Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Cook
    4. ›
  4. 60093
    5. ›
  5. CLAYTON RESIDENTIAL HOME, INC.

CLAYTON RESIDENTIAL HOME, INC.

Company Details

Entity Name: CLAYTON RESIDENTIAL HOME, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 28 Nov 1966
Company Number: CORP_47123615
File Number: 47123615
Address 2026 N CLARK ST, CHICAGO, IL, 60614
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MJT9GX4SXHH5 2024-12-01 2026 N CLARK ST, CHICAGO, IL, 60614, 4764, USA 456 CENTRAL AVE, NORTHFIELD, IL, 60093, USA

Business Information
Congressional District 05
State/Country of Incorporation IL, USA
Activation Date 2023-12-18
Initial Registration Date 2004-10-14
Entity Start Date 1972-05-19
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 623220

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANCA OVIEDO
Address 465 CENTRAL AVE., NORTHFIELD, IL, 60093, 3045, USA
Title ALTERNATE POC
Name RICHARD DUROS
Address 465 CENTRAL AVE., SUITE 100, NORTHFIELD, IL, 60093, 3045, USA
Government Business
Title PRIMARY POC
Name RICHARD DUROS
Address 465 CENTRAL AVE., SUITE 100, NORTHFIELD, IL, 60093, 3045, USA
Title ALTERNATE POC
Name GARY WEINTRAUB
Address 465 CENTRAL AVE., SUITE 100, NORTHFIELD, IL, 60093, 3045, USA
Past Performance
Title PRIMARY POC
Name RICHARD DUROS
Address 465 CENTRAL AVE., SUITE 100, NORTHFIELD, IL, 60093, 3045, USA
Title ALTERNATE POC
Name GARY WEINTRAUB
Address 465 CENTRAL AVE., SUITE 100, NORTHFIELD, IL, 60093, 3045, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLAYTON RESIDENTIAL HOME 401(K) PLAN 2023 362607443 2024-05-31 CLAYTON RESIDENTIAL HOME, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 8474418200
Plan sponsor’s address 465 CENTRAL AVENUE, SUITE 100, NORTHFIELD, IL, 60093

Signature of
Role Plan administrator
Date 2024-05-31
Name of individual signing ANCA ZOTA OVIEDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-31
Name of individual signing ANCA ZOTA OVIEDO
Valid signature Filed with authorized/valid electronic signature
CLAYTON RESIDENTIAL HOME 401(K) PLAN 2022 362607443 2023-06-29 CLAYTON RESIDENTIAL HOME, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 8474418200
Plan sponsor’s address 465 CENTRAL AVENUE, SUITE 100, NORTHFIELD, IL, 60093

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-29
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
CLAYTON RESIDENTIAL HOME 401(K) PLAN 2021 362607443 2022-07-21 CLAYTON RESIDENTIAL HOME, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 8474418200
Plan sponsor’s address 465 CENTRAL AVENUE, SUITE 100, NORTHFIELD, IL, 60093

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-20
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
CLAYTON RESIDENTIAL HOME 401(K) PLAN 2020 362607443 2021-07-23 CLAYTON RESIDENTIAL HOME, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 8474418200
Plan sponsor’s address 465 CENTRAL AVENUE, SUITE 100, NORTHFIELD, IL, 60093

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-23
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
CLAYTON RESIDENTIAL HOME 401(K) PLAN 2019 362607443 2020-07-20 CLAYTON RESIDENTIAL HOME, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 8474418200
Plan sponsor’s address 465 CENTRAL AVENUE, SUITE 100, NORTHFIELD, IL, 60093

Signature of
Role Plan administrator
Date 2020-07-17
Name of individual signing ANCA Z OVIEDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-17
Name of individual signing ANCA Z OVIEDO
Valid signature Filed with authorized/valid electronic signature
CLAYTON RESIDENTIAL HOME 401(K) PLAN 2018 362607443 2019-07-24 CLAYTON RESIDENTIAL HOME, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 8474418200
Plan sponsor’s address 465 CENTRAL AVENUE, SUITE 100, NORTHFIELD, IL, 60093

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-24
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
CLAYTON RESIDENTIAL HOME 401(K) PLAN 2017 362607443 2018-07-20 CLAYTON RESIDENTIAL HOME, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 8474418200
Plan sponsor’s address 465 CENTRAL AVENUE, SUITE 100, NORTHFIELD, IL, 60093

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-20
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
CLAYTON RESIDENTIAL HOME 401(K) PLAN 2016 362607443 2017-07-21 CLAYTON RESIDENTIAL HOME, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 8474418200
Plan sponsor’s address 465 CENTRAL AVENUE, SUITE 100, NORTHFIELD, IL, 60093

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing ANCA OVIEDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-20
Name of individual signing ANCA OVIEDO
Valid signature Filed with authorized/valid electronic signature
CLAYTON RESIDENTIAL HOME 401(K) PLAN 2015 362607443 2016-07-22 CLAYTON RESIDENTIAL HOME, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 623000
Sponsor’s telephone number 8474418200
Plan sponsor’s address 465 CENTRAL AVENUE, SUITE 100, NORTHFIELD, IL, 60093

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-21
Name of individual signing ANCA ZOTA-OVIEDO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GARY A WEINTRAUB, 465 CENTRAL AVE STE 100, NORTHFIELD, 60093, COOK-NOT IN CITY OF CHICAGO Agent 2008-10-16

Secretary

Name and Address Role Account Number
ELISA SHLOFROCK-ZUSMAN Secretary 5437

Vice president

Name and Address Role Account Number
PAUL MAGIT Vice president 5437

President

Name and Address Role Account Number
JOHN SHLOFROCK 465 CENTRAL AVENUE #100 NORTHFIELD IL 60093 President 5437

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2204245 Issued 4404 Regulated Business License 699 - Long Term Care Facility 2023-02-16 2023-04-16 2025-04-15
BUSINESS LICENSE 11507 Cancelled 1005 Long-Term Care Facility No data 2011-06-30 2011-04-16 2013-04-15

Inspection

Inspection ID Inspection Type Inspection Date License Facility Type Address Risk Results
2595650 Canvass 2024-06-04 2204245 Long Term Care 2026 N CLARK ST, CHICAGO, IL, 60614 Risk 1 (High) Pass w/ Conditions
2585673 Canvass 2023-11-24 2204245 Long Term Care 2026 N CLARK ST, CHICAGO, IL, 60614 Risk 1 (High) Pass w/ Conditions
2555873 Canvass Re-Inspection 2022-05-17 2204245 Long Term Care 2026 N CLARK ST, CHICAGO, IL, 60614 Risk 1 (High) Pass
2555663 Canvass Re-Inspection 2022-05-12 2204245 Long Term Care 2026 N CLARK ST, CHICAGO, IL, 60614 Risk 1 (High) Fail
2555509 Canvass 2022-05-10 2204245 Long Term Care 2026 N CLARK ST, CHICAGO, IL, 60614 Risk 1 (High) Fail
2312786 Canvass 2019-09-24 2204245 Long Term Care 2026 N CLARK ST, CHICAGO, IL, 60614 Risk 1 (High) Pass
2243276 Canvass Re-Inspection 2018-12-07 2204245 Long Term Care 2026 N CLARK ST, CHICAGO, IL, 60614 Risk 1 (High) Pass w/ Conditions
2232577 Canvass 2018-10-31 2204245 Long Term Care 2026 N CLARK ST, CHICAGO, IL, 60614 Risk 1 (High) Fail
2104337 Canvass Re-Inspection 2017-11-08 2204245 Long Term Care 2026 N CLARK ST, CHICAGO, IL, 60614 Risk 1 (High) Pass
2103124 Canvass Re-Inspection 2017-11-03 2204245 Long Term Care 2026 N CLARK ST, CHICAGO, IL, 60614 Risk 1 (High) Pass w/ Conditions

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 2500 600000 100

Related by officers

ELISA SHLOFROCK-ZUSMAN

B & D HOTEL CORPORATION THORNTON HEIGHTS TERRACE, LTD. SHARON HEALTH CARE ELMS, INC. SHARON HEALTH CARE PINES, INC. SHARON HEALTH CARE WILLOWS, INC. SHARON HEALTH CARE WOODS, INC. REDWOOD MANAGEMENT, INC.

PAUL MAGIT

B & D HOTEL CORPORATION

GARY A WEINTRAUB, 465 CENTRAL AVE STE 100, NORTHFIELD, 60093, COOK-NOT IN CITY OF CHICAGO

BARTON SENIOR CARE, L.L.C. CHICAGO-BARTON, L.L.C. WALLACE-BARTON, L.L.C. B & D HOTEL CORPORATION RESIDENTIAL CARE & REHABILITATION FACILITIES, L.L.C. THORNTON HEIGHTS TERRACE, LTD. GARY A. WEINTRAUB, P.C. COLONIAL HEALTH CARE SERVICES, INC. SHARON HEALTH CARE ELMS, INC. SHARON HEALTH CARE PINES, INC.

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 illinoiscompanysearch.com, Part of Big Data Integrated