| Entity Name: | BC IRVING PARK, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 20 Apr 2017 |
| Company Number: | LLC_06270662 |
| File Number: | 06270662 |
| Type of Management: | Manager Managed |
| Date Status Change: | 29 Feb 2024 |
| Address | 3982 N AVONDALE AVE, CHICAGO, 60641, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BACKLOT COFFEE 401(K) PLAN | 2023 | 821257730 | 2024-05-10 | BC IRVING PARK LLC | 13 | |||||||||||||||||||||||||||||||
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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 | 2024-05-10 |
| 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 | 2022-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 7737916030 |
| Plan sponsor’s address | 3982 N AVONDALE AVE, CHICAGO, IL, 60641 |
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 | 2023-05-28 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JUSTIN SHLENSKY, 436 N FULTON AVE, VILLA PARK, 60181 | Agent | 2021-11-30 |
| Name and Address | Role | Account Number |
|---|---|---|
| ISAAC F BLOOM | Managing member | 417956 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BLOOM, ISAAC F., 4436 N WESTERN AVE, UNIT 3S, CHICAGO, IL, 60625 | Manager | 2024-02-29 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2951661 | Issued | 1006 | Retail Food Establishment | 781 | 904 | 1050 - Sale of Food Prepared Onsite With Dining Area | Retail Sales of General Merchandise | Preparation and Sale of Coffee and/or Drinks | 2024-04-12 | 2024-04-12 | 2025-08-15 |
| BUSINESS LICENSE | 2541989 | Issued | 1006 | Retail Food Establishment | 767 | 781 - Retail Sales of General Merchandise and Non-Perishable Food | Sale of Food Prepared Onsite With Dining Area | 2023-09-21 | 2023-08-16 | 2025-08-15 |
| Inspection ID | Inspection Type | Inspection Date | License | Facility Type | Address | Risk | Results |
|---|---|---|---|---|---|---|---|
| 2463424 | Canvass | 2020-12-07 | 2541989 | Restaurant | 3982 N AVONDALE AVE, CHICAGO, IL, 60641 | Risk 2 (Medium) | Out of Business |
| 2232672 | Canvass Re-Inspection | 2018-11-01 | 2541989 | Restaurant | 3982 N AVONDALE AVE, CHICAGO, IL, 60641 | Risk 2 (Medium) | Pass |
| 2232543 | Canvass | 2018-10-30 | 2541989 | Restaurant | 3982 N AVONDALE AVE, CHICAGO, IL, 60641 | Risk 2 (Medium) | Fail |
| 2072180 | License | 2017-08-10 | 2541989 | Restaurant | 3982 N AVONDALE AVE, CHICAGO, IL, 60641 | Risk 2 (Medium) | Pass |
| 2070201 | License | 2017-07-19 | 2541989 | Restaurant | 3982 N AVONDALE AVE, CHICAGO, IL, 60641 | Risk 2 (Medium) | Not Ready |
| 2069600 | License | 2017-07-10 | 2541989 | Restaurant | 3982 N AVONDALE AVE, CHICAGO, IL, 60641 | Risk 2 (Medium) | No Entry |
| 2064796 | License | 2017-06-22 | 2541989 | Restaurant | 3982 N AVONDALE AVE, CHICAGO, IL, 60641 | Risk 2 (Medium) | Not Ready |
Date of last update: 20 Jan 2025
