| Entity Name: | PHYSICIAN HEALTHCARE SOLUTIONS LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 01 Sep 2011 |
| Company Number: | LLC_03699633 |
| File Number: | 03699633 |
| Type of Management: | Manager Managed |
| Date Status Change: | 02 Aug 2024 |
| Address | 965 MEADOWLARK COURT, ANTIOCH, 60002, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYSICIAN HEALTHCARE SOLUTIONS 401(K) PLAN | 2021 | 453154081 | 2022-10-26 | PHYSICIAN HEALTHCARE SOLUTIONS LLC | 3 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2022-10-26 |
| Name of individual signing | JODI KRUSELY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 561490 |
| Sponsor’s telephone number | 8478383832 |
| Plan sponsor’s address | 965 MEADOWLARK COURT, ANTIOCH, IL, 60002 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-27 |
| Name of individual signing | JODI KRUSELY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 561490 |
| Sponsor’s telephone number | 8478383832 |
| Plan sponsor’s address | 965 MEADOWLARK COURT, ANTIOCH, IL, 60002 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-24 |
| Name of individual signing | JODI KRUSELY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 561490 |
| Sponsor’s telephone number | 8478383832 |
| Plan sponsor’s address | 965 MEADOWLARK COURT, ANTIOCH, IL, 60002 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-04 |
| Name of individual signing | JODI KRUSELY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JODI KRUSELY, 965 MEADOWLARK CT, ANTIOCH, 60002 | Agent | 2011-09-01 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KRUSELY, JODI, 965 MEADOWLARK CT, ANTIOCH, IL, 60002 | Manager | 2024-08-02 |
Date of last update: 16 Jan 2025
