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INNOVATIVE IV CARE, PLLC

Company Details

Entity Name: INNOVATIVE IV CARE, PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 09 Jan 2019
Company Number: LLC_07474989
File Number: 07474989
Type of Management: Manager Managed
Date Status Change: 05 Jan 2025
Address 3221 N. SHEFFIELD AVENUE, C-1S, CHICAGO, 60657, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INNOVATIVE IV CARE 401(K) PLAN 2023 833086836 2024-05-03 INNOVATIVE IV CARE PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 7732705600
Plan sponsor’s address 3221 N SHEFFIELD, 1CS, CHICAGO, IL, 60614

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 2024-05-03
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
INNOVATIVE IV CARE 401(K) PLAN 2022 833086836 2023-05-28 INNOVATIVE IV CARE PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 7732705600
Plan sponsor’s address 3221 N SHEFFIELD, 1CS, CHICAGO, IL, 60614

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

Agent

Name and Address Role Appointment Date
RAHUL KHARE, 742 W DIVERSEY PKWY, CHICAGO, 60614 Agent 2024-03-25

Manager

Name and Address Role Appointment Date
KHARE, RAHUL K., 742 W. DIVERSEY PARKWAY, CHICAGO, IL, 60614 Manager 2025-01-05

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248005065 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2024-07-09 2024-07-09 2025-01-01
LIMITED LIABILITY CO 248002527 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2019-03-11 2021-10-29 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
INNOVATIVE PSYCHEDELICS Assumed name 2022-05-16 No data No data 2024-12-10
INNOVATIVE KETAMINE CLINIC Assumed name 2019-02-15 No data No data 2024-12-10

Historical Names

Name Change Date
INNOVATIVE IV CARE LLC 2019-01-29

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State