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  5. ELDER AT HOME, LLC

ELDER AT HOME, LLC

Company Details

Name: ELDER AT HOME, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 18 Dec 2003 (21 years ago)
Identification Number: 000136662
ZIP code: 02860
County: Providence County
Principal Address: 750 EAST AVENUE, PAWTUCKET, RI, 02860, USA
Purpose: CARE MANAGEMENT AND SERVICES FOR THE ELDERLY
NAICS: 621610 - Home Health Care Services

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELDER AT HOME LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 264176365 2024-05-16 ELDER AT HOME LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 4014757705
Plan sponsor’s address 750 EAST AVENUE, PAWTUCKET, RI, 02860

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
ELDER AT HOME LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 264176365 2023-04-21 ELDER AT HOME LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 4014757705
Plan sponsor’s address 750 EAST AVENUE, PAWTUCKET, RI, 02860

Signature of
Role Plan administrator
Date 2023-04-21
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
ELDER AT HOME LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 264176365 2022-05-24 ELDER AT HOME LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 4014757705
Plan sponsor’s address 750 EAST AVENUE, PAWTUCKET, RI, 02860

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
ELDER AT HOME LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 264176365 2021-05-25 ELDER AT HOME LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 4014757705
Plan sponsor’s address 750 EAST AVENUE, PAWTUCKET, RI, 02860

Signature of
Role Plan administrator
Date 2021-05-25
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
ELDER AT HOME LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 264176365 2020-07-06 ELDER AT HOME LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 4014757705
Plan sponsor’s address 750 EAST AVENUE, PAWTUCKET, RI, 02860

Signature of
Role Plan administrator
Date 2020-07-06
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
ELDER AT HOME LLC 401 K PROFIT SHARING PLAN TRUST 2018 264176365 2019-06-03 ELDER AT HOME LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 4014757705
Plan sponsor’s address 750 EAST AVENUE, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 264477125
Plan administrator’s name 401K GENERATION
Plan administrator’s address 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746
Administrator’s telephone number 8669985879

Signature of
Role Plan administrator
Date 2019-06-03
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
ELDER AT HOME LLC 401 K PROFIT SHARING PLAN TRUST 2017 264176365 2018-05-31 ELDER AT HOME LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 4014757705
Plan sponsor’s address 750 EAST AVENUE, PAWTUCKET, RI, 02860

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ORSON AND BRUSINI LTD. Agent 211 QUAKER LANE SUITE 201, WEST WARWICK, RI, 02893, USA

Filings

Number Name File Date
202445082670 Annual Report 2024-01-30
202327868440 Annual Report 2023-02-07
202224494670 Statement of Change of Registered/Resident Agent Office 2022-10-21
202209884120 Annual Report 2022-02-08
202102292400 Annual Report 2021-09-27
202067780950 Annual Report 2020-10-22
202030993950 Annual Report 2020-01-02
201995616300 Statement of Change of Registered/Resident Agent 2019-06-06
201876991070 Annual Report 2018-09-04
201751255750 Annual Report 2017-10-06

Related by officers

ORSON AND BRUSINI LTD.

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Related by address

750 EAST AVENUE, PAWTUCKET, RI, 02860, USA

RHODE ISLAND FEDERATION OF ORTHODOX JEWISH ORGANIZATIONS, INC. 608 Wickenden, Inc. Sterling Holdings LLC Stuart Alan Group, LLC Teixeira Financial Group, Inc. DMD Holdings, LLC 114-120 South Angell Street Realty, L.L.C. Sterling Management, LLC 74 Cleveland Street, LLC

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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