| Entity Name: | PHYSIATRY CONSULTANTS OF NC, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 10 Oct 2023 |
| Company Number: | LLC_13727023 |
| File Number: | 13727023 |
| Type of Management: | Manager Managed |
| Date Status Change: | 26 Aug 2024 |
| Address | 444 E ROOSEVELT ROAD, SUITE 256, LOMBARD, 60148, IL |
| Place of Formation: | NORTH CAROLINA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYSIATRY CONSULTANTS OF NC 401(K) PLAN | 2023 | 862635031 | 2024-04-30 | PHYSIATRY CONSULTANTS OF NC, PLLC | 9 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| 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 | 2024-04-30 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8478635837 |
| Plan sponsor’s address | 10S418 CARRINGTON CIR, BURR RIDGE, IL, 60527 |
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 | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON | Agent | 2023-10-10 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| OSMAN, OMAR, 444 E ROOSEVELT ROAD, ROOM 256, LOMBARD, IL, 60148 | Manager | 2024-08-26 |
| ABDALLAH, MOHAMAD, 444 E ROOSEVELT ROAD, SUITE 256, LOMBARD, IL, 60148 | Manager | 2024-08-26 |
Date of last update: 16 Jan 2025
