GABACHIEF MEDICAL INC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

GABACHIEF MEDICAL, INC. 401(K) PLAN

2023

462792500

2024-10-02

GABACHIEF MEDICAL, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2022-01-01
Business code	621491
Sponsor’s telephone number	7086955063
Plan sponsor’s address	8343 WEST LAWRENCE AVENUE, NORRIDGE, IL, 60706

Signature of

Role	Plan administrator
Date	2024-10-02
Name of individual signing	ALLISON BRECHER
Valid signature	Filed with authorized/valid electronic signature

GABACHIEF MEDICAL, INC. 401(K) PLAN

2022

462792500

2023-09-28

GABACHIEF MEDICAL, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2022-01-01
Business code	621491
Sponsor’s telephone number	7086955063
Plan sponsor’s address	8343 WEST LAWRENCE AVENUE, NORRIDGE, IL, 60706

Signature of

Role	Plan administrator
Date	2023-09-28
Name of individual signing	ALLISON BRECHER
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
BRIAN COSTELLO, 4916 N CRESCENT AVE, NORRIDGE, 60706, COOK-NOT IN CITY OF CHICAGO	Agent	2013-05-16

Name and Address	Role
BRIAN COSTELLO 4916 N CRESCENTAVE NORRIDGE IL, 60706	President

Name and Address	Role
BRIAN COSTELLO 4916 N CRESCENTAVE NORRIDGE IL, 60706	Secretary

License Type	License Number	Status	License Code	License Description	Business Activity	Date Issued	Effective Date	Expiration Date
HME AND SERVICES PROV	203001595	No data	No data	HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER	No data	2013-09-27	2024-01-04	2027-03-31

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	1000	100000	No data

Date of last update: 16 Jan 2025