| Entity Name: | CANARY TELEHEALTH INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 01 Apr 2010 |
| Company Number: | CORP_67453298 |
| File Number: | 67453298 |
| Type of Business: | All Inclusive Purpose |
| Address | 3151 S MICHIGAN AVE 1 1, CHICAGO, IL, 60616 |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VUMEGNQ7LKT6 | 2025-03-20 | 3151 S MICHIGAN AVE, CHICAGO, IL, 60616, 3814, USA | 3151 S. MICHIGAN, CHICAGO, IL, 60616, 3814, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 01 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-03-22 |
| Initial Registration Date | 2010-09-17 |
| Entity Start Date | 2010-04-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621511, 621999 |
| Product and Service Codes | Q401, Q999 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SAM ROBINSON |
| Role | DR. |
| Address | 3151 S MICHIGAN AVENUE, CHICAGO, IL, 60616, 3814, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SAM ROBINSON |
| Role | DR. |
| Address | 3151 S MICHIGAN AVENUE, CHICAGO, IL, 60616, 3814, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | CARLA ROBINSON |
| Role | MS. |
| Address | 3151 S MICHIGAN AVENUE, CHICAGO, IL, 60616, USA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CANARY TELEHEALTH 401(K) PLAN | 2023 | 272209704 | 2024-07-03 | CANARY TELEHEALTH, INC. | 18 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-07-02 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 3127800812 |
| Plan sponsor’s address | 3151 S MICHIGAN AVE, CHICAGO, IL, 60616 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-11 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 3127800812 |
| Plan sponsor’s address | 3151 S MICHIGAN AVE, CHICAGO, IL, 60616 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-01 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MICHAEL R. LISS, 1301 W 22ND ST STE 709, OAK BROOK, 60523, DU PAGE | Agent | 2010-04-01 |
| Name and Address | Role | Account Number |
|---|---|---|
| SAM A. ROBINSON 3151 S. MICHIGAN AVE. CHICAGO IL 60616 | President | No data |
| SAM A ROBINSON | President | 352695 |
| Name and Address | Role | Account Number |
|---|---|---|
| CARLA ROBINSON 3151 S. MICHIGAN AVE. CHICAGO IL 60616 | Secretary | No data |
| Carla D Robinson | Secretary | 352695 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2208797 | Issued | 4404 | Regulated Business License | 724 - Other Home Based Businesses | 2024-04-16 | 2024-06-16 | 2026-06-15 |
| BUSINESS LICENSE | 2031770 | Cancelled | 1012 | Home Occupation | No data | 2012-05-08 | 2012-06-16 | 2014-06-15 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 16 Jan 2025
