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  5. EMBASSY HOLDINGS LLC

EMBASSY HOLDINGS LLC

Company Details

Entity Name: EMBASSY HOLDINGS LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 18 Oct 2005
Company Number: LLC_01654306
File Number: 01654306
Type of Management: Manager Managed
Date Status Change: 10 Apr 2015
Address 7520 SKOKIE BOULEVARD, SKOKIE, 60077, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMBASSY CARE CENTER, INC. UNION RETIREMENT PLAN 2013 204913784 2015-04-20 EMBASSY HOLDINGS, LLC 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 623000
Sponsor’s telephone number 8479821195
Plan sponsor’s DBA name DBA EMBASSY CARE CENTER
Plan sponsor’s address 7520 NORTH SKOKIE BOULEVARD, SKOKIE, IL, 60077

Signature of
Role Plan administrator
Date 2015-04-20
Name of individual signing NACHSHON DRAIMAN
Valid signature Filed with authorized/valid electronic signature
EMBASSY CARE CENTER, INC. UNION RETIREMENT PLAN 2012 204913784 2014-04-09 EMBASSY HOLDINGS, LLC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 623000
Sponsor’s telephone number 8479821195
Plan sponsor’s DBA name DBA EMBASSY CARE CENTER
Plan sponsor’s address 7520 NORTH SKOKIE BOULEVARD, SKOKIE, IL, 60077

Signature of
Role Plan administrator
Date 2014-04-09
Name of individual signing NACHSHON DRAIMAN
Valid signature Filed with authorized/valid electronic signature
EMBASSY CARE CENTER, INC. UNION RETIREMENT PLAN 2011 204913784 2013-02-18 EMBASSY HOLDINGS, LLC 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 623000
Sponsor’s telephone number 8479821195
Plan sponsor’s DBA name DBA EMBASSY CARE CENTER
Plan sponsor’s address 7520 NORTH SKOKIE BOULEVARD, SKOKIE, IL, 60077

Plan administrator’s name and address
Administrator’s EIN 204913784
Plan administrator’s name EMBASSY HOLDINGS, LLC
Plan administrator’s address 7520 NORTH SKOKIE BOULEVARD, SKOKIE, IL, 60077
Administrator’s telephone number 8479821195

Signature of
Role Plan administrator
Date 2013-02-18
Name of individual signing NACHSHON DRAIMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ALAN J. MANDEL, 7520 SKOKIE BOULEVARD, SKOKIE, 60077, COOK-NOT IN CITY OF CHICAGO Agent 2008-02-13

Manager

Name and Address Role Appointment Date
SAM LIPSHITZ, 7520 SKOKIE BLVD., SKOKIE, IL, 60077 Manager 2012-11-08
JACK RAJCHENBACH, 6633 NORTH LINCOLN AVENUE, LINCOLNWOOD, IL, 60712 Manager 2012-11-08
DRAIMAN, NACHSHON, 7520 SKOKIE BLVD, SKOKIE, IL, 60077 Manager 2014-06-20

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
EMBASSY HEALTH CARE CENTER Assumed name 2006-12-21 2015-04-10 Involuntary cancellation 2010-12-01

Related by officers

DRAIMAN, NACHSHON, 7520 SKOKIE BLVD, SKOKIE, IL, 60077

EMBASSY CARE, L.L.C.

Related by address

7520 SKOKIE BOULEVARD, SKOKIE, 60077, IL

FUTURE VENTURES ASSOCIATES LLC MULTIUT VENTURES LLC GOLDEN YEARS VENTURES LLC 7520 SKOKIE LLC SYLPHIUM CONSULTING, LLC FUTURE VENTURES ASSOCIATES LLC NEDS VENTURES LLC

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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