| Entity Name: | ADAPT PHYSICAL THERAPY AND SPORTS PERFORMANCE, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 25 Oct 2017 |
| Company Number: | LLC_06399576 |
| File Number: | 06399576 |
| Type of Management: | Manager Managed |
| Date Status Change: | 26 Aug 2024 |
| Address | 6323 N. AVONDALE AVE.STE B-243, CHICAGO, 60631, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UNBROKEN REHAB AND ATHLETICS 401(K) PLAN | 2023 | 823417994 | 2024-07-09 | UNBROKEN REHAB AND ATHLETICS | 0 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-09 |
| Name of individual signing | FRED SAMPANG |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| FREDERICK SAMPANG, 1220 OAKTON ST, PARK RIDGE, 60068 | Agent | 2021-07-21 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| SAMPANG, FRED, 1220 OAKTON ST, PARK RIDGE, IL, 60631 | Manager | 2024-08-26 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| UNBROKEN REHAB AND ATHLETICS | Assumed name | 2018-07-11 | No data | No data | 2020-09-23 |
| Name | Change Date |
|---|---|
| ADAPT PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC | 2022-08-24 |
Date of last update: 16 Jan 2025
