| Entity Name: | PRIMARY COMPREHENSIVE CARE ACO, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 12 Jul 2013 |
| Company Number: | LLC_04403991 |
| File Number: | 04403991 |
| Type of Management: | Manager Managed |
| Date Status Change: | 25 Jun 2024 |
| Address | 4903 WEST FULLERTON AVE, CHICAGO, 60639, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAY L. DOLGIN, LTD. PROFIT SHARING PLAN | 2011 | 362725863 | 2012-09-12 | JAY L. DOLGIN, LTD. | 4 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 362725863 |
| Plan administrator’s name | JAY L. DOLGIN, LTD. |
| Plan administrator’s address | 30 NORTH LASALLE STREET SUITE 2610, CHICAGO, IL, 60602 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-05 |
| Name of individual signing | JAY L. DOLGIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1972-12-21 |
| Business code | 541110 |
| Sponsor’s telephone number | 3127052000 |
| Plan sponsor’s address | 30 NORTH LASALLE STREET SUITE 2610, CHICAGO, IL, 60602 |
Plan administrator’s name and address
| Administrator’s EIN | 362725863 |
| Plan administrator’s name | JAY L. DOLGIN, LTD. |
| Plan administrator’s address | 30 NORTH LASALLE STREET SUITE 2610, CHICAGO, IL, 60602 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-05 |
| Name of individual signing | JAY L. DOLGIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1972-12-21 |
| Business code | 541110 |
| Sponsor’s telephone number | 3127052000 |
| Plan sponsor’s address | 30 NORTH LASALLE STREET SUITE 2610, CHICAGO, IL, 60602 |
Plan administrator’s name and address
| Administrator’s EIN | 362725863 |
| Plan administrator’s name | JAY L. DOLGIN, LTD. |
| Plan administrator’s address | 30 NORTH LASALLE STREET SUITE 2610, CHICAGO, IL, 60602 |
| Administrator’s telephone number | 3127052000 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-23 |
| Name of individual signing | JAY L. DOLGIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| STEVEN MARKOWITZ, 4903 W FULLERTON AVE STE 1, CHICAGO, 60639 | Agent | 2020-08-10 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RUSTOM, NASER, M.D., 4903 WEST FULLERTON AVE, CHICAGO, IL, 60639 | Manager | 2024-06-25 |
Date of last update: 16 Jan 2025
