| Entity Name: | PSYCHIATRIC MEDICINE ASSOCIATES, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 18 Jan 2000 |
| Company Number: | LLC_00367826 |
| File Number: | 00367826 |
| Type of Management: | Member Managed |
| Date Status Change: | 18 Dec 2024 |
| Expiration Date: | 31 Dec 2048 |
| Address | 4711 GOLF RD STE 1200, SKOKIE, 60076, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PSYCHIATRIC MEDICINE ASSOCIATES 401(K) PLAN | 2023 | 364363297 | 2024-06-20 | PSYCHIATRIC MEDICINE ASSOCIATES, LLC | 3 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-20 |
| Name of individual signing | IAN MACKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-06-20 |
| Name of individual signing | IAN MACKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 8476798000 |
| Plan sponsor’s address | 4711 GOLF ROAD, SUITE 1200, SKOKIE, IL, 60076 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-11 |
| Name of individual signing | IAN MACKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-10-11 |
| Name of individual signing | IAN MACKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 8476798000 |
| Plan sponsor’s address | 4711 GOLF ROAD, SUITE 1200, SKOKIE, IL, 60076 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-17 |
| Name of individual signing | IAN MACKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JOHN ZAJECKA MD, 4711 GOLF RD STE 1200, SKOKIE, 60076 | Agent | 2019-02-13 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ZAJECKA, JOHN MD, 4711 GOLF RD STE 1200, SKOKIE, IL, 60076 | Manager | 2024-12-18 |
Date of last update: 16 Jan 2025
