| Entity Name: | LAKESIDE EMS LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 20 Mar 2018 |
| Company Number: | LLC_06815332 |
| File Number: | 06815332 |
| Type of Management: | Manager Managed |
| Date Status Change: | 12 Feb 2024 |
| Address | 815 S MAPLE ST., EFFINGHAM, 62401, IL |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DBRQNSCNSRK3 | 2025-02-08 | 815 S MAPLE ST, EFFINGHAM, IL, 62401, 2641, USA | PO BOX 98, EFFINGHAM, IL, 62401, 2641, USA | |||||||||||||||||||||||||||||||||||||||||||
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| Division Name | LAKESIDE EMS LLC |
| Division Number | LAKESIDE E |
| Congressional District | 12 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-02-13 |
| Initial Registration Date | 2021-04-03 |
| Entity Start Date | 2018-03-20 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621910 |
| Product and Service Codes | V225 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | STEVEN GRAY |
| Address | PO BOX 98, EFFINGHAM,, IL, 62401, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | STEVEN GRAY |
| Address | PO BOX 98, EFFINGHAM, IL, 62401, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKESIDE EMS LLC | 2023 | 825011055 | 2024-09-12 | LAKESIDE EMS LLC | 48 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-12 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-06-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 2179942046 |
| Plan sponsor’s address | 815 S MAPLE ST., EFFINGHAM, IL, 62401 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-14 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-06-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 2179942046 |
| Plan sponsor’s address | 815 S MAPLE ST., EFFINGHAM, IL, 62401 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-22 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| STEVEN W. GRAY, 815 S MAPLE ST, EFFINGHAM, 62401 | Agent | 2023-03-28 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| STEVEN W GRAY JR, 207 W WALNUT ST, TEUTOPOLIS, IL, 62467 | Manager | 2024-02-12 |
| KRAMPE, FRANCIS J., 3293 E 500 N RD, SIGEL, IL, 62447 | Manager | 2024-02-12 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| PATRIOT EMS | Assumed name | 2024-08-15 | No data | No data | No data |
Date of last update: 13 Jan 2025
