| Entity Name: | CROSSROADS ANESTHESIA LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 04 Dec 2024 |
| Company Number: | LLC_15519312 |
| File Number: | 15519312 |
| Type of Management: | Manager Managed |
| Date Status Change: | 04 Dec 2024 |
| Address | 300 CANTRALL ST, CANTRALL, 62625, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PM ANESTHESIA 401(K) PLAN | 2022 | 823445728 | 2023-11-22 | CROSSROADS ANESTHESIA LLC | 13 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-11-22 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6309293940 |
| Plan sponsor’s address | 1250 S MICHIGAN AVE, #802, CHICAGO, IL, 60605 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-18 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6309293940 |
| Plan sponsor’s address | 1250 S MICHIGAN AVE, #802, CHICAGO, IL, 60605 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-18 |
| Name of individual signing | KAREN ZYRA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MICHELLE LUCAS, 300 CANTRALL ST, CANTRALL, 62625 | Agent | 2024-12-04 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LUCAS, MICHELLE E., 300 CANTRALL ST, CANTRALL, IL, 62625 | Manager | 2024-12-04 |
Date of last update: 27 Jan 2025
