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SE PEARLAND AM, LLC

SE PEARLAND AM, LLC

Company Details

Entity Name:	SE PEARLAND AM, LLC
Jurisdiction:	Illinois
Entity Type:	Limited Liability Company
Status:	Revoked
Date Formed:	17 Jan 2017
Company Number:	LLC_06003095
File Number:	06003095
Type of Management:	Manager Managed
Date Status Change:	12 Jul 2024
Address	350 N. LASALLE ST., STE 800, CHICAGO, 60654, IL
Place of Formation:	DELAWARE

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

ROSE MEDICAL GROUP, LTD. 401(K) PLAN

2011

371393701

2012-05-25

ROSE MEDICAL GROUP, LTD.

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	6182571490
Plan sponsor’s address	4600 MEMORIAL DR., BLDG 2, STE 480, BELLEVILLE, IL, 62226

Plan administrator’s name and address

Administrator’s EIN	371393701
Plan administrator’s name	ROSE MEDICAL GROUP, LTD.
Plan administrator’s address	4600 MEMORIAL DR., BLDG 2, STE 480, BELLEVILLE, IL, 62226
Administrator’s telephone number	6182571490

Signature of

Role	Plan administrator
Date	2012-05-25
Name of individual signing	EDWARD P. ROSE
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2012-05-25
Name of individual signing	EDWARD P. ROSE
Valid signature	Filed with authorized/valid electronic signature

ROSE MEDICAL GROUP LTD 401K PLAN

2010

371393701

2011-06-21

ROSE MEDICAL GROUP LTD

4

Three-digit plan number (PN)	001
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	6182571490
Plan sponsor’s address	4600 MEMORIAL DR., BLDG 2, STE 480, BELLEVILLE, IL, 62226

Plan administrator’s name and address

Administrator’s EIN	371393701
Plan administrator’s name	ROSE MEDICAL GROUP LTD
Plan administrator’s address	4600 MEMORIAL DR., BLDG 2, STE 480, BELLEVILLE, IL, 62226
Administrator’s telephone number	6182571490

Signature of

Role	Plan administrator
Date	2011-06-21
Name of individual signing	EDWARD P. ROSE
Valid signature	Filed with incorrect/unrecognized electronic signature

Role	Employer/plan sponsor
Date	2011-06-21
Name of individual signing	EDWARD P. ROSE
Valid signature	Filed with incorrect/unrecognized electronic signature

ROSE MEDICAL GROUP LTD 401K PLAN

2010

371393701

2011-06-23

ROSE MEDICAL GROUP LTD

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	6182571490
Plan sponsor’s address	4600 MEMORIAL DR., BLDG 2, STE 480, BELLEVILLE, IL, 62226

Plan administrator’s name and address

Administrator’s EIN	371393701
Plan administrator’s name	ROSE MEDICAL GROUP LTD
Plan administrator’s address	4600 MEMORIAL DR., BLDG 2, STE 480, BELLEVILLE, IL, 62226
Administrator’s telephone number	6182571490

Signature of

Role	Plan administrator
Date	2011-06-23
Name of individual signing	EDWARD P. ROSE
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2011-06-23
Name of individual signing	EDWARD P. ROSE
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
LP AGENTS, LLC, 120 S. RIVERSIDE PLAZA SUITE 1800, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO	Agent	2023-01-24

Manager

Name and Address	Role	Appointment Date
KAPLAN, RICHARD, 350 N. LASALLE ST., STE 800, CHICAGO, IL, 60654	Manager	2022-12-13

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State