIN 202687926
Plan administrator’s name CAREFIRST HOME HEALTH SERVICES, INC.
Plan administrator’s address 6731 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712
Administrator’s telephone number 8476779662

Signature of
Role Plan administrator
Date 2011-06-30
Name of individual signing RAMSEY FAMACION
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ARNOLD S NEWMAN, 18400 MAPLE CREEK DR , STE 500, TINLEY PARK, 60477, WILL Agent 2007-04-17

President

Name and Address Role
MARIA DOLORES ENGRACIA 6337 ROOSEVELT RD STE 208 BERWYN President

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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