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PARK VILLA NURSING AND REHABILITATION CENTER, LLC

Company Details

Entity Name: PARK VILLA NURSING AND REHABILITATION CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 10 Nov 2010
Company Number: LLC_03351009
File Number: 03351009
Type of Management: Manager Managed
Date Status Change: 09 Oct 2024
Address 1811 SILVERSIDE RD, WILMINGTON, 19810, DE
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TABLE MATE PRODUCTS, INC. 401(K) PLAN 2011 363035034 2012-09-27 TABLE MATE PRODUCTS, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 424100
Sponsor’s telephone number 8478840664
Plan sponsor’s address 851 EAST STATE PARKWAY, SCHAUMBURG, IL, 60173

Plan administrator’s name and address

Administrator’s EIN 363035034
Plan administrator’s name TABLE MATE PRODUCTS, INC.
Plan administrator’s address 851 EAST STATE PARKWAY, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8478840664

Signature of

Role Plan administrator
Date 2012-09-27
Name of individual signing JOSEPH BERG
Valid signature Filed with authorized/valid electronic signature
TABLE MATE PRODUCTS, INC. 401(K) PLAN 2010 363035034 2011-09-12 TABLE MATE PRODUCTS, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 424100
Sponsor’s telephone number 8478840664
Plan sponsor’s address 851 EAST STATE PARKWAY, SCHAUMBURG, IL, 60173

Plan administrator’s name and address

Administrator’s EIN 363035034
Plan administrator’s name TABLE MATE PRODUCTS, INC.
Plan administrator’s address 851 EAST STATE PARKWAY, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8478840664

Signature of

Role Plan administrator
Date 2011-09-12
Name of individual signing JOSEPH BERG
Valid signature Filed with authorized/valid electronic signature
TABLE MATE PRODUCTS, INC. 401(K) PLAN 2009 363035034 2010-10-25 TABLE MATE PRODUCTS, INC. 55
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 424100
Sponsor’s telephone number 8478275600
Plan sponsor’s address 2150 OXFORD ROAD, DES PLAINES, IL, 60018

Plan administrator’s name and address

Administrator’s EIN 363035034
Plan administrator’s name TABLE MATE PRODUCTS, INC.
Plan administrator’s address 2150 OXFORD ROAD, DES PLAINES, IL, 60018
Administrator’s telephone number 8478275600

Signature of

Role Plan administrator
Date 2010-10-25
Name of individual signing ROGER MACLENNAN
Valid signature Filed with incorrect/unrecognized electronic signature
TABLE MATE PRODUCTS, INC. 401(K) PLAN 2009 363035034 2010-10-25 TABLE MATE PRODUCTS, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 424100
Sponsor’s telephone number 8478275600
Plan sponsor’s address 2150 OXFORD ROAD, DES PLAINES, IL, 60018

Plan administrator’s name and address

Administrator’s EIN 363035034
Plan administrator’s name TABLE MATE PRODUCTS, INC.
Plan administrator’s address 2150 OXFORD ROAD, DES PLAINES, IL, 60018
Administrator’s telephone number 8478275600

Signature of

Role Plan administrator
Date 2010-10-25
Name of individual signing ROGER MACLENNAN
Valid signature Filed with authorized/valid electronic signature
TABLE MATE PRODUCTS, INC. 401(K) PLAN 2009 363035034 2010-10-22 TABLE MATE PRODUCTS, INC. 55
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 424100
Sponsor’s telephone number 8478275600
Plan sponsor’s address 2150 OXFORD ROAD, DES PLAINES, IL, 60018

Plan administrator’s name and address

Administrator’s EIN 363035034
Plan administrator’s name TABLE MATE PRODUCTS, INC.
Plan administrator’s address 2150 OXFORD ROAD, DES PLAINES, IL, 60018
Administrator’s telephone number 8478275600

Signature of

Role Plan administrator
Date 2010-10-22
Name of individual signing ROGER MACLENNAN
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703 Agent 2013-01-02

Manager

Name and Address Role Appointment Date
BERGER, MENACHEM, 3701 W. LUNT AVE., LINCOLNWOOD, IL, 60712 Manager 2024-10-09

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PARK VILLA NURSING AND REHAB Assumed name 2018-10-26 2021-01-08 Involuntary cancellation No data
THE VILLA AT PALOS HEIGHTS Assumed name 2018-10-26 2021-01-08 Involuntary cancellation No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State