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  5. HEALTHCARE TRANSFORMATION LLC

HEALTHCARE TRANSFORMATION LLC

Headquarter

Company Details

Entity Name: HEALTHCARE TRANSFORMATION LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Merged
Date Formed: 17 Jul 2007
Company Number: LLC_02276933
File Number: 02276933
Type of Management: Member Managed
Date Status Change: 01 Jan 2015
Address 70 W MADISON ST #1400, CHICAGO, 60602, IL
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of HEALTHCARE TRANSFORMATION LLC, FLORIDA M13000004898 FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HCT CONSULTING 401(K) PLAN 2023 260887705 2024-05-16 HEALTHCARE TRANSFORMATION LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2147297996
Plan sponsor’s address 875 N MICHIGAN AVE, SUITE 3100, SUITE 3100, CHICAGO, IL, 60611

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2022 260887705 2023-06-30 HEALTHCARE TRANSFORMATION LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2147297996
Plan sponsor’s address 875 N MICHIGAN AVE, SUITE 3100, SUITE 3100, CHICAGO, IL, 60611

Signature of
Role Plan administrator
Date 2023-06-30
Name of individual signing DIANE CUELLAR
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2021 260887705 2022-05-24 HEALTHCARE TRANSFORMATION LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2147297996
Plan sponsor’s address 875 N MICHIGAN AVE, SUITE 3100, SUITE 3100, CHICAGO, IL, 60611

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2020 260887705 2021-07-20 HEALTHCARE TRANSFORMATION LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2147297996
Plan sponsor’s address 875 N MICHIGAN AVE, SUITE 3100, SUITE 3100, CHICAGO, IL, 60611

Signature of
Role Plan administrator
Date 2021-07-20
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-20
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2019 260887705 2020-06-22 HEALTHCARE TRANSFORMATION LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-22
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401 (K) 2018 260887705 2019-07-18 HEALTHCARE TRANSFORMATION LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401 (K) 2018 260887705 2019-05-17 HEALTHCARE TRANSFORMATION LLC 11
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Signature of
Role Plan administrator
Date 2019-05-17
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-17
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2017 260887705 2018-07-17 HEALTHCARE TRANSFORMATION LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Signature of
Role Plan administrator
Date 2018-07-17
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-17
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2016 260887705 2017-07-10 HEALTHCARE TRANSFORMATION LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2015 260887705 2016-06-29 HEALTHCARE TRANSFORMATION LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-29
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROY L. BERNSTEIN, 120 S RIVERSIDE PLZ, STE 1200, CHICAGO, 60606 Agent 2009-09-03

Member

Name and Address Role Appointment Date
KUPIETZKY, JACOB, 70 W. MADISON SUITE 1400, CHICAGO, IL, 60602 Member 2009-07-06

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
HCT EXECUTIVE PLACEMENT Assumed name 2011-08-31 2015-01-01 Voluntary cancellation No data
HCT CONSULTING Assumed name 2009-09-21 2015-01-01 Voluntary cancellation 2010-06-14

Related by officers

ROY L. BERNSTEIN, 120 S RIVERSIDE PLZ, STE 1200, CHICAGO, 60606

MKR CLINTON LLC

Related by address

70 W MADISON ST #1400, CHICAGO, 60602, IL

HCT EXECUTIVE INTERIM SOLUTIONS, LLC FARRELL LAW LLC

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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