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REHABTECH SUPPLY, LLC

Company Details

Entity Name: REHABTECH SUPPLY, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 18 Feb 2022
Company Number: LLC_11024858
File Number: 11024858
Type of Management: Manager Managed
Date Status Change: 10 Dec 2024
Address 655 W. GRAND AVE., STE 100, ELMHURST, 60126, IL
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
REHABTECH SUPPLY 401(K) PROFIT SHARING PLAN 2022 364438338 2024-02-26 REHABTECH SUPPLY 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-05-01
Business code 621498
Sponsor’s telephone number 6305300023
Plan sponsor’s address 655 W. GRAND AVENUE, SUITE 100, ELMHURST, IL, 60126
REHABTECH SUPPLY 401(K) PROFIT SHARING PLAN 2021 364438338 2022-10-07 REHABTECH SUPPLY 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-05-01
Business code 621498
Sponsor’s telephone number 6305300023
Plan sponsor’s address 655 W. GRAND AVENUE, SUITE 100, ELMHURST, IL, 60126
REHABTECH SUPPLY 401(K) PROFIT SHARING PLAN 2020 364438338 2021-09-27 REHABTECH SUPPLY 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-05-01
Business code 621498
Sponsor’s telephone number 6305300023
Plan sponsor’s address 655 W. GRAND AVENUE, SUITE 100, ELMHURST, IL, 60126
REHABTECH SUPPLY 401(K)/PROFIT SHARING PLAN 2019 364438338 2020-03-23 REHABTECH SUPPLY 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-05-01
Business code 621498
Sponsor’s telephone number 6305300023
Plan sponsor’s address 655 W. GRAND AVENUE, STE 100, ELMHURST, IL, 60126

Signature of

Role Plan administrator
Date 2020-03-23
Name of individual signing BRIAN DACY
Valid signature Filed with authorized/valid electronic signature
REHABTECH SUPPLY 401(K)/PROFIT SHARING PLAN 2018 364438338 2019-03-06 REHABTECH SUPPLY 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-05-01
Business code 621498
Sponsor’s telephone number 6305300023
Plan sponsor’s address 655 W. GRAND AVENUE, STE 100, ELMHURST, IL, 60126

Signature of

Role Plan administrator
Date 2019-03-06
Name of individual signing BRIAN DACY
Valid signature Filed with authorized/valid electronic signature
REHABTECH SUPPLY 401(K)/PROFIT SHARING PLAN 2017 364438338 2018-06-14 REHABTECH SUPPLY 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-05-01
Business code 621498
Sponsor’s telephone number 6305300023
Plan sponsor’s address 655 W. GRAND AVENUE, STE 100, ELMHURST, IL, 60126

Signature of

Role Plan administrator
Date 2018-06-14
Name of individual signing BRIAN DACY
Valid signature Filed with authorized/valid electronic signature
REHABTECH SUPPLY 401(K)/PROFIT SHARING PLAN 2016 364438338 2017-06-05 REHABTECH SUPPLY 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-05-01
Business code 621498
Sponsor’s telephone number 6305300023
Plan sponsor’s address 655 W. GRAND AVENUE, STE 100, ELMHURST, IL, 60126

Signature of

Role Plan administrator
Date 2017-06-05
Name of individual signing BRIAN DACY
Valid signature Filed with authorized/valid electronic signature
REHABTECH SUPPLY 401(K)/PROFIT SHARING PLAN 2015 364438338 2016-02-19 REHABTECH SUPPLY 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-05-01
Business code 621498
Sponsor’s telephone number 6305300023
Plan sponsor’s address 655 W. GRAND AVENUE, STE 100, ELMHURST, IL, 60126

Signature of

Role Plan administrator
Date 2016-02-19
Name of individual signing BRIAN DACY
Valid signature Filed with authorized/valid electronic signature
REHABTECH SUPPLY 401(K)/PROFIT SHARING PLAN 2014 364438338 2015-03-17 REHABTECH SUPPLY 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-05-01
Business code 621498
Sponsor’s telephone number 6305300023
Plan sponsor’s address 650 W. GRAND AVENUE, ELMHURST, IL, 60126

Signature of

Role Plan administrator
Date 2015-03-17
Name of individual signing BRIAN DACY
Valid signature Filed with authorized/valid electronic signature
REHABTECH SUPPLY 401(K)/PROFIT SHARING PLAN 2013 364438338 2014-08-26 REHABTECH SUPPLY 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-05-01
Business code 621498
Sponsor’s telephone number 6305300023
Plan sponsor’s address 650 W. GRAND AVENUE, ELMHURST, IL, 60126

Signature of

Role Plan administrator
Date 2014-08-26
Name of individual signing BRIAN DACY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON Agent 2022-02-18

Manager

Name and Address Role Appointment Date
OFFEL, KEVIN, 655 W. GRAND AVE., STE 100, ELMHURST, IL, 60126 Manager 2024-12-10
REILLY, PAUL, 655 W. GRAND AVE., STE 100, ELMHURST, IL, 60126 Manager 2024-12-10
NANDI, PARTHA, 655 W. GRAND AVE., STE 100, ELMHURST, IL, 60126 Manager 2024-12-10
MLNARIK, BO, 655 W. GRAND AVE., STE 100, ELMHURST, IL, 60126 Manager 2024-12-10
DACY, BRIAN, 655 W. GRAND AVE., STE 100, ELMHURST, IL, 60126 Manager 2024-12-10
FORMOLO, TOM, 655 W. GRAND AVE., STE 100, ELMHURST, IL, 60126 Manager 2024-12-10
MARQUARDT, JUSTIN, 655 W. GRAND AVE., STE 100, ELMHURST, IL, 60126 Manager 2024-12-10
CICHON, CARLIA, 655 W. GRAND AVE., STE 100, ELMHURST, IL, 60126 Manager 2024-12-10

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
HME AND SERVICES PROV 203002760 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2022-03-17 2024-01-04 2027-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
LIFE TECH CARE Assumed name 2022-03-30 No data No data No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State