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CAPODICE, EFAW, OCHELTREE & ELGER, PLLC

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Company Details

Entity Name: CAPODICE, EFAW, OCHELTREE & ELGER, PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 01 Dec 1994
Company Number: LLC_00016896
File Number: 00016896
Type of Management: Member Managed
Date Status Change: 19 Nov 2024
Expiration Date: 01 Jan 2044
Address 109 N REGENCY DR, BLOOMINGTON, 61701, IL
Place of Formation: ILLINOIS

Agent

Name and Address Role Appointment Date
A CLAY COX, 202 NORTH CENTER STREET, BLOOMINGTON, 61701, MC LEAN Agent 2014-03-11

Manager

Name and Address Role Appointment Date
CAPODICE, DR. JACK, JR., 8 SUNSET RD., BLOOMINGTON, IL, 61701 Manager 2024-11-19
OCHELTREE, THOMAS C MD, 4 KILBORN CT, BLOOMINGTON, IL, 61704 Manager 2024-11-19
ELGER, ANTHONY, 109 N. REGENCY DR, BLOOMINGTON, IL, 61701 Manager 2024-11-19
DAVID EFAW, 19712 US 150 HWY, BLOOMINGTON, IL, 61704 Manager 2024-11-19

National Provider Identifier

NPI Number:
1710985759
Certification Date:
2023-12-20

Authorized Person:

Name:
MRS. KYNDRA BATA
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
204E00000X - Oral & Maxillofacial Surgery (D.M.D.)
Is Primary:
No
Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
3096634788

Form 5500 Series

Employer Identification Number (EIN):
371334538
Plan Year:
2023
Number Of Participants:
42
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
42
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
19
Sponsors Telephone Number:

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000982 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2014-04-09 2021-10-29 2025-01-01

Historical Names

Name Change Date
DRS. DORAN, CAPODICE, EFAW & OCHELTREE, PLLC 2022-01-06
DRS. DORAN, CAPODICE, EFAW & OCHELTREE, L.L.C. 2019-08-23
DRS. DORAN, CAPODICE, EFAW AND OCHELTREE, L.L.C. 2009-05-14
DRS. DORAN, CAPODICE & EFAW, L.L.C. 2009-03-27
DRS. DORAN & CAPODICE, L.L.C. 2001-01-16

USAspending Awards / Financial Assistance

Date:
2021-02-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
470259.47
Total Face Value Of Loan:
470259.47
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
473800.00
Total Face Value Of Loan:
473800.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
473800
Current Approval Amount:
473800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
480314.75
Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
470259.47
Current Approval Amount:
470259.47
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
473303.09

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Date of last update: 10 Jul 2025

Sources: Illinois Office of the Secretary of State