| Entity Name: | BOULEVARD VETERINARY RAVENSWOOD LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 07 Feb 2019 |
| Company Number: | LLC_07529864 |
| File Number: | 07529864 |
| Type of Management: | Manager Managed |
| Date Status Change: | 07 Jan 2025 |
| Address | 4646 N DAMEN AVE, CHICAGO, 60625, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BOULEVARD VETERINARY RAVENSWOOD 401(K) PLAN | 2023 | 834379901 | 2024-05-24 | BOULEVARD VETERINARY RAVENSWOOD | 0 | |||||||||||||||||||||||||||||||
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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 | 2024-05-24 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ROBERT E. HANEY, 2 MID AMERICA PLZ STE 110, OAKBROOK TERRACE, 60181 | Agent | 2023-12-21 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| FREDERICKSON, DYLAN, 4646 N DAMEN AVE, CHICAGO, IL, 60625 | Manager | 2025-01-07 |
| Name and Address | Role | Account Number |
|---|---|---|
| Dylan J Frederickson | Member | 469418 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2748953 | Issued | 1032 | Animal Care License | 857 - Operate a Veterinary Hospital | 2024-10-07 | 2024-10-16 | 2026-10-15 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| BLVD CAT | Assumed name | 2024-04-08 | No data | No data | 2025-01-07 |
| Name | Change Date |
|---|---|
| BOULEVARD VETERINARY ANDERSONVILLE LLC | 2019-03-25 |
Date of last update: 16 Jan 2025
