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  5. MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC

MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC

Company Details

Entity Name: MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: NGS
Date Formed: 13 Dec 2000
Company Number: LLC_00494321
File Number: 00494321
Type of Management: Member Managed
Date Status Change: 01 Dec 2024
Address 2120 MADISON AVE., STE. 404, GRANITE CITY, 62040, IL
Place of Formation: MISSOURI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2023 431905678 2024-07-24 MID-AMERICA PSYCHIATRIC CONSULTANTS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 3149890542
Plan sponsor’s address 2120 MADISON AVENUE SUITE 404, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2024-07-24
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2019 431905678 2020-10-14 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVE. SUITE 404, SUITE, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2019 431905678 2020-09-30 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 12
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVE. SUITE 404, SUITE, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2018 431905678 2019-10-01 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address
Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2017 431905678 2018-09-28 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address
Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of
Role Plan administrator
Date 2018-09-28
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2016 431905678 2017-09-26 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address
Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of
Role Plan administrator
Date 2017-09-26
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2015 431905678 2016-07-05 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address
Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2014 431905678 2015-08-17 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address
Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of
Role Plan administrator
Date 2015-08-17
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2013 431905678 2014-09-30 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address
Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of
Role Plan administrator
Date 2014-09-30
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN 2012 431905678 2013-06-28 MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 6188767515
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040

Plan administrator’s name and address
Administrator’s EIN 431905678
Plan administrator’s name MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
Plan administrator’s address 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
Administrator’s telephone number 6188767515

Signature of
Role Plan administrator
Date 2013-06-28
Name of individual signing KELLIE GODIER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ARIF HABIB M.D., 2120 MADISON AVENUE, SUITE 404, GRANITE CITY, 62040, MADISON Agent 2000-12-13

Manager

Name and Address Role Appointment Date
ASIF HABIB, 1230 WALNUT HILL FARM DR., CHESTERFIELD, MO, 63005 Manager 2024-02-28
HABIB, ASIF M.D., 18259 FOREST CANYON CT, CHESTERFIELD, MO, 63005 Manager 2024-02-28

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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