| Entity Name: | PHYSICIAN GROWTH ADVISORS LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | NGS |
| Date Formed: | 12 Sep 2023 |
| Company Number: | LLC_13745749 |
| File Number: | 13745749 |
| Type of Management: | Manager Managed |
| Date Status Change: | 01 Sep 2024 |
| Address | 432 N. CLARK STREET, STE 200, CHICAGO, 60654, IL |
| Place of Formation: | DELAWARE |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYSICIAN GROWTH ADVISORS 401K | 2023 | 822481886 | 2024-08-12 | PHYSICIAN GROWTH ADVISORS LLC | 8 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 621874769 |
| Plan administrator’s name | ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-12 |
| Name of individual signing | TARA EVANS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2482291691 |
| Plan sponsor’s address | 222 W ONTARIO ST, CHICAGO, IL, 60654 |
Plan administrator’s name and address
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-31 |
| Name of individual signing | TARA EVANS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2482291691 |
| Plan sponsor’s address | 222 W ONTARIO ST, CHICAGO, IL, 60654 |
Plan administrator’s name and address
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | TAG RESOURCES LLC |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-29 |
| Name of individual signing | TARA EVANS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LEGALINC CORPORATE SERVICES INC., 500 N. MICHIGAN AVE, STE 536, CHICAGO, 60611 | Agent | 2023-09-12 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KROIN, MICHAEL, 432 N. CLARK STREET, STE 200, CHICAGO, IL, 60654 | Manager | 2023-09-12 |
| SIMONS, EZRA, 432 N. CLARK STREET, STE 200, CHICAGO, IL, 60654 | Manager | 2023-09-12 |
Date of last update: 20 Jan 2025
