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  5. SOUTHERN ILLINOIS PSYCHIATRY, LLC

SOUTHERN ILLINOIS PSYCHIATRY, LLC

Company Details

Entity Name: SOUTHERN ILLINOIS PSYCHIATRY, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 24 Aug 2007
Company Number: LLC_02313251
File Number: 02313251
Type of Management: Member Managed
Date Status Change: 10 Jul 2024
Address 703 DAVID LIVINGSTON DRIVE, CARTERVILLE, 62918, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN 2023 260815552 2024-03-22 SOUTHERN ILLINOIS PSYCHIATRY LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 6182016620
Plan sponsor’s address 703 DAVID LIVINGSTON DR, CARTERVILLE, IL, 29186

Signature of
Role Plan administrator
Date 2024-03-22
Name of individual signing NAEEM QURESHI
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN 2023 260815552 2024-04-19 SOUTHERN ILLINOIS PSYCHIATRY LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 6182016620
Plan sponsor’s address 703 DAVID LIVINGSTON DR, CARTERVILLE, IL, 29186

Signature of
Role Plan administrator
Date 2024-04-19
Name of individual signing NAEEM QURESHI
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN 2022 260815552 2023-08-04 SOUTHERN ILLINOIS PSYCHIATRY LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 6189989785
Plan sponsor’s address PO BOX 430, MARION, IL, 62959

Signature of
Role Plan administrator
Date 2023-08-04
Name of individual signing NAEEM QURESHI
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN 2021 260815552 2022-10-06 SOUTHERN ILLINOIS PSYCHIATRY LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 6189989785
Plan sponsor’s address PO BOX 430, MARION, IL, 62959

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing NAEEM QURESHI
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN 2020 260815552 2021-10-05 SOUTHERN ILLINOIS PSYCHIATRY LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 6189989785
Plan sponsor’s address PO BOX 430, MARION, IL, 62959

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing NAEEM QURESHI
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN 2019 260815552 2020-10-08 SOUTHERN ILLINOIS PSYCHIATRY LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 6189989785
Plan sponsor’s address PO BOX 430, MARION, IL, 62959

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing NAEEM QURESHI
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN 2018 260815552 2019-07-17 SOUTHERN ILLINOIS PSYCHIATRY LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 6189980888
Plan sponsor’s address 112 AIRWAY DRIVE, MARION, IL, 62959

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing NAEEM QURESHI
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN 2017 260815552 2018-07-31 SOUTHERN ILLINOIS PSYCHIATRY LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 6189980888
Plan sponsor’s address 112 AIRWAY DRIVE, MARION, IL, 62959

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing NAEEM QURESHI
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN 2016 260815552 2017-08-30 SOUTHERN ILLINOIS PSYCHIATRY LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 6189980888
Plan sponsor’s address 112 AIRWAY DRIVE, MARION, IL, 62959

Signature of
Role Plan administrator
Date 2017-08-30
Name of individual signing NAEEM QURESHI
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN 2015 260815552 2016-06-08 SOUTHERN ILLINOIS PSYCHIATRY LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621112
Sponsor’s telephone number 6189980888
Plan sponsor’s address 112 AIRWAY DRIVE, MARION, IL, 62959

Signature of
Role Plan administrator
Date 2016-06-08
Name of individual signing NAEEM QURESHI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
NAEEM AKHTAR QURESHI, 703 DAVID LIVINGSTONE DR, CARTERVILLE, 62918, WILLIAMSON Agent 2019-07-06

Manager

Name and Address Role Appointment Date
QURESHI, NAEEM A., M.D., 703 DAVID LIVINGSTON DR, CARTERVILLE, IL, 62918 Manager 2020-06-21

Related by officers

No related officers

Related by address

703 DAVID LIVINGSTON DRIVE, CARTERVILLE, 62918, IL

KZM ENTERPRISE LLC

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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