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  5. MARY ANN RACKAUSKAS DMD MS, LLC

MARY ANN RACKAUSKAS DMD MS, LLC

Company Details

Entity Name: MARY ANN RACKAUSKAS DMD MS, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 13 Oct 2000
Company Number: LLC_00469653
File Number: 00469653
Type of Management: Manager Managed
Date Status Change: 13 Apr 2018
Address 1112 RICKARD ROAD, SPRINGFIELD, 62704, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARY ANN RACKAUSKAS, DMD, MS, LLC PROFIT SHARING PLAN 2017 371336108 2018-01-29 MARY ANN RACKAUSKAS, DMD, MS, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2175465437
Plan sponsor’s address 6421 RAINTREE PLACE, SPRINGFIELD, IL, 627129558
MARY ANN RACKAUSKAS, DMD, MS, LLC PROFIT SHARING PLAN 2016 371336108 2017-10-03 MARY ANN RACKAUSKAS, DMD, MS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2175465437
Plan sponsor’s address 6421 RAINTREE PLACE, SPRINGFIELD, IL, 627129558
MARY ANN RACKAUSKAS, DMD, MS, LLC PROFIT SHARING PLAN 2015 371336108 2016-07-19 MARY ANN RACKAUSKAS, DMD, MS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2175465437
Plan sponsor’s address 6421 RAINTREE PLACE, SPRINGFIELD, IL, 627129558
MARY ANN RACKAUSKAS, DMD, MS, LLC PROFIT SHARING PLAN 2014 371336108 2015-06-05 MARY ANN RACKAUSKAS, DMD, MS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2175465437
Plan sponsor’s address 6421 RAINTREE PLACE, SPRINGFIELD, IL, 627129558

Signature of
Role Plan administrator
Date 2015-06-05
Name of individual signing MARY ANN RACKAUSKAS
Valid signature Filed with authorized/valid electronic signature
MARY ANN RACKAUSKAS, DMD, MS, LLC PROFIT SHARING PLAN 2013 371336108 2014-07-02 MARY ANN RACKAUSKAS, DMD, MS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2175465437
Plan sponsor’s address 6421 RAINTREE PLACE, SPRINGFIELD, IL, 627129558

Signature of
Role Plan administrator
Date 2014-07-02
Name of individual signing MARY ANN RACKAUSKAS
Valid signature Filed with authorized/valid electronic signature
MARY ANN RACKAUSKAS, DMD, MS, LLC PROFIT SHARING PLAN 2012 371336108 2013-07-08 MARY ANN RACKAUSKAS, DMD, MS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2175465437
Plan sponsor’s address 6421 RAINTREE PLACE, SPRINGFIELD, IL, 627129558

Plan administrator’s name and address
Administrator’s EIN 371336108
Plan administrator’s name MARY ANN RACKAUSKAS, DMD, MS, LLC
Plan administrator’s address 6421 RAINTREE PLACE, SPRINGFIELD, IL, 627129558
Administrator’s telephone number 2175465437

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing MARY ANN RACKAUSKAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JANE NOLAN DENES, 3150 ROLAND AVE, SPRINGFIELD, 62703, SANGAMON Agent 2010-01-27

Manager

Name and Address Role Appointment Date
RACKAUSKAS, MARY ANN, 1112 RICKARD RD, SPRINGFIELD, IL, 62704 Manager 2000-10-13

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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