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PREMIER MEDICAL GROUP, LLC

Company Details

Entity Name: PREMIER MEDICAL GROUP, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 07 Oct 2010
Company Number: LLC_03337081
File Number: 03337081
Type of Management: Member Managed
Date Status Change: 03 Sep 2024
Address 1401 EASTLAND DR STE B, BLOOMINGTON, 61701, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER MEDICAL GROUP, LLC 401(K) PLAN 2023 273667149 2024-06-11 PREMIER MEDICAL GROUP, LLC 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3096639424
Plan sponsor’s address 1401 EASTLAND DRIVE, SUITE B, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2024-06-11
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-11
Name of individual signing RAE WEBER
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP, LLC 401(K) PLAN 2022 273667149 2023-10-10 PREMIER MEDICAL GROUP, LLC 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3096639424
Plan sponsor’s address 1401 EASTLAND DRIVE, SUITE B, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP, LLC 401(K) PLAN 2021 273667149 2022-10-12 PREMIER MEDICAL GROUP, LLC 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3096639424
Plan sponsor’s address 1401 EASTLAND DRIVE, SUITE B, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP, LLC 401(K) PLAN 2020 273667149 2021-05-04 PREMIER MEDICAL GROUP, LLC 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3096639424
Plan sponsor’s address 1401 EASTLAND DRIVE, SUITE B, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2021-04-28
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-04
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP, LLC 401(K) PLAN 2019 273667149 2020-06-29 PREMIER MEDICAL GROUP, LLC 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3096639424
Plan sponsor’s address 1401 EASTLAND DRIVE, SUITE B, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2020-06-29
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-29
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP, LLC 401(K) PLAN 2018 273667149 2019-07-29 PREMIER MEDICAL GROUP, LLC 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3096639424
Plan sponsor’s address 1401 EASTLAND DRIVE, SUITE B, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2019-06-20
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-20
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP, LLC 401(K) PLAN 2017 273667149 2018-07-17 PREMIER MEDICAL GROUP, LLC 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3096639424
Plan sponsor’s address 1401 EASTLAND DRIVE, SUITE B, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2018-07-17
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP, LLC 401(K) PLAN 2016 273667149 2017-06-29 PREMIER MEDICAL GROUP, LLC 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3096639424
Plan sponsor’s address 1401 EASTLAND DRIVE, SUITE B, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2017-06-29
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-29
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP, LLC 401(K) PLAN 2015 273667149 2016-06-07 PREMIER MEDICAL GROUP, LLC 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3096639424
Plan sponsor’s address 1401 EASTLAND DRIVE, SUITE B, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2016-06-07
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-07
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP, LLC 401(K) PLAN 2014 273667149 2015-07-16 PREMIER MEDICAL GROUP, LLC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3096639424
Plan sponsor’s address 1401 EASTLAND DRIVE, SUITE B, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2015-07-16
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-16
Name of individual signing VICKEN CHALIAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
VICKEN CHALIAN MD, 1401 EASTLAND DR STE B, BLOOMINGTON, 61701 Agent 2012-11-14

Member

Name and Address Role Appointment Date
MATTER, STEPHEN MD, 2200 JACOBSSEN DR, STE B, NORMAL, IL, 61761 Member 2015-12-30
CHALIAN, VICKEN, 1401 EASTLAND DR, STE B, BLOOMINGTON, IL, 61701 Member 2015-12-30
LEAK, BENJAMIN, 1401 EAST LAND DRIVE, STE B, BLOOMINGTON, IL, 61701 Member 2015-12-30

Historical Names

Name Change Date
THE CENTRAL ILLINOIS CLINIC, LLC 2010-11-15

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State