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  5. THREE SPRINGS LODGE NURSING HOME, LLC

THREE SPRINGS LODGE NURSING HOME, LLC

Company Details

Entity Name: THREE SPRINGS LODGE NURSING HOME, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 07 Feb 2011
Company Number: LLC_03496619
File Number: 03496619
Type of Management: Manager Managed
Date Status Change: 09 Feb 2024
Address 161 THREE SPRINGS ROAD, CHESTER, 62233, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THREE SPRINGS LODGE NURSING HOME LLC 401K PLAN 2022 274872904 2023-05-30 THREE SPRINGS LODGE NURSING HOME LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 6188263210
Plan sponsor’s address 161 THREE SPRINGS ROAD, CHESTER, IL, 62233

Signature of
Role Plan administrator
Date 2023-05-30
Name of individual signing KENNETH ROWOLD
Valid signature Filed with authorized/valid electronic signature
THREE SPRINGS LODGE NURSING HOME LLC 401K PLAN 2021 274872904 2022-10-05 THREE SPRINGS LODGE NURSING HOME LLC 57
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 6188263210
Plan sponsor’s address 161 THREE SPRINGS ROAD, CHESTER, IL, 62233

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing KENNETH ROWOLD
Valid signature Filed with authorized/valid electronic signature
THREE SPRINGS LODGE NURSING HOME LLC 401K PLAN 2021 274872904 2023-01-20 THREE SPRINGS LODGE NURSING HOME LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 6188263210
Plan sponsor’s address 161 THREE SPRINGS ROAD, CHESTER, IL, 62233

Signature of
Role Plan administrator
Date 2023-01-20
Name of individual signing KENNETH ROWOLD
Valid signature Filed with authorized/valid electronic signature
THREE SPRINGS LODGE NURSING HOME LLC 401K PLAN 2020 274872904 2021-11-03 THREE SPRINGS LODGE NURSING HOME LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 6188263210
Plan sponsor’s address 161 THREE SPRINGS ROAD, CHESTER, IL, 62233

Signature of
Role Plan administrator
Date 2021-11-03
Name of individual signing KENNETH ROWOLD
Valid signature Filed with authorized/valid electronic signature
THREE SPRINGS LODGE NURSING HOME LLC 401K PLAN 2020 274872904 2021-09-17 THREE SPRINGS LODGE NURSING HOME LLC 55
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 6188263210
Plan sponsor’s address 161 THREE SPRINGS ROAD, CHESTER, IL, 62233

Signature of
Role Plan administrator
Date 2021-09-17
Name of individual signing KENNETH ROWOLD
Valid signature Filed with authorized/valid electronic signature
THREE SPRINGS LODGE NURSING HOME LLC 401K PLAN 2019 274872904 2020-10-07 THREE SPRINGS LODGE NURSING HOME LLC 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 6188263210
Plan sponsor’s address 161 THREE SPRINGS ROAD, CHESTER, IL, 62233

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing KENNETH ROWOLD
Valid signature Filed with authorized/valid electronic signature
THREE SPRINGS LODGE NURSING HOME LLC 401K PLAN 2018 274872904 2019-10-04 THREE SPRINGS LODGE NURSING HOME LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 6188263210
Plan sponsor’s address 161 THREE SPRINGS ROAD, CHESTER, IL, 62233

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing KENNETH ROWOLD
Valid signature Filed with authorized/valid electronic signature
THREE SPRINGS LODGE NURSING HOME LLC 401K PLAN 2017 274872904 2018-09-14 THREE SPRINGS LODGE NURSING HOME LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 6188263210
Plan sponsor’s address 161 THREE SPRINGS ROAD, CHESTER, IL, 62233

Signature of
Role Plan administrator
Date 2018-09-14
Name of individual signing KENNETH ROWOLD
Valid signature Filed with authorized/valid electronic signature
THREE SPRINGS LODGE NURSING HOME LLC 401K PLAN 2016 274872904 2017-07-12 THREE SPRINGS LODGE NURSING HOME LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 6188263210
Plan sponsor’s address 161 THREE SPRINGS ROAD, CHESTER, IL, 62233

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing KENNETH ROWOLD
Valid signature Filed with authorized/valid electronic signature
THREE SPRINGS LODGE NURSING HOME LLC 401K PLAN 2015 274872904 2016-10-11 THREE SPRINGS LODGE NURSING HOME LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 6188263210
Plan sponsor’s address 161 THREE SPRINGS ROAD, CHESTER, IL, 62233

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing KENNETH ROWOLD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KEN ROWOLD, 161 THREE SPRINGS ROAD, CHESTER, 62233 Agent 2015-11-13

Manager

Name and Address Role Appointment Date
ROWOLD, KEN, 211 RIDGE DRIVE, CHESTER, IL, 62233 Manager 2024-02-09
ROWOLD, VIRGINIA, 211 RIDGE DRIVE, CHESTER, IL, 62233 Manager 2024-02-09

Historical Names

Name Change Date
ROWOLD, LLC 2011-04-15

Related by officers

No related officers

Related by address

161 THREE SPRINGS ROAD, CHESTER, 62233, IL

THREE SPRINGS SENIOR LIVING & REHABILITATION LLC

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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