| Entity Name: | FIRST VENTURE HOME HEALTHCARE INCORPORATED |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 09 Jan 2008 |
| Company Number: | CORP_65856336 |
| File Number: | 65856336 |
| Type of Business: | All Inclusive Purpose |
| Address | 5901 N CICERO AVE, CHICAGO, IL, 60646 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FIRST VENTURE HOME HEALTHCARE 401 K PROFIT SHARING PLAN TRUST | 2017 | 510669309 | 2018-06-19 | FIRST VENTURE HOME HEALTHCARE | 34 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-06-19 |
| Name of individual signing | EROL STAPLETON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8475069767 |
| Plan sponsor’s address | 121 S WILKE RD. STE 204D, ARLINGTON HEIGHTS, IL, 60005 |
Signature of
| Role | Plan administrator |
| Date | 2017-09-15 |
| Name of individual signing | EROL STAPLETON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8475069767 |
| Plan sponsor’s address | 121 S WILKE RD. STE 204D, ARLINGTON HEIGHTS, IL, 60005 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-19 |
| Name of individual signing | EROL STAPLETON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| EROL STAPLETON, 1016 W LAKE ST #2, CHICAGO, 60607, COOK-NOT IN CITY OF CHICAGO | Agent | 2021-06-29 |
| Name and Address | Role | Account Number |
|---|---|---|
| EROL STAPLETON 1016 W. LAKE ST, #2 CHICAGO, IL 60607 | President | No data |
| ANNA REENA PACATANG | President | 334911 |
| Name and Address | Role | Account Number |
|---|---|---|
| EROL STAPLETON 1016 W. LAKE ST, #2 CHICAGO, IL 60607 | Secretary | No data |
| JOAN MARIE ALCAREZ DE LA CERNA | Secretary | 334911 |
| Name and Address | Role | Account Number |
|---|---|---|
| JENNY LINGAN QUINTO | Treasurer | 334911 |
| Name and Address | Role | Account Number |
|---|---|---|
| ELENITA T ROSS | Vice president | 334911 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 1921900 | Issued | 1010 | Limited Business License | No data | 2008-11-04 | 2008-11-16 | 2010-11-15 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| PROVIDER PREFERRED HOME HEALTH, INC. | Assume Name | 2021-09-07 | 2020-06-12 | No data | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 1000000 | No data |
Date of last update: 23 Jan 2025
