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MSM HOME HEALTHCARE SOLUTIONS, INC.

Company Details

Entity Name: MSM HOME HEALTHCARE SOLUTIONS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 20 Mar 2015
Company Number: CORP_69977758
File Number: 69977758
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MSM HOME HEALTHCARE SOLUTIONS, INC MEDOVA LIFESTYLE HEALTH PLAN 2021 473502932 2023-12-04 MSM HOME HEALTHCARE SOLUTIONS, INC 0
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-09-01
Business code 621610
Sponsor’s telephone number 7085322273
Plan sponsor’s address 18311 N CREEK DR, TINLEY PARK, IL, 604776203

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT, INC.
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2023-12-04
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
MSM HOME HEALTHCARE SOLUTIONS, INC DBA MEDOVA LIFESTYLE HEALTH PLAN 2020 473052932 2022-05-15 MSM HOME HEALTHCARE SOLUTIONS, INC 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-09-01
Business code 621610
Sponsor’s telephone number 7085322273
Plan sponsor’s address 18311 N CREEK DR, TINLEY PARK, IL, 604776203

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2022-05-15
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
MSM HOME HEALTHCARE SOLUTIONS, INC DBA MEDOVA LIFESTYLE HEALTH PLAN 2020 473502932 2023-12-04 MSM HOME HEALTHCARE SOLUTIONS, INC 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-09-01
Business code 621610
Sponsor’s telephone number 7085322273
Plan sponsor’s address 18311 N CREEK DR, TINLEY PARK, IL, 604776203

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2023-12-04
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GARY RATKIEWICZ, 7601 191ST ST STE 1W, TINLEY PARK, 60487, WILL Agent 2024-12-03

President

Name and Address Role
GARY RATKIEWICZ - 7601 W. 191ST ST - TINLEY PARK President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BRIGHTSTAR CARE OF TINLEY PARK Assume Name 2015-05-20 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000000 17500000 10

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State