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  5. XCEL MED, LLC

XCEL MED, LLC

Headquarter

Company Details

Entity Name: XCEL MED, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 08 Mar 2007
Company Number: LLC_02134659
File Number: 02134659
Type of Management: Manager Managed
Date Status Change: 02 Jan 2025
Address 2400 E DEVON AVE SUITE 300 SOUTH, DES PLAINES, 60018, IL
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of XCEL MED, LLC, FLORIDA M19000006209 FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
XCEL MED, LLC 401(K) PLAN 2023 208439371 2024-10-10 XCEL MED, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541219
Sponsor’s telephone number 7088674901
Plan sponsor’s address 7444 W WILSON AVE, HARWOOD HEIGHTS, IL, 60706

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing DARRYL D'SOUZA
Valid signature Filed with authorized/valid electronic signature
XCEL MED, LLC 401(K) PLAN 2022 208439371 2023-10-11 XCEL MED, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541219
Sponsor’s telephone number 7088674901
Plan sponsor’s address 7444 W WILSON AVE, HARWOOD HEIGHTS, IL, 60706

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing MARCIN CHOCHOL
Valid signature Filed with authorized/valid electronic signature
XCEL MED, LLC 401(K) PLAN 2021 208439371 2022-10-01 XCEL MED, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541219
Sponsor’s telephone number 7088674901
Plan sponsor’s address 7444 W WILSON AVE, HARWOOD HEIGHTS, IL, 60706
XCEL MED, LLC 401(K) PLAN 2020 208439371 2021-08-10 XCEL MED, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541219
Sponsor’s telephone number 7088674901
Plan sponsor’s address 7444 W WILSON AVE, HARWOOD HEIGHTS, IL, 60706

Signature of
Role Plan administrator
Date 2021-08-10
Name of individual signing DARLENE KUSEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-10
Name of individual signing DARLENE KUSEK
Valid signature Filed with authorized/valid electronic signature
XCEL MED, LLC 401(K) PLAN 2019 208439371 2020-07-27 XCEL MED, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541219
Sponsor’s telephone number 7088674901
Plan sponsor’s address 7444 W WILSON AVE, HARWOOD HEIGHTS, IL, 60706

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing DARLENE KUSEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-27
Name of individual signing DARLENE KUSEK
Valid signature Filed with authorized/valid electronic signature
XCEL MED, LLC 401(K) PLAN 2018 208439371 2019-09-18 XCEL MED, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541219
Sponsor’s telephone number 7088674901
Plan sponsor’s address 7444 W WILSON AVE, HARWOOD HEIGHTS, IL, 60706

Signature of
Role Plan administrator
Date 2019-09-18
Name of individual signing DARLENE KUSEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-18
Name of individual signing DARLENE KUSEK
Valid signature Filed with authorized/valid electronic signature
XCEL MED, LLC 401(K) PLAN 2017 208439371 2018-10-09 XCEL MED, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541219
Sponsor’s telephone number 7088674901
Plan sponsor’s address 7444 W WILSON AVE, HARWOOD HEIGHTS, IL, 60706

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing DARLENE KUSEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing DARLENE KUSEK
Valid signature Filed with authorized/valid electronic signature
XCEL MED LLC DEFINED BENEFIT PLAN 2012 208439371 2014-04-11 XCEL MED LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-28
Business code 621111
Sponsor’s telephone number 8475424219
Plan sponsor’s address 3359 MAIN STREET, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2014-04-11
Name of individual signing DIANE HEBERT
Valid signature Filed with authorized/valid electronic signature
XCEL MED LLC DEFINED BENEFIT PLAN 2011 208439371 2013-09-10 XCEL MED LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-28
Business code 621111
Sponsor’s telephone number 8475424219
Plan sponsor’s address 3359 MAIN STREET, SKOKIE, IL, 60076

Plan administrator’s name and address
Administrator’s EIN 208439371
Plan administrator’s name XCEL MED LLC
Plan administrator’s address 3359 MAIN STREET, SKOKIE, IL, 60076
Administrator’s telephone number 8475424219

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing DIANE HEBERT
Valid signature Filed with authorized/valid electronic signature
XCEL MED LLC DEFINED BENEFIT PLAN 2010 208439371 2012-09-12 XCEL MED LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-12-28
Business code 621111
Sponsor’s telephone number 8475424219
Plan sponsor’s mailing address 3359 MAIN STREET, SKOKIE, IL, 60076
Plan sponsor’s address 3359 MAIN STREET, SKOKIE, IL, 60076

Plan administrator’s name and address
Administrator’s EIN 208439371
Plan administrator’s name XCEL MED LLC
Plan administrator’s address 3359 MAIN STREET, SKOKIE, IL, 60076
Administrator’s telephone number 8475424219

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-09-12
Name of individual signing DIANE HEBERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
NORTHWEST REGISTERED AGENT SERVICE, INC., 2501 CHATHAM RD STE N, SPRINGFIELD, 62704 Agent 2024-11-04

Manager

Name and Address Role Appointment Date
NAVAZIO, DAVID, 2501 CHATHAM RD SUITE N, SPRINGFIELD, IL, 62704 Manager 2025-01-02

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
HME AND SERVICES PROV 203000901 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2007-05-08 2024-01-04 2027-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
GENTELL NUTRITIONAL SERVICES Assumed name 2024-03-18 No data No data No data
SPECIAL CARE SUPPLY Assumed name 2012-01-10 2015-05-08 Involuntary cancellation No data

Related by officers

NORTHWEST REGISTERED AGENT SERVICE, INC., 2501 CHATHAM RD STE N, SPRINGFIELD, 62704

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Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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