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PSYCHIATRY SPECIALISTS, S.C.

Company Details

Entity Name: PSYCHIATRY SPECIALISTS, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 26 Aug 2010
Company Number: CORP_67555147
File Number: 67555147
Type of Business: Incorporated under the Medical Corporation Act
Address 4753 N BROADWAY 9TH 925, CHICAGO, IL, 60640
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN 2020 273409538 2021-09-21 PSYCHIATRY SPECIALISTS, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621112
Sponsor’s telephone number 7739892780
Plan sponsor’s address 4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640

Signature of

Role Plan administrator
Date 2021-09-21
Name of individual signing RICHELLE STRAUSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-21
Name of individual signing RICHELLE STRAUSS
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN 2020 273409538 2021-04-28 PSYCHIATRY SPECIALISTS, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621112
Sponsor’s telephone number 7739892780
Plan sponsor’s address 4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640

Signature of

Role Plan administrator
Date 2021-04-28
Name of individual signing RICHELLE STRAUSS
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN 2019 273409538 2020-05-07 PSYCHIATRY SPECIALISTS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621112
Sponsor’s telephone number 7739892780
Plan sponsor’s address 4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640

Signature of

Role Plan administrator
Date 2020-05-07
Name of individual signing RICHELLE STRAUSS
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN 2018 273409538 2019-06-11 PSYCHIATRY SPECIALISTS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621112
Sponsor’s telephone number 7739892780
Plan sponsor’s address 4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640

Signature of

Role Plan administrator
Date 2019-06-11
Name of individual signing RICHELLE PORAPAIBOON
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN 2017 273409538 2018-05-14 PSYCHIATRY SPECIALISTS, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621112
Sponsor’s telephone number 7739892780
Plan sponsor’s address 4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640

Signature of

Role Plan administrator
Date 2018-05-14
Name of individual signing MARIA DOMINGUEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-14
Name of individual signing RICHELLE PORAPAIBOON
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN 2016 273409538 2017-06-22 PSYCHIATRY SPECIALISTS, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621112
Sponsor’s telephone number 7739892780
Plan sponsor’s address 4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640

Signature of

Role Plan administrator
Date 2017-06-22
Name of individual signing RICHELLE PORAPAIBOON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-22
Name of individual signing RICHELLE PORAPAIBOON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THE CORPORATION COMPANY, 600 S 2ND ST STE 104, SPRINGFIELD, 62704, SANGAMON Agent 2023-03-22

President

Name and Address Role
ELLIOT RICHELSON,MD 4753 N BROADWAY STE 900 910 925 CHICAGO President

Secretary

Name and Address Role
STACY CLOYD, AS ABOVE, 60640 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BLUESKY TELEPSYCH No data 2018-03-15 2019-02-20 Voluntary Cancellation No data
UPTOWN PSYCHIATRY Assume Name 2014-07-10 No data No data No data

Historical Names

Name Change Date
PSYCHIATRY SPECIALISTS INC. 2023-05-25
UPTOWN PSYCHIATRY SPECIALISTS, INC. 2014-07-23
PSYCHIATRY SPECIALISTS, INC. 2013-04-24

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 10000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State