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  5. LEE & VERCELLOTTI D.D.S., LLC

LEE & VERCELLOTTI D.D.S., LLC

Company Details

Entity Name: LEE & VERCELLOTTI D.D.S., LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 22 Jan 2001
Company Number: LLC_00508241
File Number: 00508241
Type of Management: Member Managed
Date Status Change: 09 Dec 2022
Address 219 NORTH HAMMES AVENUE, JOLIET, 60435, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LEE & VERCELLOTTI D.D.S, LLC PROFIT SHARING PLAN 2017 364410885 2018-06-26 LEE & VERCELLOTTI D.D.S., LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8157257900
Plan sponsor’s address 219 N HAMMES AVE, JOLIET, IL, 604358114

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-26
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
LEE & VERCELLOTTI D.D.S., LLC PROFIT SHARING PLAN 2016 364410885 2017-07-06 LEE & VERCELLOTTI D.D.S., LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8157257900
Plan sponsor’s address 219 N HAMMES AVE, JOLIET, IL, 604358114

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-06
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
LEE & VERCELLOTTI D.D.S. PROFIT SHARING PLAN 2015 364410885 2016-07-11 LEE & VERCELLOTTI D.D.S., LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8157257900
Plan sponsor’s address 219 N HAMMES AVE, JOLIET, IL, 604358114

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-11
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
LEE & VERCELLOTTI D.D.S. PROFIT SHARING PLAN 2014 364410885 2015-07-23 LEE & VERCELLOTTI D.D.S., LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8157257900
Plan sponsor’s address 219 N. HAMMES AVE., JOLIET, IL, 60435

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
LEE & VERCELLOTTI D.D.S. PROFIT SHARING PLAN 2013 364410885 2014-06-30 LEE & VERCELLOTTI D.D.S, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8157257900
Plan sponsor’s address 219 N. HAMMES AVE., JOLIET, IL, 60435

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
LEE & VERCELLOTTI D.D.S., PROFIT SHARING PLAN 2012 364410885 2013-07-15 LEE & VERCELLOTTI D.D.S., LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8157257900
Plan sponsor’s address 219 N. HAMMES AVE., JOLIET, IL, 60435

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
LEE & VERCELLOTTI D.D.S., PROFIT SHARING PLAN 2011 364410885 2012-07-23 LEE & VERCELLOTTI D.D.S., LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8157257900
Plan sponsor’s address 219 N. HAMMES AVE., JOLIET, IL, 60435

Plan administrator’s name and address
Administrator’s EIN 364410885
Plan administrator’s name LEE & VERCELLOTTI D.D.S., LLC
Plan administrator’s address 219 N. HAMMES AVE., JOLIET, IL, 60435
Administrator’s telephone number 8157257900

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
LEE & VERCELLOTTI D.D.S., PROFIT SHARING PLAN 2010 364410885 2011-07-27 LEE & VERCELLOTTI, D.D.S., LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8157257900
Plan sponsor’s address 219 N. HAMMES AVE., JOLIET, IL, 60435

Plan administrator’s name and address
Administrator’s EIN 364410885
Plan administrator’s name LEE & VERCELLOTTI, D.D.S., LLC
Plan administrator’s address 219 N. HAMMES AVE., JOLIET, IL, 60435
Administrator’s telephone number 8157257900

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature
LEE & VERCELLOTTI, D.D.S., LLC PROFIT SHARING PLAN 2009 364410885 2010-10-14 LEE & VERCELLOTTI, D.D.S., LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8157257900
Plan sponsor’s address 219 N. HAMMES AVE., JOLIET, IL, 60435

Plan administrator’s name and address
Administrator’s EIN 364410885
Plan administrator’s name LEE & VERCELLOTTI, D.D.S., LLC
Plan administrator’s address 219 N. HAMMES AVE., JOLIET, IL, 60435
Administrator’s telephone number 8157257900

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing MARY LOU LARSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL ANTHONY LEE, 219 N HAMMES AVE SUITE 3, JOLIET, 60435, WILL Agent 2016-01-07

Member

Name and Address Role Appointment Date
LEE, MICHAEL A DDS, 3500 GREEN MEADOW LANE, JOLIET, IL, 60431 Member 2001-01-22
VERCELLOTTI, PAUL DDS, 1110 COLLINGWOOD COURT, SHOREWOOD, IL, 60431 Member 2001-01-22

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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