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BHAVYA KUMAR, M.D., S.C.

Company Details

Entity Name: BHAVYA KUMAR, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 Mar 2017
Company Number: CORP_71162591
File Number: 71162591
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BHAVYA KUMAR 401(K) PLAN 2023 820858213 2024-05-15 BHAVYA KUMAR, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3045522111
Plan sponsor’s address 39 WOODSIDE DRIVE, OAK BROOK, IL, 60523

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 2024-05-15
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
BHAVYA KUMAR 401(K) PLAN 2022 820858213 2023-05-27 BHAVYA KUMAR, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3045522111
Plan sponsor’s address 39 WOODSIDE DRIVE, OAK BROOK, IL, 60523

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 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
BHAVYA KUMAR 401(K) PLAN 2021 820858213 2022-05-19 BHAVYA KUMAR, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3045522111
Plan sponsor’s address 39 WOODSIDE DRIVE, OAK BROOK, IL, 60523

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 2022-05-19
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BHAVYA KUMAR, 39 WOODSIDE DR, OAK BROOK, 60523, DU PAGE Agent 2019-08-26

President

Name and Address Role
BHAVYA KUMAR 39 WOODSIDE DRIVEOAK BROOK IL, 60523 President

Secretary

Name and Address Role
BHAVYA KUMAR 39 WOODSIDE DRIVEOAK BROOK IL, 60523 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PHYSICIANS OF INTERNAL MEDICINE AND PEDIATRICS No data 2023-04-06 2023-09-28 Voluntary Cancellation No data

Historical Names

Name Change Date
BHAVYA KUMAR, INC. 2023-03-31

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State