BROOKDALE SENIOR LIVING INC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BROOKDALE SENIOR LIVING, INC. WELFARE PLAN

2012

203068069

2013-07-16

BROOKDALE SENIOR LIVING, INC.

17377

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2007-01-01
Business code	623000
Sponsor’s telephone number	4149185000
Plan sponsor’s mailing address	6737 W. WASHINGTON ST, SUITE 2300, MILWAUKEE, IL, 53214
Plan sponsor’s address	6737 W. WASHINGTON ST, SUITE 2300, MILWAUKEE, IL, 53214

Plan administrator’s name and address

Administrator’s EIN	203068069
Plan administrator’s name	BROOKDALE SENIOR LIVING, INC.
Plan administrator’s address	6737 W. WASHINGTON ST, SUITE 2300, MILWAUKEE, IL, 53214
Administrator’s telephone number	4149185000

Number of participants as of the end of the plan year

Active participants	15144
Retired or separated participants receiving benefits	127

Signature of

Role	Plan administrator
Date	2013-07-16
Name of individual signing	KRISTI REID
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-07-09
Name of individual signing	KRISTI REID
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON	Agent	2016-10-05

Name and Address	Role
LUCINDA M BAIER 111 WESTWOOD PL #400 BRENTWOOD TN 37027	President

Name and Address	Role
CHAD C WHITE 111 WESTWOOD PLACE #400 BRENTWOOD TN 37027	Secretary

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	400000000	201735536000	0.01

Date of last update: 27 Jan 2025