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INNOVATIVE MEDSPA, PLLC

Company Details

Entity Name: INNOVATIVE MEDSPA, PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 11 Mar 2019
Company Number: LLC_07652275
File Number: 07652275
Type of Management: Manager Managed
Date Status Change: 05 Jan 2025
Address 742 W. DIVERSEY PARKWAY, CHICAGO, 60614, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INNOVATIVE MEDSPA 401(K) PLAN 2023 833917455 2024-05-03 INNOVATIVE MEDSPA PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621112
Sponsor’s telephone number 7732705600
Plan sponsor’s address 2418 N ASHLAND, 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 MEDSPA 401(K) PLAN 2022 833917455 2023-05-30 INNOVATIVE MEDSPA PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621112
Sponsor’s telephone number 7732705600
Plan sponsor’s address 2418 N ASHLAND, 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 2023-05-30
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 248003627 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2022-07-01 2022-07-01 2025-01-01
LIMITED LIABILITY CO 248003513 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2022-04-18 2022-04-18 2025-01-01
LIMITED LIABILITY CO 248002603 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2019-05-20 2021-10-29 2025-01-01

Historical Names

Name Change Date
INNOVATIVE MEDSPA, LLC 2019-04-03

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State