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PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC

Company Details

Entity Name: PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 12 Apr 2004
Company Number: LLC_01162675
File Number: 01162675
Type of Management: Member Managed
Date Status Change: 21 Feb 2024
Expiration Date: 01 Apr 2034
Address 616 35TH AVENUE UNIT 1, MOLINE, 61265, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PURIGHALLA NEUROSCIENCE&SPINE INSTITUTE 401K PLAN 2023 200884391 2024-10-14 PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3095173775
Plan sponsor’s address 616 35 TH AVE, UNIT 1, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-14
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC DEFINED BENEFIT PENSION PLAN 2022 200884391 2023-12-21 PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 3095173775
Plan sponsor’s address 616 35TH AVENUE UNIT 1, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2023-12-21
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC DEFINED BENEFIT PENSION PLAN 2022 200884391 2023-07-18 PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 3095173775
Plan sponsor’s address 616 35TH AVENUE UNIT 1, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-18
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 401(K) 2021 200884391 2022-10-17 PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3095173775
Plan sponsor’s address 616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265

Plan administrator’s name and address

Administrator’s EIN 200884391
Plan administrator’s name PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE
Plan administrator’s address 616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265
Administrator’s telephone number 3095173775

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC DEFINED BENEFIT PENSION PLAN 2021 200884391 2022-07-27 PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 3095173775
Plan sponsor’s address 616 35TH AVENUE UNIT 1, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-26
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC DEFINED BENEFIT PENSION PLAN 2020 200884391 2021-07-28 PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 3095173775
Plan sponsor’s address 616 35TH AVENUE UNIT 1, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2021-07-28
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 401(K) 2020 200884391 2021-10-14 PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3095173775
Plan sponsor’s address 616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265

Plan administrator’s name and address

Administrator’s EIN 200884391
Plan administrator’s name PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE
Plan administrator’s address 616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265
Administrator’s telephone number 3095173775

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
CRESP PLAN FOR PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC 2019 200884391 2020-10-15 PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 9496536711
Plan sponsor’s address 616 35TH AVE, UNIT 1, MOLINE, IL, 61265
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 401(K) 2019 200884391 2020-10-29 PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3095173775
Plan sponsor’s address 616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265

Plan administrator’s name and address

Administrator’s EIN 200884391
Plan administrator’s name PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE
Plan administrator’s address 616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265
Administrator’s telephone number 3095173775

Signature of

Role Plan administrator
Date 2020-10-29
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 401(K) 2019 200884391 2020-10-14 PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 6
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3095173775
Plan sponsor’s address 616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265

Plan administrator’s name and address

Administrator’s EIN 200884391
Plan administrator’s name PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE
Plan administrator’s address 616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265
Administrator’s telephone number 3095173775

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing GOWRI PURIGHALLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
VASAN PURIGHALLA, 616 35TH AVE STE 1, MOLINE, 61265, ROCK ISLAND Agent 2018-02-28

Manager

Name and Address Role Appointment Date
PURIGHALLA, VASAN S. M.D., 616 35TH AVE STE 1, MOLINE, IL, 61265 Manager 2024-02-21

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State