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  5. HOUSKA DENTAL CENTER, LLC

HOUSKA DENTAL CENTER, LLC

Company Details

Entity Name: HOUSKA DENTAL CENTER, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 28 Jun 2004
Company Number: LLC_01223518
File Number: 01223518
Type of Management: Member Managed
Date Status Change: 28 May 2024
Address 25454 HIAWATHA LN, HUDSON, 61748, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOUSKA DENTAL CENTER, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2023 371249111 2024-07-09 HOUSKA DENTAL CENTER, LLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3092875898
Plan sponsor’s address 25454 HIAWATHA LANE, HUDSON, IL, 61748

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing HOLLY J. HOUSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-09
Name of individual signing HOLLY J. HOUSKA
Valid signature Filed with authorized/valid electronic signature
HOUSKA DENTAL CENTER, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2022 371249111 2023-07-19 HOUSKA DENTAL CENTER, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3096629042
Plan sponsor’s address 2433 MALONEY DRIVE, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing HOLLY J. HOUSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-19
Name of individual signing HOLLY J. HOUSKA
Valid signature Filed with authorized/valid electronic signature
HOUSKA DENTAL CENTER, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2021 371249111 2022-06-29 HOUSKA DENTAL CENTER, LLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3096629042
Plan sponsor’s address 2433 MALONEY DRIVE, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2022-06-29
Name of individual signing HOLLY J. HOUSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-29
Name of individual signing HOLLY J. HOUSKA
Valid signature Filed with authorized/valid electronic signature
HOUSKA DENTAL CENTER, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2020 371249111 2021-06-07 HOUSKA DENTAL CENTER, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3096629042
Plan sponsor’s address 2433 MALONEY DRIVE, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2021-06-07
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-07
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
HOUSKA DENTAL CENTER, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2019 371249111 2020-05-04 HOUSKA DENTAL CENTER, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3096629042
Plan sponsor’s address 2433 MALONEY DRIVE, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2020-05-04
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-04
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
HOUSKA DENTAL CENTER, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2018 371249111 2019-06-03 HOUSKA DENTAL CENTER, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3096629042
Plan sponsor’s address 2433 MALONEY DRIVE, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2019-06-03
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-03
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
HOUSKA DENTAL CENTER, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2017 371249111 2018-06-07 HOUSKA DENTAL CENTER, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3096629042
Plan sponsor’s address 2433 MALONEY DRIVE, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2018-06-07
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-07
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
HOUSKA DENTAL CENTER, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2016 371249111 2017-06-21 HOUSKA DENTAL CENTER, LLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3096629042
Plan sponsor’s address 2433 MALONEY DRIVE, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-21
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
HOUSKA DENTAL CENTER, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2015 371249111 2016-06-06 HOUSKA DENTAL CENTER, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3096629042
Plan sponsor’s address 2433 MALONEY DRIVE, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-06
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
HOUSKA FAMILY DENTAL CENTER, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2014 371249111 2015-05-22 HOUSKA DENTAL CENTER, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3096629042
Plan sponsor’s address 2433 MALONEY DRIVE, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2015-05-22
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-22
Name of individual signing HOLLY HOUSKA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
NICHOLAS R. HOUSKA, 207 W JEFFERSON ST STE 400, BLOOMINGTON, 61701, MC LEAN Agent 2024-06-05

Manager

Name and Address Role Appointment Date
HOUSKA, MARK DDS, 25454 HIAWATHA LANE, HUDSON, IL, 61748 Manager 2023-05-17
HOUSKA, HOLLY DDS, 25454 HIAWATHA LANE, HUDSON, IL, 61748 Manager 2023-05-17

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000138 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2011-05-26 2021-10-29 2025-01-01

Historical Names

Name Change Date
HOUSKA FAMILY DENTAL CENTER, LLC 2011-11-29

Related by officers

NICHOLAS R. HOUSKA, 207 W JEFFERSON ST STE 400, BLOOMINGTON, 61701, MC LEAN

HOLT SUPPLY COMPANY NML, L.L.C. HUMANE SOCIETY OF CENTRAL ILLINOIS STAGECOACH TRUCKING, LLC

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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