| Entity Name: | GREENWOOD SPINE CARE, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 07 Mar 2019 |
| Company Number: | LLC_07344686 |
| File Number: | 07344686 |
| Type of Management: | Manager Managed |
| Date Status Change: | 14 Feb 2024 |
| Address | 11001 S. KEDZIE, CHICAGO, 60655, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREENWOOD SPINE CARE PLLC 401(K) PLAN | 2023 | 834309496 | 2024-06-13 | GREENWOOD SPINE CARE PLLC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-13 |
| Name of individual signing | ASHLEY SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6305311944 |
| Plan sponsor’s address | 22918 WIGEON COURT, PLAINFIELD, IL, 60585 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-22 |
| Name of individual signing | ASHLEY SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6305311944 |
| Plan sponsor’s address | 22918 WIGEON COURT, PLAINFIELD, IL, 60585 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-29 |
| Name of individual signing | ASHLEY SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6302001051 |
| Plan sponsor’s address | 22918 WIGEON COURT, PLAINFIELD, IL, 60585 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-21 |
| Name of individual signing | ASHLEY SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MICHAEL WILLIAM HAUSCH, 11001 S. KEDZIE, CHICAGO, 60655 | Agent | 2019-03-07 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| TOULIOS, D.C., THOMAS, 11001 S. KEDZIE, CHICAGO, IL, 60655 | Manager | 2019-03-07 |
| HAUSCH, D.C., MICHAEL, 11001 S. KEDZIE, CHICAGO, IL, 60655 | Manager | 2019-03-07 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248002815 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2020-01-30 | 2021-10-29 | 2025-01-01 |
Date of last update: 27 Jan 2025
