| Entity Name: | LOTT BEHAVIORAL HEALTH, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 11 Jan 2017 |
| Company Number: | CORP_70926407 |
| File Number: | 70926407 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LOTT BEHAVIORAL HEALTH 401(K) AND PROFIT SHARING PLAN | 2023 | 814976446 | 2024-07-01 | LOTT BEHAVIORAL HEALTH LTD. | 10 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-01 |
| Name of individual signing | DAVID LOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 6307305506 |
| Plan sponsor’s address | 4300 COMMERCE COURT, SUITE 250, LISLE, IL, 60532 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-05 |
| Name of individual signing | DAVID LOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 6307305506 |
| Plan sponsor’s address | 4300 COMMERCE COURT, SUITE 250, LISLE, IL, 60532 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-09 |
| Name of individual signing | DAVID LOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 6307305506 |
| Plan sponsor’s address | 4300 COMMERCE COURT, SUITE 250, LISLE, IL, 60532 |
Signature of
| Role | Plan administrator |
| Date | 2021-08-31 |
| Name of individual signing | DAVID LOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| IAN SEBASTIAN HOLZHAUER, 222 S MILL ST STE 200, NAPERVILLE, 60540, DU PAGE | Agent | 2017-01-11 |
| Name and Address | Role |
|---|---|
| DAVID C LOTT 4300 COMMERCE CT#250 LISLE 60532 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PROF SERVICE CORP | 060011987 | No data | No data | REGISTERED PROFESSIONAL SERVICE CORPORATION | No data | 2017-05-18 | 2021-10-29 | 2025-01-01 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 100000 | 10000000 | No data |
Date of last update: 20 Jan 2025
