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  5. THOMAS J. SKLEBA, DDS, PLLC

THOMAS J. SKLEBA, DDS, PLLC

Company Details

Entity Name: THOMAS J. SKLEBA, DDS, PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 03 Jan 2000
Company Number: LLC_00361461
File Number: 00361461
Type of Management: Manager Managed
Date Status Change: 03 Jan 2023
Expiration Date: 31 Dec 2050
Address 412 CRYSTAL STREET, CARY, 60013, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARY DENTAL ASSOCIATES PROFIT SHARING PLAN AND TRUST 2021 364337850 2022-06-25 CARY DENTAL ASSOCIATES, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 8475161100
Plan sponsor’s address 412 CRYSTAL STREET, CARY, IL, 60013

Signature of
Role Plan administrator
Date 2022-06-25
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
CARY DENTAL ASSOCIATES PROFIT SHARING PLAN AND TRUST 2021 364337850 2022-06-28 CARY DENTAL ASSOCIATES, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 8475161100
Plan sponsor’s address 412 CRYSTAL STREET, CARY, IL, 60013

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
CARY DENTAL ASSOCIATES PROFIT SHARING PLAN AND TRUST 2020 364337850 2021-07-19 CARY DENTAL ASSOCIATES, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 8475161100
Plan sponsor’s address 412 CRYSTAL STREET, CARY, IL, 60013

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
CARY DENTAL ASSOCIATES PROFIT SHARING PLAN AND TRUST 2019 364337850 2020-09-09 CARY DENTAL ASSOCIATES, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 8475161100
Plan sponsor’s address 412 CRYSTAL STREET, CARY, IL, 60013

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
CARY DENTAL ASSOCIATES PROFIT SHARING PLAN AND TRUST 2018 364337850 2019-10-03 CARY DENTAL ASSOCIATES, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 8475161100
Plan sponsor’s address 412 CRYSTAL STREET, CARY, IL, 60013

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
CARY DENTAL ASSOCIATES PROFIT SHARING PLAN AND TRUST 2017 364337850 2018-07-24 CARY DENTAL ASSOCIATES, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 8475161100
Plan sponsor’s address 412 CRYSTAL STREET, CARY, IL, 60013

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
CARY DENTAL ASSOCIATES PROFIT SHARING PLAN AND TRUST 2016 364337850 2017-05-15 CARY DENTAL ASSOCIATES, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 8475161100
Plan sponsor’s address 412 CRYSTAL STREET, CARY, IL, 60013

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
CARY DENTAL ASSOCIATES PROFIT SHARING PLAN AND TRUST 2015 364337850 2016-05-19 CARY DENTAL ASSOCIATES, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 8475161100
Plan sponsor’s address 412 CRYSTAL STREET, CARY, IL, 60013

Signature of
Role Plan administrator
Date 2016-05-19
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
CARY DENTAL ASSOCIATES PROFIT SHARING PLAN AND TRUST 2014 364337850 2015-04-16 CARY DENTAL ASSOCIATES, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 8475161100
Plan sponsor’s address 412 CRYSTAL STREET, CARY, IL, 60013

Signature of
Role Plan administrator
Date 2015-04-16
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-16
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
CARY DENTAL ASSOCIATES PROFIT SHARING PLAN AND TRUST 2013 364337850 2014-04-11 CARY DENTAL ASSOCIATES, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 8475161100
Plan sponsor’s address 412 CRYSTAL STREET, CARY, IL, 60013

Signature of
Role Plan administrator
Date 2014-04-11
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-11
Name of individual signing THOMAS SKLEBA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CARL E. METZ II, 101 NORTH VIRGINIA STREET SUITE 150, CRYSTAL LAKE, 60014, MC HENRY Agent 2022-07-29

Manager

Name and Address Role Appointment Date
SKLEBA, THOMAS J DDS, 412 CRYSTAL ST., CARY, IL, 60013 Manager 2000-01-03

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CARY DENTAL ASSOCIATES Assumed name 2000-01-03 2010-03-12 Involuntary cancellation 2004-12-21

Historical Names

Name Change Date
CARY DENTAL ASSOCIATES, PLLC 2022-01-14
CARY DENTAL ASSOCIATES, LLC 2021-12-14

Related by officers

CARL E. METZ II, 101 NORTH VIRGINIA STREET SUITE 150, CRYSTAL LAKE, 60014, MC HENRY

BOSS OFFICE PRODUCTS, INC.

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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