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JJJ DENTAL, LTD.

Company Details

Entity Name: JJJ DENTAL, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 Jul 1992
Company Number: CORP_56934626
File Number: 56934626
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS 401(K) PS 2011 363835597 2012-03-28 PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8153982323
Plan sponsor’s address 4903 E. STATE STREET, ROCKFORD, IL, 61108

Plan administrator’s name and address

Administrator’s EIN 363835597
Plan administrator’s name PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD
Plan administrator’s address 4903 E. STATE STREET, ROCKFORD, IL, 61108
Administrator’s telephone number 8153982323

Signature of

Role Plan administrator
Date 2012-03-28
Name of individual signing JEFFREY JOHNSON
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS 401(K) PS 2010 363835597 2011-03-15 PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8153982323
Plan sponsor’s address 4903 E. STATE STREET, ROCKFORD, IL, 61108

Plan administrator’s name and address

Administrator’s EIN 363835597
Plan administrator’s name PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD
Plan administrator’s address 4903 E. STATE STREET, ROCKFORD, IL, 61108
Administrator’s telephone number 8153982323

Signature of

Role Plan administrator
Date 2011-03-15
Name of individual signing JEFFREY JOHNSON
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS 401(K) PS 2010 363835597 2011-03-14 PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD 11
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8153982323
Plan sponsor’s address 4903 E. STATE STREET, ROCKFORD, IL, 61108

Plan administrator’s name and address

Administrator’s EIN 363835597
Plan administrator’s name PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD
Plan administrator’s address 4903 E. STATE STREET, ROCKFORD, IL, 61108
Administrator’s telephone number 8153982323

Signature of

Role Plan administrator
Date 2011-03-14
Name of individual signing JEFFREY JOHNSON
Valid signature Filed with incorrect/unrecognized electronic signature
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS 401(K) PS 2009 363835597 2010-05-25 PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8153982323
Plan sponsor’s address 4903 E. STATE STREET, ROCKFORD, IL, 61108

Plan administrator’s name and address

Administrator’s EIN 363835597
Plan administrator’s name PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD
Plan administrator’s address 4903 E. STATE STREET, ROCKFORD, IL, 61108
Administrator’s telephone number 8153982323

Signature of

Role Plan administrator
Date 2010-05-25
Name of individual signing JEFFREY JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFFREY J JOHNSON, 317 BROCKET TRL, BELVIDERE, 61008, BOONE Agent 2024-05-09

President

Name and Address Role
JEFFREY J JOHNSON 317 BROCKET TRL BELVIDERE IL 61008 President

Secretary

Name and Address Role
KAREN JOHNSON Secretary

Historical Names

Name Change Date
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD. 2023-08-14

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State