| Entity Name: | BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 19 Jul 2001 |
| Company Number: | LLC_00580309 |
| File Number: | 00580309 |
| Type of Management: | Manager Managed |
| Date Status Change: | 30 May 2024 |
| Address | 12975 SHERIDAN BLVD., BROOMFIELD, 80020, CO |
| Place of Formation: | ILLINOIS |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER LLC, COLORADO | 20011164054 | COLORADO |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LANDMARK DOCUMENT SERVICES - C 401 K PROFIT SHARING PLAN TRUST | 2011 | 364446570 | 2013-10-18 | LANDMARK DOCUMENT SERVICES | 74 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 364446570 |
| Plan administrator’s name | LANDMARK DOCUMENT SERVICES |
| Plan administrator’s address | 200 W ADAMS ST STE 1700, CHICAGO, IL, 606067800 |
| Administrator’s telephone number | 3128451500 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-18 |
| Name of individual signing | LANDMARK DOCUMENT SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 3128451500 |
| Plan sponsor’s address | 200 W ADAMS STE 1700, CHICAGO, IL, 60606 |
Plan administrator’s name and address
| Administrator’s EIN | 364446570 |
| Plan administrator’s name | LANDMARK DOCUMENT SERVICES |
| Plan administrator’s address | 200 W ADAMS STE 1700, CHICAGO, IL, 60606 |
| Administrator’s telephone number | 3128451500 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-18 |
| Name of individual signing | LANDMARK DOCUMENT SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| AARON MANN, 1607 NICKLAUS CT, VERNON HILLS, 60061, COOK-NOT IN CITY OF CHICAGO | Agent | 2020-06-04 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| TERRAPIN LIMITED (EXISTENCE), 12975 SHERIDAN BLVD., BROOMFIELD, CO, 80020 | Manager | 2024-05-30 |
| LJ 1115 LLC (EXISTENCE), 12975 SHERIDAN BLVD., BROOMFIELD, CO, 80020 | Manager | 2024-05-30 |
Date of last update: 16 Jan 2025
