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  5. PHOENIX HOME CARE, LLC

PHOENIX HOME CARE, LLC

Company Details

Entity Name: PHOENIX HOME CARE, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 11 Jun 2001
Company Number: LLC_00564923
File Number: 00564923
Type of Management: Manager Managed
Date Status Change: 13 May 2024
Address 7700 BRUSH HILL RD. STE 136, BURR RIDGE, 60527, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHOENIX HOME CARE LLC 401(K) PLAN 2014 364452060 2015-04-24 PHOENIX HOME CARE, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621610
Sponsor’s telephone number 6303219400
Plan sponsor’s address 200 S FRONTAGE ROAD, SUITE 320, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2015-04-24
Name of individual signing PATRICIA MILLER
Valid signature Filed with authorized/valid electronic signature
PHOENIX HOME CARE LLC 401(K) PLAN 2013 364452060 2014-06-09 PHOENIX HOME CARE, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621610
Sponsor’s telephone number 6303219400
Plan sponsor’s address 200 S FRONTAGE ROAD, SUITE 150, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2014-06-09
Name of individual signing PATRICIA MILLER
Valid signature Filed with authorized/valid electronic signature
PHOENIX HOME CARE LLC 401(K) PLAN 2012 364452060 2013-08-21 PHOENIX HOME CARE, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621610
Sponsor’s telephone number 4086256065
Plan sponsor’s address 200 S FRONTAGE ROAD, SUITE 105, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2013-08-21
Name of individual signing ANDREA WARD
Valid signature Filed with authorized/valid electronic signature
PHOENIX HOME CARE LLC 401(K) PLAN 2011 364452060 2012-06-21 PHOENIX HOME CARE, LLC 55
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621610
Sponsor’s telephone number 4086256065
Plan sponsor’s address 200 S FRONTAGE ROAD, SUITE 105, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 364452060
Plan administrator’s name PHOENIX HOME CARE, LLC
Plan administrator’s address 200 S FRONTAGE ROAD, SUITE 105, BURR RIDGE, IL, 60527
Administrator’s telephone number 4086256065

Signature of
Role Plan administrator
Date 2012-06-21
Name of individual signing ANDREA WARD
Valid signature Filed with incorrect/unrecognized electronic signature
PHOENIX HOME CARE LLC 401(K) PLAN 2011 364452060 2012-06-22 PHOENIX HOME CARE, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621610
Sponsor’s telephone number 4086256065
Plan sponsor’s address 200 S FRONTAGE ROAD, SUITE 105, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 364452060
Plan administrator’s name PHOENIX HOME CARE, LLC
Plan administrator’s address 200 S FRONTAGE ROAD, SUITE 105, BURR RIDGE, IL, 60527
Administrator’s telephone number 4086256065

Signature of
Role Plan administrator
Date 2012-06-22
Name of individual signing ANDREA WARD
Valid signature Filed with authorized/valid electronic signature
PHOENIX HOME CARE LLC 401(K) PLAN 2010 364452060 2011-07-18 PHOENIX HOME CARE, LLC 73
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621610
Sponsor’s telephone number 4086256065
Plan sponsor’s address 200 S FRONTAGE ROAD, SUITE 105, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 364452060
Plan administrator’s name PHOENIX HOME CARE, LLC
Plan administrator’s address 200 S FRONTAGE ROAD, SUITE 105, BURR RIDGE, IL, 60527
Administrator’s telephone number 4086256065

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing ANDREA WARD
Valid signature Filed with incorrect/unrecognized electronic signature
PHOENIX HOME CARE LLC 401(K) PLAN 2010 364452060 2011-07-21 PHOENIX HOME CARE, LLC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621610
Sponsor’s telephone number 4086256065
Plan sponsor’s address 200 S FRONTAGE ROAD, SUITE 105, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 364452060
Plan administrator’s name PHOENIX HOME CARE, LLC
Plan administrator’s address 200 S FRONTAGE ROAD, SUITE 105, BURR RIDGE, IL, 60527
Administrator’s telephone number 4086256065

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing KIMBERLY MCCORMICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SHOMSHON MOSKOWITZ, 200 S. WACKER DR., STE 600, CHICAGO, 60527 Agent 2021-01-05

Manager

Name and Address Role Appointment Date
HOME CARE EXPERTS, LLC #09183418, 7700 BRUSH HILL RD. STE 136, BURR RIDGE, IL, 60527 Manager 2021-04-23

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
SOCIAL WORKER 159001068 No data No data REGISTERED SOCIAL WORKER CE SPONSOR No data 2008-10-01 2009-10-01 2011-11-30

Related by officers

No related officers

Related by address

7700 BRUSH HILL RD. STE 136, BURR RIDGE, 60527, IL

HOME CARE EXPERTS PRIVATE DUTY, LLC

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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