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PARK AVENUE PRIVATE PRACTICE LLC

Company Details

Entity Name: PARK AVENUE PRIVATE PRACTICE LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 17 Jun 2015
Company Number: LLC_05315077
File Number: 05315077
Type of Management: Member Managed
Date Status Change: 26 Apr 2024
Address 767 PARK AVE W STE 320, HIGHLAND PARK, 60035, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARK AVENUE PRIVATE PRACTICE LLC PROFIT SHARING PLAN 2023 474310426 2024-09-24 PARK AVENUE PRIVATE PRACTICE LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8474335505
Plan sponsor’s address 767 PARK AVENUE WEST #320, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2024-09-24
Name of individual signing JEFFREY GARLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-24
Name of individual signing JEFFREY GARLAND
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE PRIVATE PRACTICE LLC PROFIT SHARING PLAN 2022 474310426 2023-10-16 PARK AVENUE PRIVATE PRACTICE LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8474335505
Plan sponsor’s address 767 PARK AVENUE WEST #320, HIGHLAND PARK, IL, 60035
PARK AVENUE PRIVATE PRACTICE LLC PROFIT SHARING PLAN 2022 474310426 2023-10-26 PARK AVENUE PRIVATE PRACTICE LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8474335505
Plan sponsor’s address 767 PARK AVENUE WEST #320, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2023-10-26
Name of individual signing JEFFREY GARLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-26
Name of individual signing JEFFREY GARLAND
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE PRIVATE PRACTICE LLC PROFIT SHARING PLAN 2021 474310426 2022-07-01 PARK AVENUE PRIVATE PRACTICE LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8474335505
Plan sponsor’s address 767 PARK AVENUE WEST #320, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing JEFFREY S GARLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-30
Name of individual signing JEFFREY S GARLAND
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE PROFIT SHARING PLAN 2020 474310426 2021-09-15 PARK AVENUE PRIVATE PRACTICE LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8474435505
Plan sponsor’s address 767 PARK AVENUE WEST, #350, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2021-09-14
Name of individual signing JEFFREY S GARLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-14
Name of individual signing JEFFREY S GARLAND
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE PROFIT SHARING PLAN 2020 474310426 2021-09-14 PARK AVENUE PRIVATE PRACTICE LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8474435505
Plan sponsor’s address 767 PARK AVENUE WEST, #350, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2021-09-14
Name of individual signing JEFFREY S GARLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-14
Name of individual signing JEFFREY S GARLAND
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE PROFIT SHARING PLAN 2019 474310426 2020-10-13 PARK AVENUE PRIVATE PRACTICE LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8474335505
Plan sponsor’s address 767 PARK AVENUE WEST, #350, HIGHLAND PARK, IL, 60035
PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE PROFIT SHARING PLAN 2018 474310426 2019-10-14 PARK AVENUE PRIVATE PRACTICE LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8474335505
Plan sponsor’s address 767 PARK AVENUE WEST, #350, HIGHLAND PARK, IL, 60035
PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE PROFIT SHARING PLAN 2017 474310426 2018-05-30 PARK AVENUE PRIVATE PRACTICE LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8474335505
Plan sponsor’s address 767 PARK AVENUE WEST, #350, HIGHLAND PARK, IL, 60035
PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE PROFIT SHARING PLAN 2016 474310426 2017-10-06 PARK AVENUE PRIVATE PRACTICE LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8474335505
Plan sponsor’s address 767 PARK AVENUE WEST, #350, HIGHLAND PARK, IL, 60035

Agent

Name and Address Role Appointment Date
THOMAS B SHAPIRA, 333 W WACKER DR STE 1700, CHICAGO, 60606 Agent 2015-06-17

Manager

Name and Address Role Appointment Date
GARLAND, JEFFREY S MD, 855 SMOKE TREE ROAD, DEERFIELD, IL, 60015 Manager 2024-04-26

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248001237 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2015-09-02 2022-04-21 2025-01-01

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State