Lakewood Residential Care, LLC

Harry Jacobs Individual Agent	4035 GRAND VIEW BLVD, LOS ANGELES, CA 90066
Harry Jacobs Manager	4035 GRAND VIEW BLVD, LOS ANGELES, CA 90066
Moises Bercovich Manager	12045 S LAKEWOOD BLVD, DOWNEY, CA 90242
Adam Zenou Manager	12045 S LAKEWOOD BLVD, DOWNEY, CA 90242
Avrohom Tress Manager	4035 GRAND VIEW BLVD, LOS ANGELES, CA 90066

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Form 5500

12045 Lakewood Blvd, Downey, Ca 90242 (310) 857-8218 EIN:81-5002809 Plan Admin:Edward Rojas

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameLAKEWOOD RESIDENTIAL CARE LLC 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY32 / 44 Assets BOY/EOY$15,209 / $53,878	2023	LAKEWOOD RESIDENTIAL CARE LLC 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	32 / 44	$15,209 / $53,878
2022	Plan NameLAKEWOOD RESIDENTIAL CARE LLC 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY37 / 31 Assets BOY/EOY$0 / $15,209	2022	LAKEWOOD RESIDENTIAL CARE LLC 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	37 / 31	$0 / $15,209

Benefit & Retirement Plans based on Form 5500.

PPP Loans

12045 Lakewood Blvd, Downey, Ca 90242-2635 Industry:Assisted Living Facilities for the Elderly Ethnicity:Not Hispanic or Latino Race:White Veteran:No

Loan Date	Approved	Forgiven	Lender	Jobs
05/09/2020	Approved$217,400 Forgiven$219,949 LenderCommercial Bank of California Jobs41	05/09/2020	$217,400	$219,949	Commercial Bank of California	41

PPP Loans based on Paycheck Protection Program.

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The following government agencies have contributed data:

California Secretary of State U.S. Department of Labor U.S. Small Business Administration

Company Summary