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VANCE CLINIC PLLC

Company Details

Entity Name: VANCE CLINIC PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 09 Jun 2022
Company Number: LLC_11837093
File Number: 11837093
Type of Management: Manager Managed
Date Status Change: 20 May 2024
Address 1420 S. 14TH STREET, QUNICY, 62301, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VANCE CLINIC PLLC 401(K) PLAN 2023 882839928 2024-07-08 VANCE CLINIC PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621310
Sponsor’s telephone number 2172289000
Plan sponsor’s address 1420 SOUTH 14TH STREET, QUINCY, IL, 62301

Signature of

Role Plan administrator
Date 2024-07-08
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature
VANCE CLINIC PLLC 401(K) PLAN 2022 882839928 2023-04-21 VANCE CLINIC PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621310
Sponsor’s telephone number 2142289000
Plan sponsor’s address 1420 SOUTH 14TH STREET, QUINCY, IL, 62301

Signature of

Role Plan administrator
Date 2023-04-21
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROSE MARY NESBIT, 901 HAMPSHIRE STREET, QUNICY, 62301 Agent 2022-06-09

Manager

Name and Address Role Appointment Date
RYAN P. MILLER, 1420 S. 14TH STREET, QUINCY, IL, 62301 Manager 2022-06-09

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State