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EXTENDED HOME LIVING SERVICES, INC.

Company Details

Entity Name: EXTENDED HOME LIVING SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 05 Jan 2007
Company Number: CORP_65337193
File Number: 65337193
Type of Business: All Inclusive Purpose
Address 210 W CAMPUS DR B, ARLINGTON HEIGHTS, IL, 60004
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN 2018 208082466 2019-10-11 EXTENDED HOME LIVING SERVICES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 623000
Sponsor’s telephone number 8474030120
Plan sponsor’s address 210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing DAVID HESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing DAVID HESS
Valid signature Filed with authorized/valid electronic signature
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN 2017 208082466 2018-10-04 EXTENDED HOME LIVING SERVICES, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 623000
Sponsor’s telephone number 8474030120
Plan sponsor’s address 210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2018-09-17
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-17
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN 2016 208082466 2017-10-11 EXTENDED HOME LIVING SERVICES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 623000
Sponsor’s telephone number 8474030120
Plan sponsor’s address 210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2017-10-09
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN 2015 208082466 2016-10-13 EXTENDED HOME LIVING SERVICES, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 623000
Sponsor’s telephone number 8474030120
Plan sponsor’s address 210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2014 208082466 2015-04-29 EXTENDED HOME LIVING SERVICES, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 623000
Sponsor’s telephone number 8472159490
Plan sponsor’s address 210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2015-04-28
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-28
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2013 208082466 2014-05-23 EXTENDED HOME LIVING SERVICES, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 623000
Sponsor’s telephone number 8472159490
Plan sponsor’s address 210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2014-05-22
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-22
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2012 208082466 2013-04-23 EXTENDED HOME LIVING SERVICES, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 623000
Sponsor’s telephone number 8472159490
Plan sponsor’s address 210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004

Signature of

Role Plan administrator
Date 2013-04-22
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-22
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2011 208082466 2012-03-19 EXTENDED HOME LIVING SERVICES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 623000
Sponsor’s telephone number 8472159490
Plan sponsor’s address 210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004

Plan administrator’s name and address

Administrator’s EIN 208082466
Plan administrator’s name EXTENDED HOME LIVING SERVICES, INC.
Plan administrator’s address 210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004
Administrator’s telephone number 8472159490

Signature of

Role Plan administrator
Date 2012-03-18
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-18
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2010 208082466 2011-02-05 EXTENDED HOME LIVING SERVICES, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 623000
Sponsor’s telephone number 8472159490
Plan sponsor’s address 555 N. WOLF ROAD, WHEELING, IL, 600903027

Plan administrator’s name and address

Administrator’s EIN 208082466
Plan administrator’s name EXTENDED HOME LIVING SERVICES, INC.
Plan administrator’s address 555 N. WOLF ROAD, WHEELING, IL, 600903027
Administrator’s telephone number 8472159490

Signature of

Role Plan administrator
Date 2011-02-05
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-05
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2009 208082466 2010-06-30 EXTENDED HOME LIVING SERVICES, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 623000
Sponsor’s telephone number 8472159490
Plan sponsor’s address 555 N. WOLF ROAD, WHEELING, IL, 600903027

Plan administrator’s name and address

Administrator’s EIN 208082466
Plan administrator’s name EXTENDED HOME LIVING SERVICES, INC.
Plan administrator’s address 555 N. WOLF ROAD, WHEELING, IL, 600903027
Administrator’s telephone number 8472159490

Signature of

Role Plan administrator
Date 2010-06-29
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-29
Name of individual signing ELIZABETH CRANDALL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
REGISTERED AGENTS INC., 2501 CHATHAM RD STE R, SPRINGFIELD, 62704, SANGAMON Agent 2024-12-30

President

Name and Address Role Account Number
PAUL BERGANTINO, 23 POWDER HORN BLUFFTON SC 29910 President No data
Paul Bergantino President 325886
ALLAN J BROWNE President 54138

Secretary

Name and Address Role Account Number
BRIAN BURFIELD 93 INNSBRUCK DREMPORIUM PA 15834 Secretary No data
Brian Burfield Secretary 325886
JOAN BROWNE Secretary 54138

Shareholder

Name and Address Role Account Number
Lifeway Mobility Holdings, LLC Shareholder 325886

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2207751 Issued 4404 Regulated Business License 673 - Home Repair Services 2024-01-03 2024-01-16 2026-01-15
BUSINESS LICENSE 2134470 Issued 1010 Limited Business License No data 2017-12-19 2018-01-16 2020-01-15
BUSINESS LICENSE 2134469 Cancelled 1011 Home Repair No data 2012-01-10 2012-01-10 2014-01-15
BUSINESS LICENSE 1883936 Cancelled 1010 Limited Business License No data 2009-12-23 2010-01-16 2012-01-15
BUSINESS LICENSE 1883937 Cancelled 1011 Home Repair No data 2009-12-23 2010-01-16 2012-01-15
HME AND SERVICES PROV 203001024 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2008-08-05 2024-01-04 2027-03-31
BUSINESS LICENSE 1594909 Issued 1011 Home Repair No data 2007-02-16 2007-02-16 2009-03-15
BUSINESS LICENSE 1479671 Issued 1010 Limited Business License No data 2007-02-08 2007-02-16 2009-03-15
BUSINESS LICENSE 34677 Issued 1010 Limited Business License No data 2003-01-09 2003-02-16 2004-02-15

Historical Names

Name Change Date
CRANDALL SOLUTIONS, LTD. 2008-01-25

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State