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  5. CRYSTAL HOME HEALTH CARE, LLC

CRYSTAL HOME HEALTH CARE, LLC

Company Details

Entity Name: CRYSTAL HOME HEALTH CARE, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 06 Apr 2006
Company Number: LLC_01819623
File Number: 01819623
Type of Management: Manager Managed
Date Status Change: 18 Mar 2024
Address 2720 S RIVER RD STE 154, DES PLAINES, 60018, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CRYSTAL HOME HEALTH CARE 401(K) PLAN 2023 510574393 2024-10-08 CRYSTAL HOME HEALTH CARE 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621610
Sponsor’s telephone number 8472577620
Plan sponsor’s address 2720 S RIVER ROAD #154, DES PLAINES, IL, 60018

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
CRYSTAL HOME HEALTH CARE 401(K) PLAN 2022 510574393 2023-08-11 CRYSTAL HOME HEALTH CARE 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621610
Sponsor’s telephone number 8472577620
Plan sponsor’s address 2720 S RIVER ROAD #154, DES PLAINES, IL, 60018

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-08-11
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
CRYSTAL HOME HEALTH CARE 401(K) PLAN 2021 510574393 2023-10-23 CRYSTAL HOME HEALTH CARE 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621610
Sponsor’s telephone number 8472577620
Plan sponsor’s address 2720 S. RIVER ROAD, SUITE 154, DES PLAINES, IL, 60018

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-10-23
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
CRYSTAL HOME HEALTH CARE 401(K) PLAN 2021 510574393 2022-09-23 CRYSTAL HOME HEALTH CARE 43
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621610
Sponsor’s telephone number 8472577620
Plan sponsor’s address 2720 S. RIVER ROAD, SUITE 154, DES PLAINES, IL, 60018

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
CRYSTAL HOME HEALTH CARE 401(K) PLAN 2020 510574393 2021-06-01 CRYSTAL HOME HEALTH CARE 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621610
Sponsor’s telephone number 8472577620
Plan sponsor’s address 2720 S RIVER ROAD #18, DES PLAINES, IL, 60018

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-06-01
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
CRYSTAL HOME HEALTH CARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 510574393 2017-10-03 CRYSTAL HOME HEALTH CARE LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6309647500
Plan sponsor’s address 625 PLAINFIELD RD STE 226, WILLOWBROOK, IL, 605275368

Signature of
Role Plan administrator
Date 2017-10-03
Name of individual signing RENEE EBREO
Valid signature Filed with authorized/valid electronic signature
CRYSTAL HOME HEALTH CARE LLC 401 K PROFIT SHARING PLAN TRUST 2014 510574393 2015-05-19 CRYSTAL HOME HEALTH CARE LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 6309647500
Plan sponsor’s address 625 PLAINFIELD RD #226, WILLOWBROOK, IL, 60527

Signature of
Role Plan administrator
Date 2015-05-19
Name of individual signing RENEE EBREO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LAVELLE LAW, LTD., 1933 N MEACHAM RD STE 600, SCHAUMBURG, 60173 Agent 2020-03-20

Manager

Name and Address Role Appointment Date
PILLAI, RAJ, 2720 S. RIVER RD. STE. 154, DES PLAINES, IL, 60018 Manager 2024-03-18
ALEX JOHNSON, 2720 S. RIVER RD. STE. 154, DES PLAINES, IL, 60018 Manager 2024-03-18

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CRYSTAL HOME CARE Assumed name 2008-04-16 2010-06-11 Involuntary cancellation No data

Related by officers

LAVELLE LAW, LTD., 1933 N MEACHAM RD STE 600, SCHAUMBURG, 60173

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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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