| Entity Name: | NICOLE NORRIS MD MEDICAL SPA, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 14 Apr 2016 |
| Company Number: | LLC_05762529 |
| File Number: | 05762529 |
| Type of Management: | Member Managed |
| Date Status Change: | 12 Mar 2024 |
| Address | 2220 MARQUETTE RD, PERU, 61354, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NICOLE NORRIS, MD MEDICAL SPA 401(K) PLAN | 2023 | 812234848 | 2024-08-26 | NICOLE NORRIS, MD MEDICAL SPA, LLC | 5 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-25 |
| Name of individual signing | NICOLE NORRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-08-25 |
| Name of individual signing | NICOLE NORRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 812112 |
| Sponsor’s telephone number | 8152284510 |
| Plan sponsor’s address | 2220 MARQUETTE ROAD, PERU, IL, 61354 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-14 |
| Name of individual signing | NICOLE NORRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-10-14 |
| Name of individual signing | NICOLE NORRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| NICOLE NORRIS, 2220 MARQUETTE RD, PERU, 61354 | Agent | 2016-04-14 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| NORRIS, NICOLE M.D. - 31506, 2050 NORTH AVE, ARLINGTON, IL, 61312 | Member | 2016-04-14 |
Date of last update: 13 Jan 2025
