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PIASA PAIN CENTER, LLC

Company Details

Entity Name: PIASA PAIN CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 23 Mar 2007
Company Number: LLC_02151537
File Number: 02151537
Type of Management: Manager Managed
Date Status Change: 09 Sep 2016
Address 3 PROFESSIONAL DR., ALTON, 62002, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PIASA PAIN CENTER, L.L.C. 401(K) PROFIT SHARING PLAN 2014 208627466 2015-10-20 PIASA PAIN CENTER, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 6184657177
Plan sponsor’s address 3 PROFESSIONAL DRIVE, ALTON, IL, 62002

Signature of

Role Plan administrator
Date 2015-10-20
Name of individual signing WYNNDEL BUENGER MD
Valid signature Filed with authorized/valid electronic signature
PIASA PAIN CENTER, L.L.C. 401(K) PROFIT SHARING PLAN 2013 208627466 2014-07-06 PIASA PAIN CENTER, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 6184657177
Plan sponsor’s address 3 PROFESSIONAL DRIVE, ALTON, IL, 62002

Signature of

Role Plan administrator
Date 2014-07-06
Name of individual signing WYNNDEL BUENGER MD
Valid signature Filed with authorized/valid electronic signature
PIASA PAIN CENTER, L.L.C. 401(K) PROFIT SHARING PLAN 2012 208627466 2013-02-04 PIASA PAIN CENTER, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 6184657177
Plan sponsor’s address 3 PROFESSIONAL DRIVE, ALTON, IL, 62002

Signature of

Role Plan administrator
Date 2013-02-04
Name of individual signing WYNNDEL BUENGER MD
Valid signature Filed with authorized/valid electronic signature
PIASA PAIN CENTER, L.L.C. 401(K) PROFIT SHARING PLAN 2009 208627466 2010-10-15 PIASA PAIN CENTER, LLC 19
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 6184657177
Plan sponsor’s address 3 PROFESSIONAL DRIVE, ALTON, IL, 62002

Plan administrator’s name and address

Administrator’s EIN 208627466
Plan administrator’s name PIASA PAIN CENTER, LLC
Plan administrator’s address 3 PROFESSIONAL DRIVE, ALTON, IL, 62002
Administrator’s telephone number 6184657177

Signature of

Role Plan administrator
Date 2010-10-15
Name of individual signing WYNNDEL BUENGER MD
Valid signature Filed with incorrect/unrecognized electronic signature
PIASA PAIN CENTER, L.L.C. 401(K) PROFIT SHARING PLAN 2009 208627466 2010-10-15 PIASA PAIN CENTER, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 6184657177
Plan sponsor’s address 3 PROFESSIONAL DRIVE, ALTON, IL, 62002

Plan administrator’s name and address

Administrator’s EIN 208627466
Plan administrator’s name PIASA PAIN CENTER, LLC
Plan administrator’s address 3 PROFESSIONAL DRIVE, ALTON, IL, 62002
Administrator’s telephone number 6184657177

Signature of

Role Plan administrator
Date 2010-10-15
Name of individual signing WYNNDEL BUENGER MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WYNNDEL BUENGER, MD, 3 PROFESSIONAL DR, ALTON, 62002, MADISON Agent 2013-03-06

Manager

Name and Address Role Appointment Date
BRUMMETT, THOMAS B., M.D., 3 PROFESSIONAL DR., ALTON, IL, 62002 Manager 2007-03-23
BUENGER, WYNNDEL M.D., 3 PROFESSIONAL DR., ALTON, IL, 62002 Manager 2007-03-23

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State