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AMERICAN HOMECARE, LLC

Company Details

Entity Name: AMERICAN HOMECARE, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 23 May 2002
Company Number: LLC_00720496
File Number: 00720496
Type of Management: Member Managed
Date Status Change: 19 Aug 2022
Address 15 COMMERCE DR SUITE 117, GRAYSLAKE, 60030, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN HOMECARE LLC 401(K) PLAN 2011 431962953 2012-03-05 AMERICAN HOMECARE LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8479324033
Plan sponsor’s address 610 PETERSON RD, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address

Administrator’s EIN 431962953
Plan administrator’s name AMERICAN HOMECARE LLC
Plan administrator’s address 610 PETERSON RD, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479324033

Signature of

Role Plan administrator
Date 2012-03-05
Name of individual signing DEBRA STOKOVICH
Valid signature Filed with authorized/valid electronic signature
AMERICAN HOMECARE LLC 401K PLAN 2011 431962953 2012-01-20 AMERICAN HOMECARE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8479324033
Plan sponsor’s address 610 PETERSON RD, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address

Administrator’s EIN 431962953
Plan administrator’s name AMERICAN HOMECARE LLC
Plan administrator’s address 610 PETERSON RD, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479324033

Signature of

Role Plan administrator
Date 2012-01-20
Name of individual signing DEBRA STOKOVICH
Valid signature Filed with authorized/valid electronic signature
AMERICAN HOMECARE LLC 401K PLAN 2010 431962953 2011-10-14 AMERICAN HOMECARE LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8479324033
Plan sponsor’s address 610 PETERSON RD, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address

Administrator’s EIN 431962953
Plan administrator’s name AMERICAN HOMECARE LLC
Plan administrator’s address 610 PETERSON RD, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479324033

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing DEBRA STOKOVICH
Valid signature Filed with authorized/valid electronic signature
AMERICAN HOMECARE LLC 401K PLAN 2009 431962953 2010-09-27 AMERICAN HOMECARE LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 8479324033
Plan sponsor’s address 610 PETERSON RD, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address

Administrator’s EIN 431962953
Plan administrator’s name AMERICAN HOMECARE LLC
Plan administrator’s address 610 PETERSON RD, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8479324033

Signature of

Role Plan administrator
Date 2010-09-27
Name of individual signing MARINA TAIBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-27
Name of individual signing MARINA TAIBERG
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SHERMAN F. DELLA, 43 ROSEWOOD DRIVE, HAWTHORN WOODS, 60047, LAKE Agent 2002-05-23

Manager

Name and Address Role Appointment Date
LARRYS DAUGHTERS, INC., 15 COMMERCE DR SUITE 117, GRAYSLAKE, IL, 60030 Manager 2022-03-21
HAWTHORN MANAGEMENT GROUP LLC, 610 PETERSON ROAD, 0071 774 6, LIBERTYVILLE, IL, 60048 Manager 2022-03-21
MN MANAGEMENT GROUP LLC, 610 PETERSON ROAD, 0072 048 8, LIBERTYVILLE, IL, 60048 Manager 2022-03-21

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
NORTHERN ROSE HOME HEALTH Assumed name 2012-06-13 2022-08-19 Voluntary cancellation 2020-10-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7999437001 2020-04-08 0507 PPP 15 Commerce Drive Suite 117, GRAYSLAKE, IL, 60030-1659
Loan Status Date 2021-08-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 72500
Loan Approval Amount (current) 72500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 119728
Servicing Lender Name Libertyville Bank & Trust Company, National Association
Servicing Lender Address 507 N Milwaukee Ave, LIBERTYVILLE, IL, 60048-2000
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address GRAYSLAKE, LAKE, IL, 60030-1659
Project Congressional District IL-10
Number of Employees 11
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 119728
Originating Lender Name Libertyville Bank & Trust Company, National Association
Originating Lender Address LIBERTYVILLE, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 73412.29
Forgiveness Paid Date 2021-07-15
4127908409 2021-02-06 0507 PPS 15 Commerce Dr Ste 117, Grayslake, IL, 60030-7807
Loan Status Date 2022-07-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 72472
Loan Approval Amount (current) 72472
Undisbursed Amount 0
Franchise Name -
Lender Location ID 119728
Servicing Lender Name Libertyville Bank & Trust Company, National Association
Servicing Lender Address 507 N Milwaukee Ave, LIBERTYVILLE, IL, 60048-2000
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Grayslake, LAKE, IL, 60030-7807
Project Congressional District IL-10
Number of Employees 10
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 119728
Originating Lender Name Libertyville Bank & Trust Company, National Association
Originating Lender Address LIBERTYVILLE, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 73408.1
Forgiveness Paid Date 2022-05-31

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State