| Entity Name: | LAKESIDE MEDICAL LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Revoked |
| Date Formed: | 22 Mar 2013 |
| Company Number: | LLC_04283317 |
| File Number: | 04283317 |
| Type of Management: | Manager Managed |
| Date Status Change: | 11 Sep 2015 |
| Address | 4 N DEER POINT RD STE 1001, HAINESVILLE, 60030, IL |
| Place of Formation: | DELAWARE |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | LAKESIDE MEDICAL LLC, ALABAMA | 000-283-598 | ALABAMA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKESIDE MEDICAL 401(K) | 2023 | 205939049 | 2024-06-21 | LAKESIDE MEDICAL, LLC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-21 |
| Name of individual signing | IAN BLACKBURN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2012-10-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8004161767 |
| Plan sponsor’s address | 4 NORTH DEERPOINT DRIVE, SUITE 1001, HAINSVILLE, IL, 60030 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-30 |
| Name of individual signing | IAN BLACKBURN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2012-10-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8004161767 |
| Plan sponsor’s address | 4 NORTH DEERPOINT DRIVE, SUITE 1001, HAINSVILLE, IL, 60030 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-25 |
| Name of individual signing | IAN BLACKBURN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2012-10-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8004161767 |
| Plan sponsor’s address | 4 NORTH DEERPOINT DRIVE, SUITE 1001, HAINSVILLE, IL, 60030 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-13 |
| Name of individual signing | IAN BLACKBURN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2012-10-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8004161767 |
| Plan sponsor’s address | 4 NORTH DEERPOINT DRIVE, SUITE 1001, HAINSVILLE, IL, 60030 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-10 |
| Name of individual signing | IAN BLACKBURN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 561110 |
| Sponsor’s telephone number | 8004161767 |
| Plan sponsor’s address | 4 N DEERPOINT DR SUITE 1001, HAINESVILLE, IL, 60030 |
Signature of
| Role | Plan administrator |
| Date | 2013-05-09 |
| Name of individual signing | IAN BLACKBURN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ILLINOIS CORPORATION SERVICE C, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON | Agent | 2013-03-22 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BLACKBURN, IAN, 410 WHITE TAIL DR, GRAYSLAKE, IL, 60030 | Manager | 2014-01-29 |
| WINGER, CHRISTINE, 1153 LINCOLN ST, GLENVIEW, IL, 60025 | Manager | 2014-01-29 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| COLLECTION AGENCY | 017021772 | No data | No data | LICENSED COLLECTION AGENCY | No data | 2013-07-25 | 2013-07-25 | 2015-05-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| LAKESIDE RECOVERY, LLC | Assumed name | 2013-03-22 | 2015-05-08 | Involuntary cancellation | No data |
Date of last update: 16 Jan 2025
