| Entity Name: | BOULEVARD HEALTHCARE, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Revoked |
| Date Formed: | 11 Jul 2001 |
| Company Number: | LLC_00578452 |
| File Number: | 00578452 |
| Type of Management: | Manager Managed |
| Date Status Change: | 09 Jan 2015 |
| Address | 6400 SHAFER COURT, SUITE 600, ROSEMONT, 60018, IL |
| Place of Formation: | DELAWARE |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BOULEVARD HEALTHCARE WELFARE BENEFIT PLANS | 2010 | 364346480 | 2011-04-01 | BOULEVARD HEALTHCARE | 488 | |||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 364346480 |
| Plan administrator’s name | BOULEVARD HEALTHCARE |
| Plan administrator’s address | 6400 SCHAFER COURT #600, ROSEMONT, IL, 60018 |
| Administrator’s telephone number | 8477208701 |
Number of participants as of the end of the plan year
| Active participants | 403 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-04-01 |
| Name of individual signing | CHRIS HARGREAVES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BRIAN SPECK, 6400 SHAFER COURT STE 600, ROSEMONT, 60018 | Agent | 2012-02-06 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| STEANS, JENNIFER W., 6400 SHAFER COURT, SUITE 600, ROSEMONT, IL, 60018 | Manager | 2010-06-29 |
| STEARNS, NEELE E. JR., 6400 SHAFER COURT, SUITE 600, ROSEMONT, IL, 60018 | Manager | 2010-06-29 |
| STEANS, HARRISON I., 6400 SHAFER COURT, SUITE 600, ROSEMONT, IL, 60018 | Manager | 2010-06-29 |
| ELOWE, JEFFREY, 6400 SHAFER COURT, SUITE 600, ROSEMONT, IL, 60018 | Manager | 2010-06-29 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| SOCIAL WORKER | 159000786 | No data | No data | REGISTERED SOCIAL WORKER CE SPONSOR | No data | 2002-03-01 | 2006-04-11 | 2007-11-30 |
Date of last update: 20 Jan 2025
