| Entity Name: | PAUL HOUSE & HEALTH CARE CENTER, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 30 Oct 2019 |
| Company Number: | LLC_08250545 |
| File Number: | 08250545 |
| Type of Management: | Manager Managed |
| Date Status Change: | 04 Sep 2024 |
| Address | 6500 N HAMLIN AVE, LINCOLNWOOD, 60712, IL |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GQ3JAPHATZP6 | 2025-02-05 | 6500 N HAMLIN AVE, LINCOLNWOOD, IL, 60712, 3904, USA | 6500 N HAMLIN AVE, LINCOLNWOOD, IL, 60712, 3904, USA | |||||||||||||||||||||||||||||||||||||||
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| Division Name | PAUL HOUSE & HEALTH CARE CENTER, LLC |
| Division Number | PAUL HOUSE |
| Congressional District | 09 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-02-08 |
| Initial Registration Date | 2021-05-31 |
| Entity Start Date | 2020-01-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DAVID LUBOWSKY |
| Address | 6500 N HAMLIN AVE, LINCOLNWOOD, IL, 60712, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MITCH SANCHEZ |
| Address | 6500 N HAMLIN AVE, LINCOLNWOOD, IL, 60712, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL HOUSE & HEALTH CARE CENTER LLC 401(K) | 2023 | 843486172 | 2024-07-24 | PAUL HOUSE & HEALTH CARE CENTER LLC | 16 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-24 |
| Name of individual signing | JACOB MERMELSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 111100 |
| Sponsor’s telephone number | 8476797458 |
| Plan sponsor’s address | 6500 N HAMLIN AVE STE 1, LINCOLNWOOD, IL, 607123904 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-09 |
| Name of individual signing | JACOB MERMELSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JACOB MERMELSTEIN, 6500 N HAMLIN AVE, LINCOLNWOOD, 60712 | Agent | 2019-10-30 |
| Name and Address | Role | Account Number | Appointment Date |
|---|---|---|---|
| MERMELSTEIN, JACOB, 6500 N HAMLIN AVE, LINCOLNWOOD, IL, 60712 | Manager | No data | 2024-09-04 |
| Jacob Mermelstein | Manager | 479154 | No data |
| Name and Address | Role | Account Number |
|---|---|---|
| ten chicago llc | Member | 479154 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2812590 | Issued | 4404 | Regulated Business License | 236 | 699 - Assisted Living Establishment | Long Term Care Facility | 2024-02-22 | 2024-03-16 | 2026-03-15 |
| Inspection ID | Inspection Type | Inspection Date | License | Facility Type | Address | Risk | Results |
|---|---|---|---|---|---|---|---|
| 2604925 | Canvass | 2024-10-21 | 2812590 | Long Term Care | 3800 N CALIFORNIA AVE, CHICAGO, IL, 60618 | Risk 1 (High) | Pass w/ Conditions |
| 2582507 | Canvass | 2023-09-28 | 2812590 | Long Term Care | 3800 N CALIFORNIA AVE, CHICAGO, IL, 60618 | Risk 1 (High) | Pass |
| 2568674 | Canvass Re-Inspection | 2022-12-19 | 2812590 | Long Term Care | 3800 N CALIFORNIA AVE, CHICAGO, IL, 60618 | Risk 1 (High) | Pass |
| 2568324 | Canvass | 2022-12-12 | 2812590 | Long Term Care | 3800 N CALIFORNIA AVE, CHICAGO, IL, 60618 | Risk 1 (High) | Fail |
| 2534782 | License | 2021-10-15 | 2812590 | Long Term Care | 3800 N CALIFORNIA AVE, CHICAGO, IL, 60618 | Risk 1 (High) | Pass w/ Conditions |
| Name | Change Date |
|---|---|
| PAUL HOUSE & HEATH CARE CENTER, LLC | 2019-10-30 |
Date of last update: 27 Jan 2025
