Professional Documents
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Jaleica Coding and Billing LLC.: 437 Melissa Circle Romeoville IL.60446
Jaleica Coding and Billing LLC.: 437 Melissa Circle Romeoville IL.60446
This is to certify that the undersigned Francisco G. Banez Jr. is the owner President of
Jaleica Billing and Coding LLC located at Romeoville IL, USA 60446, and as such I' am also a direct
Attached are copies of articles of Incorporation filed at the Office of the Secretary of State, and my
BANEZ<JR«FRANCI~CO<GUMIRAN«< :;
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UNITED S'IA.TES OF AMERICA ~entofp'omebnd ~
I
PERMANENT RESIDENT CARD
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1llllJlllllllllfllllilmmm ~1o-21-(B
~1l%1 IRS' DEPARTMENT OF THE TREASURY
~~~ INTERNAL REVENUE SERVICE
CINCINNATI OH 45999-0023
Form: SS-4
Thank you for applying for an Employer Identification Number (EIN). We assigned you
EIN 27-3939215. This EIN will identify you, your business accounts, tax returns, and
documents, even if you have no employees. Please keep this notice in your permanent
records.
When filing tax documents, payments, and related correspondence, it is very important
that you use your EIN and complete name and address exactly as shown above. Any variation
may cause a delay in processing, result in incorrect information in your account, or even
cause you to be assigned more than one EIN. If the information is not correct as shown
above, please make the correction using the attached tear off stub and return it to us.
Based on the information received from you or your representative, you must file
the following form{s) by the date{s) shown.
If you have questions about the form{s) or the due date{s) shown, you can call us at
the phone number or write to us at the address shown at the top of this notice. If you
need help in determining your annual accounting period (tax year), see Publication 538,
Accounting Periods and Methods.
We assigned you a tax classification based on information obtained from you or your
representative. It is not a legal determination of your tax classification, and is not
binding on the IRS. If you want a legal determination of your tax classification, you may
request a private letter ruling from the IRS under the guidelines in Revenue Procedure
2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note:
Certain tax classification elections can be requested by filing Form 8832, Entity
Classification Election. See Form 8832 and its instructions for additional information.
A limited liability company (LLC) may file Form 8832, Entity Classification
Election, and elect to be classified as an association taxable as a corporation. If
the LLC is eligible to be treated as a corporation that meets certain tests and it
will be electing S corporation status, it must timely file Form 2553, Election by a
Small Business Corporation. The LLC will be treated as a corporation as of the
effective date of the S corporation election and does not need to file Form 8832.
To obtain tax forms and publications, including those referenced in this notice,
visit our Web site at www.irs.gov. If you do not have access to the Internet, call
1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office.
- (IRS USE ONLY) 575B 11-12-2010 JALE B 9999999999 SS-4
IMPORTANT REMINDERS:
* Keep a copy of this notice in your permanent records. This notice is issued only
one time and the IRS will not be able to generate a duplicate copy for you.
* Use this EIN and your name exactly as they appear at the top of this notice on all
your federal tax forms.
If you have questions about your EIN, you can call us at the phone number or write to
us at the address shown at the top of this notice. If you write, please tear off the stub
at the bottom of this notice and send it along with your letter. If you do not need to
write us, do not complete and return the stub. Thank you for your cooperation.
Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 11-12-2010
( ) EMPLOYER IDENTIFICATION NUMBER: 27-3939215
FORM: SS-4 NOBOD
MARIA G DIOKNO
15507 S RTE 59
PLAINFIELD, IL 60544-0000
IT HAS BEEN OUR PLEASURE TO APPROVE AND PLACE ON RECORD THE ARTICLES OF
ORGANIZATION THAT CREATED YOUR LIMITED LIABILITY COMPANY. WE EXTEND OUR
BEST WISHES FOR SUCCESS IN YOUR NEW VENTURE.
PLEASE NOTE! THE LIMITED LIABILITY COMPANY MUST FILE AN ANNUAL REPORT
PRIOR TO THE FIRST DAY OF THIS ANNIVERSARY MONTH NEXT YEAR. FAILURE TO
TIMELY FILE WILL RESULT IN A $300 PENALTY AND/OR DISSOLUTION/REVOCATION.
A PRE-PRINTED ANNUAL REPORT WILL BE MAILED TO THE REGISTERED AGENT AT
THE ADDRESS ON OUR RECORDS APPROXIMATELY 45 DAYS BEFORE THE DUE DATE.
SINCERELY YOURS,
JESSE WHITE
SECRETARY OF STATE
DEPARTMENT OF BUSINESS SERVICES
LIMITED LIABILITY DIVISION
(217) 524-8008
Illinois
Form LLC-S.5 Limited Liability Company Act FILE #
0332191-6
October 2009
Secretary of State Articles of Organization This space for use by Secretary of State.
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 351
.ii!:@i'!~ltlllij!@4iW
Type or print clearly.
FILED
Springfield, IL 62756
217 -524-8008
www.cyberdriveillinois.com Thi~ s~ce for use by Secretary of State. SEP 3 02010
Payment must be made by certified
Date: 0;!3t'/1() JESSE WHITE
check, cashier's check, Illinois attorney's Filing Fee: $500 ,"'-1 SECRETARY OF STATE
check, C.P.A.'s check or money order
payable to Secretary of State.
Approved: (rf
i. Limited Liability Company Name: IA! EICA BII I ING AND CODING I I C
The U.C name must contain the words Limited Liability Company, L.L.C. or LLC and cannot contain the
terms Corporation, Corp., Incorporated, Inc., Ltd., Co., Limited Partnership or L.P.
2. Address of Principal. Place of Business where records of the company will be kept: (P.O. Box alone or c/o is unacceptable.)
PI AINFIEI 0 IL 60544
City ZIP Code
o Printed on recycled papsr. Printed by authority of the State of Illinois. June 2010 - 2M - LlC 4.-14
LLC-5.5
7. (Optional) Other provisions for the regulation of the internal affairs of the Company: (If more space is needed, attach additional
sheets of this size.)
b. 0 has management vested in the member(s) (List names and business addresses.)
Dated
G.?[JID
Year
ROMEOVlIl F
CityITown
illiNOIS 60446
Name if a Corporation or other Entity, and Title of Signer State ZIP Code
"IINOIS 60446
Name if a Corporation or other Entity, and Title of Signer State ZIP Code
Signatures must be in black ink on an original document. Carbon copy, photocopy or rubber stamp signatures may only be
used on conformed copies.
i~ Printed on recycled paper. Printed by authority of the Slate of Illinois. June 2010 - 2M - LLC 4.14