| Entity Name: | AUTHENTIC INTERNAL MEDICINE PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 16 Dec 2022 |
| Company Number: | LLC_12598688 |
| File Number: | 12598688 |
| Type of Management: | Manager Managed |
| Date Status Change: | 07 Nov 2024 |
| Address | 375 QUAIL RIDGE DRIVE, WESTMONT, 60559, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUTHENTIC INTERNAL MEDICINE, PLLC 401(K) PROFIT SHARING PLAN | 2023 | 921461022 | 2024-10-14 | AUTHENTIC INTERNAL MEDICINE, PLLC | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-14 |
| Name of individual signing | ANNE SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ANNE FUREY-SCHULTZ, 375 QUAIL RIDGE DR, WESTMONT, 60559, COOK-NOT IN CITY OF CHICAGO | Agent | 2024-02-16 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CYNTHIA A LAGONE, 11337 WEFORD DRIVE, MOKENA, IL, 60448 | Manager | 2023-11-19 |
| ANNE FUREY SCHULTZ, 733 S. GRANT STREET, HINSDALE, IL, 60521 | Manager | 2023-11-19 |
Date of last update: 16 Jan 2025
