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UNITED SENIOR SERVICES, INC.

Company Details

Entity Name: UNITED SENIOR SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 16 Mar 2007
Company Number: CORP_65435934
File Number: 65435934
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNITED SENIOR SERVICES PROFIT SHARING PLAN 2019 208653303 2020-10-29 UNITED SENIOR SERVICES INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812190
Sponsor’s telephone number 6309290760
Plan sponsor’s address 2425 75TH STREET, WOODRIDGE, IL, 60561

Signature of

Role Plan administrator
Date 2020-10-28
Name of individual signing WILLIAM SWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-28
Name of individual signing WILLIAM SWAN
Valid signature Filed with authorized/valid electronic signature
UNITED SENIOR SERVICES PROFIT SHARING PLAN 2019 208653303 2020-05-18 UNITED SENIOR SERVICES INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812190
Sponsor’s telephone number 6309290760
Plan sponsor’s address 2425 75TH STREET, WOODRIDGE, IL, 60561

Signature of

Role Plan administrator
Date 2020-05-18
Name of individual signing WILLIAM SWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-18
Name of individual signing WILLIAM SWAN
Valid signature Filed with authorized/valid electronic signature
UNITED SENIOR SERVICES PROFIT SHARING PLAN 2018 208653303 2019-10-01 UNITED SENIOR SERVICES INC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812190
Sponsor’s telephone number 6309290760
Plan sponsor’s address 2425 75TH STREET, WOODRIDGE, IL, 60561

Signature of

Role Plan administrator
Date 2019-09-25
Name of individual signing WILLIAM SWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-25
Name of individual signing WILLIAM SWAN
Valid signature Filed with authorized/valid electronic signature
UNITED SENIOR SERVICES PROFIT SHARING PLAN 2017 208653303 2018-10-11 UNITED SENIOR SERVICES INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812190
Sponsor’s telephone number 6306325466
Plan sponsor’s address 2849 83RD STREET, DARIEN, IL, 60561

Plan administrator’s name and address

Administrator’s EIN 823519275
Plan administrator’s name THOMAS R BERG CPA
Plan administrator’s address 415 FERNWOOD DRIVE, WESTMONT, IL, 60559
Administrator’s telephone number 6306322466

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing THOMAS BERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing THOMAS BERG
Valid signature Filed with authorized/valid electronic signature
UNITED SENIOR SERVICES PROFIT SHARING TRUST 2016 463707387 2017-10-13 UNITED SENIOR SERVICES INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812190
Sponsor’s telephone number 6306322466
Plan sponsor’s address 2849 83RD STREET, DARIEN, IL, 60561

Plan administrator’s name and address

Administrator’s EIN 462044913
Plan administrator’s name THOMAS R BERG CPA
Plan administrator’s address 415 FERNWOOD DRIVE, WESTMONT, IL, 60559
Administrator’s telephone number 6306322466
UNITED SENIOR SERVICES PROFIT SHARING PLAN 2016 208653303 2018-10-11 UNITED SENIOR SERVICES INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812190
Sponsor’s telephone number 6309290760
Plan sponsor’s address 2425 75TH STREET, WOODRIDGE, IL, 60561

Plan administrator’s name and address

Administrator’s EIN 823519275
Plan administrator’s name THOMAS R BERG CPA
Plan administrator’s address 415 FERNWOOD DRIVE, WESTMONT, IL, 60559
Administrator’s telephone number 6306322466

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing THOMAS BERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing THOMAS BERG
Valid signature Filed with authorized/valid electronic signature
UNITED SENIOR SERVICES PROFIT SHARING TRUST 2015 463707387 2016-10-10 UNITED SENIOR SERVICES INC 3
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812190
Sponsor’s telephone number 6306322466
Plan sponsor’s address 2849 83RD STREET, DARIEN, IL, 60561

Plan administrator’s name and address

Administrator’s EIN 462044913
Plan administrator’s name THOMAS R BERG CPA
Plan administrator’s address 415 FERNWOOD DRIVE, WESTMONT, IL, 60559
Administrator’s telephone number 6306322466
UNITED SENIOR SERVICES PROFIT SHARING TRUST 2015 463707387 2016-10-10 UNITED SENIOR SERVICES INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812190
Sponsor’s telephone number 6306322466
Plan sponsor’s address 2849 83RD STREET, DARIEN, IL, 60561

Plan administrator’s name and address

Administrator’s EIN 462044913
Plan administrator’s name THOMAS R BERG CPA
Plan administrator’s address 415 FERNWOOD DRIVE, WESTMONT, IL, 60559
Administrator’s telephone number 6306322466
UNITED SENIOR SERVICES PROFIT SHARING TRUST 2015 463707387 2016-10-09 UNITED SENIOR SERVICES INC 3
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812190
Sponsor’s telephone number 6306322466
Plan sponsor’s address 2849 83RD STREET, DARIEN, IL, 60561

Plan administrator’s name and address

Administrator’s EIN 462044913
Plan administrator’s name THOMAS R BERG CPA
Plan administrator’s address 415 FERNWOOD DRIVE, WESTMONT, IL, 60559
Administrator’s telephone number 6306322466
UNITED SENIOR SERVICES PROFIT SHARING TRUST 2014 463707387 2015-10-13 UNITED SENIOR SERVICES INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812190
Sponsor’s telephone number 6306322466
Plan sponsor’s address 2849 83RD STREET, DARIEN, IL, 60561

Plan administrator’s name and address

Administrator’s EIN 462044913
Plan administrator’s name THOMAS R BERG CPA
Plan administrator’s address 415 FERNWOOD DRIVE, WESTMONT, IL, 60559
Administrator’s telephone number 6306322466

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing VERNON JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRADLEY H. COSTELLO, 5910 GRAND AVE, DOWNERS GROVE, 60516, DU PAGE Agent 2019-03-13

President

Name and Address Role
VICTORIA, D. SWAN, 2 OAKLEAF CT, WOODRIDGE, IL, 60517 President

Historical Names

Name Change Date
EZ BATHING COMPANY 2007-09-21

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 510000 No data

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State