| Entity Name: | BESPOKE PSYCHIATRY INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 01 Apr 2020 |
| Company Number: | CORP_72712234 |
| File Number: | 72712234 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SH6ZSF8D9JE7 | 2022-11-21 | 1203 W AUGUSTA BLVD, CHICAGO, IL, 60642, 4327, USA | 1203 W AUGUSTA BLVD, UNIT 1, CHICAGO, IL, 60642, 4327, USA | |||||||||||||||||||||||||||||||||||||
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| Congressional District | 05 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2021-10-29 |
| Initial Registration Date | 2021-10-22 |
| Entity Start Date | 2020-03-19 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111, 621330 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JACOB FYDA |
| Address | 1203 W AUGUSTA BLVD, UNIT 1, CHICAGO, IL, 60642, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JACOB FYDA |
| Address | 1203 W AUGUSTA BLVD, UNIT 1, CHICAGO, IL, 60642, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BESPOKE PSYCHIATRY 401(K) PLAN | 2023 | 845158969 | 2024-05-08 | BESPOKE PSYCHIATRY | 15 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-08 |
| Name of individual signing | ARACELI SILVA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-03-18 |
| Business code | 621112 |
| Sponsor’s telephone number | 7732482255 |
| Plan sponsor’s address | 1203 W AUGUSTA BLVD, UNIT 1, CHICAGO, IL, 60642 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-13 |
| Name of individual signing | ARACELI SILVA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JACOB FYDA, 1203 W AUGUSTA BLVD STE 1, CHICAGO, 60642, COOK-NOT IN CITY OF CHICAGO | Agent | 2022-03-18 |
| Name and Address | Role |
|---|---|
| JACOB FYDA 1203 W AUGUSTA BLVDUNIT 1 CHICAGO IL 60642 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 1000000 | No data |
Date of last update: 27 Jan 2025
