| Entity Name: | WOODARD WELLNESS GROUP, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 08 Apr 2013 |
| Company Number: | LLC_04344901 |
| File Number: | 04344901 |
| Type of Management: | Member Managed |
| Date Status Change: | 22 Mar 2024 |
| Address | 1245 E WALNUT STREET, CARBONDALE, 62901, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WOODARD WELLNESS GROUP LLC MEDOVA LIFESTYLE HEALTH CARE | 2022 | 562614070 | 2024-08-29 | WOODARD WELLNESS GROUP LLC | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-29 |
| Name of individual signing | ROBERT MOORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BRIAN E. WOODARD, 1245 E WALNUT STREET, CARBONDALE, 62901 | Agent | 2014-03-24 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| WOODARD, BRIAN E., D.C., 1245 E WALNUT STREET, CARBONDALE, IL, 62901 | Member | 2013-04-08 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248004224 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2023-06-14 | 2023-06-14 | 2025-01-01 |
| Name | Change Date |
|---|---|
| WOODARD WELLNESS GROUP, LLC | 2023-01-17 |
Date of last update: 13 Jan 2025
