| Entity Name: | SABEEHA HAQUE ALI, M.D., LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 25 Sep 2013 |
| Company Number: | LLC_04510232 |
| File Number: | 04510232 |
| Type of Management: | Manager Managed |
| Date Status Change: | 17 Aug 2024 |
| Address | 102 NORTH LOGAN, DANVILLE, 61832, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIVERVIEW PEDIATRICS 401(K) PLAN | 2023 | 463483975 | 2024-05-16 | RIVERVIEW PEDIATRICS | 14 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-16 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2174425863 |
| Plan sponsor’s address | 102 N LOGAN, DANVILLE, IL, 61832 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2174425863 |
| Plan sponsor’s address | 102 N LOGAN, DANVILLE, IL, 61832 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-31 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LAURA LYNN, 689 WARWICK DR, CAROL STREAM, 60188 | Agent | 2023-05-23 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ALI, SABEEHA, 102 NORTH LOGAN, DANVILLE, IL, 61832 | Manager | 2024-08-17 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| RIVERVIEW PEDIATRICS | Assumed name | 2013-11-01 | 2015-11-13 | Involuntary cancellation | 2020-09-23 |
| Name | Change Date |
|---|---|
| SABEEHA ALI, M.D., LLC | 2013-10-01 |
Date of last update: 16 Jan 2025
