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  5. WELLSPRING HEALTHCARE SERVICES, INC.

WELLSPRING HEALTHCARE SERVICES, INC.

Company Details

Entity Name: WELLSPRING HEALTHCARE SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 13 Apr 2007
Company Number: CORP_65478498
File Number: 65478498
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
VDGJQMK39ZJ1 2024-10-04 3341 HOBSON RD STE B, WOODRIDGE, IL, 60517, 1693, USA 3341 HOBSON RD STE B, WOODRIDGE, IL, 60517, 1693, USA

Business Information
URL www.wellspringcare.com
Division Name WELLSPRING HEALTHCARE SERVICES
Congressional District 11
State/Country of Incorporation IL, USA
Activation Date 2023-10-06
Initial Registration Date 2017-07-07
Entity Start Date 2007-04-13
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621610, 624120

Points of Contacts
Electronic Business
Title PRIMARY POC
Name RICHARD SHROYER
Role MR
Address 3341 HOBSON RD STE B, WOODRIDGE, IL, 60517, 1693, USA
Government Business
Title PRIMARY POC
Name RICHARD SHROYER
Role MR
Address 3341 HOBSON RD STE B, WOODRIDGE, IL, 60517, 1693, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WELLSPRING HEALTHCARE SERVICES, INC. 401(K) PLAN 2023 208876397 2024-04-08 WELLSPRING HEALTHCARE SERVICES, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621610
Sponsor’s telephone number 6309687777
Plan sponsor’s address 3341 HOBSON ROAD STE B, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2024-04-08
Name of individual signing RICHARD SHROYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-08
Name of individual signing ZUZELYN SHROYER
Valid signature Filed with authorized/valid electronic signature
WELLSPRING HEALTHCARE SERVICES, INC. 401(K) PLAN 2022 208876397 2023-04-10 WELLSPRING HEALTHCARE SERVICES, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621610
Sponsor’s telephone number 6309687777
Plan sponsor’s address 3341 HOBSON ROAD STE B, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2023-04-10
Name of individual signing RICHARD SHROYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-10
Name of individual signing ZUZELYN SHROYER
Valid signature Filed with authorized/valid electronic signature
WELLSPRING HEALTHCARE SERVICES, INC. 401(K) PLAN 2021 208876397 2022-03-31 WELLSPRING HEALTHCARE SERVICES, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621610
Sponsor’s telephone number 6309687777
Plan sponsor’s address 3341 HOBSON ROAD STE B, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2022-03-31
Name of individual signing RICHARD SHROYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-31
Name of individual signing ZUZELYN SHROYER
Valid signature Filed with authorized/valid electronic signature
WELLSPRING HEALTHCARE SERVICES, INC. 401(K) PLAN 2020 208876397 2021-03-17 WELLSPRING HEALTHCARE SERVICES, INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621610
Sponsor’s telephone number 6309687777
Plan sponsor’s address 3341 HOBSON ROAD STE B, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2021-03-17
Name of individual signing RICHARD SHROYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-17
Name of individual signing ZUZELYN SHROYER
Valid signature Filed with authorized/valid electronic signature
WELLSPRING HEALTHCARE SERVICES, INC. 401(K) PLAN 2019 208876397 2020-03-25 WELLSPRING HEALTHCARE SERVICES, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621610
Sponsor’s telephone number 6309687777
Plan sponsor’s address 3341 HOBSON ROAD STE B, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2020-03-25
Name of individual signing RICHARD SHROYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-25
Name of individual signing ZUZELYN SHROYER
Valid signature Filed with authorized/valid electronic signature
WELLSPRING HEALTHCARE SERVICES, INC. 401(K) PLAN 2018 208876397 2019-03-12 WELLSPRING HEALTHCARE SERVICES, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621610
Sponsor’s telephone number 6309687777
Plan sponsor’s address 3341 HOBSON ROAD STE B, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing RICHARD SHROYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-12
Name of individual signing ZUZELYN SHROYER
Valid signature Filed with authorized/valid electronic signature
WELLSPRING HEALTHCARE SERVICES, INC. 401(K) PLAN 2017 208876397 2018-03-28 WELLSPRING HEALTHCARE SERVICES, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621610
Sponsor’s telephone number 6309687777
Plan sponsor’s address 3341 HOBSON ROAD STE B, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2018-03-28
Name of individual signing RICHARD SHROYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-28
Name of individual signing ZUZELYN SHROYER
Valid signature Filed with authorized/valid electronic signature
WELLSPRING HEALTHCARE SERVICES, INC. 401(K) PLAN 2016 208876397 2017-06-16 WELLSPRING HEALTHCARE SERVICES, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621610
Sponsor’s telephone number 6309687777
Plan sponsor’s address 3341 HOBSON ROAD STE B, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2017-05-22
Name of individual signing RICHARD SHROYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-16
Name of individual signing ZUZELYN SHROYER
Valid signature Filed with authorized/valid electronic signature
WELLSPRING HEALTHCARE SERVICES, INC. 401(K) PLAN 2015 208876397 2016-07-06 WELLSPRING HEALTHCARE SERVICES, INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621610
Sponsor’s telephone number 6309687777
Plan sponsor’s address 3341 HOBSON ROAD STE B, WOODRIDGE, IL, 60517
WELLSPRING HEALTHCARE SERVICES, INC. 401(K) PLAN 2014 208876397 2015-04-20 WELLSPRING HEALTHCARE SERVICES, INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 812990
Sponsor’s telephone number 6309687777
Plan sponsor’s address 3341 HOBSON ROAD STE B, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2015-04-20
Name of individual signing RICHARD SHROYER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RICHARD SHROYER, 3590 HOBSON RD STE 404, WOODRIDGE, 60517, DU PAGE Agent 2024-06-10

President

Name and Address Role
RICHARD SHROYER 9220 TALCOTT RD WOODRIDGE IL 60517 President

Secretary

Name and Address Role
ZUZELYN SHROYER 9220 TALCOTT RD WOODRIDGE IL 60517 Secretary

Shares

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