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SHEMIAH R. DERRICK INC.

Company Details

Entity Name: SHEMIAH R. DERRICK INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 16 Sep 2019
Company Number: CORP_72467345
File Number: 72467345
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROFOUND PEACE PSYCHOTHERAPY COLLECTIVE 401(K) PLAN 2023 843057302 2024-05-13 SHEMIAH R. DERRICK INC. 5
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Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621330
Sponsor’s telephone number 7732349905
Plan sponsor’s address 6127 SOUTH UNIVERSITY AVENUE, SUITE 109, CHICAGO, IL, 60637

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 2024-05-13
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SHEMIAH R. DERRICK, 6127 S, UNIVERSITY AVE STE 109, CHICAGO, 60637, COOK-NOT IN CITY OF CHICAGO Agent 2020-08-26

President

Name and Address Role
SHEMIAH DERRICK, 6127 SOUTH UNIVERSITY, CHICAGO, IL 60637 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PROFOUND PEACE PSYCHOTHERAPY COLLECTIVE Assume Name 2019-09-16 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State