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  5. AT HOMEHEALTH, INC.

AT HOMEHEALTH, INC.

Company Details

Entity Name: AT HOMEHEALTH, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Mar 2007
Company Number: CORP_65453509
File Number: 65453509
Type of Business: Business Corporations
Address 3344 W PETERSON AVE 1ST 104, CHICAGO, IL, 60659
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AT HOMEHEALTH INC 401(K) PROFIT SHARING PLAN & TRUST 2023 208717403 2024-05-01 AT HOMEHEALTH INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Signature of
Role Plan administrator
Date 2024-05-01
Name of individual signing AVELINA OLIVA
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 401(K) PROFIT SHARING PLAN & TRUST 2022 208717403 2023-03-29 AT HOMEHEALTH INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Signature of
Role Plan administrator
Date 2023-03-29
Name of individual signing AVELINA OLIVA
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 401(K) PROFIT SHARING PLAN & TRUST 2021 208717403 2022-03-29 AT HOMEHEALTH INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Signature of
Role Plan administrator
Date 2022-03-29
Name of individual signing REONEIL OLIVA
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 401(K) PROFIT SHARING PLAN & TRUST 2020 208717403 2021-04-07 AT HOMEHEALTH INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Signature of
Role Plan administrator
Date 2021-04-07
Name of individual signing REONEIL OLIVA
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 401(K) PROFIT SHARING PLAN & TRUST 2019 208717403 2020-05-08 AT HOMEHEALTH INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing AVELINA OLIVA
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 401 K PROFIT SHARING PLAN TRUST 2018 208717403 2019-03-25 AT HOMEHEALTH INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Signature of
Role Plan administrator
Date 2019-03-25
Name of individual signing AVELINA OLIVA
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 401 K PROFIT SHARING PLAN TRUST 2017 208717403 2018-05-22 AT HOMEHEALTH INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Signature of
Role Plan administrator
Date 2018-05-22
Name of individual signing AVELINA OLIVA
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 401 K PROFIT SHARING PLAN TRUST 2016 208717403 2017-07-17 AT HOMEHEALTH INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing AVELINA OLIVA
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 401 K PROFIT SHARING PLAN TRUST 2015 208717403 2016-06-16 AT HOMEHEALTH INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Signature of
Role Plan administrator
Date 2016-06-16
Name of individual signing AVELINA OLIVA
Valid signature Filed with authorized/valid electronic signature
AT HOMEHEALTH INC 401 K PROFIT SHARING PLAN TRUST 2014 208717403 2015-05-27 AT HOMEHEALTH INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 7732799244
Plan sponsor’s address 3344 W PETERSON AVE STE 104, CHICAGO, IL, 606593533

Signature of
Role Plan administrator
Date 2015-05-27
Name of individual signing AVELINA OLIVA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL J. RAIZ, 24W500 MAPLE AVE STE 219, NAPERVILLE, 60540, DU PAGE Agent 2021-06-25

President

Name and Address Role Account Number
AVELINA OLIVA, 3344 W PETERSON STE 104 CHICAGO IL 60659 President 316339

Secretary

Name and Address Role Account Number
AVELINA OLIVA Secretary 316339

Vice president

Name and Address Role Account Number
Reoneil R Oliva Vice president 316339

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 1817967 Issued 1010 Limited Business License No data 2022-12-21 2023-02-16 2025-02-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

AVELINA OLIVA

LUXY'S SALON ,INC.

MICHAEL J. RAIZ, 24W500 MAPLE AVE STE 219, NAPERVILLE, 60540, DU PAGE

ACCUCARE HOME HEALTH SERVICES, INC. INSWAN HEALTH CARE LTD. JS PARTNERS, LTD.

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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