| Entity Name: | BOULEVARD VETERINARY LAKEVIEW LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 01 Feb 2022 |
| Company Number: | LLC_11387225 |
| File Number: | 11387225 |
| Type of Management: | Manager Managed |
| Date Status Change: | 07 Jan 2025 |
| Address | 510 W DIVERSEY PKWY, CHICAGO, 60614, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BOULEVARD VETERINARY LAKEVIEW 401(K) PLAN | 2023 | 881524718 | 2024-05-24 | BOULEVARD VETERINARY LAKEVIEW LLC | 0 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| 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 J, 4646 N DAMEN AVE, CHICAGO, IL, 60625 | Manager | 2025-01-07 |
| Name and Address | Role | Account Number |
|---|---|---|
| DYLAN J FREDERICKSON | Managing member | 492518 |
| ANDREW BEAN | Managing member | 492518 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2882634 | Issued | 1032 | Animal Care License | 857 - Operate a Veterinary Hospital | 2022-12-30 | 2022-12-30 | 2025-01-15 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| BOULEVARD VETERINARY LAKEVIEW-LINCOLN PARK | Assumed name | 2024-08-21 | No data | No data | 2025-01-07 |
| BLVD VET LAKEVIEW-LINCOLN PARK | Assumed name | 2024-08-21 | No data | No data | 2025-01-07 |
Date of last update: 16 Jan 2025
