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  5. AC DENTISTRY LLC

AC DENTISTRY LLC

Company Details

Entity Name: AC DENTISTRY LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 03 Feb 2005
Company Number: LLC_01414283
File Number: 01414283
Type of Management: Member Managed
Date Status Change: 06 Jan 2012
Address 1048 W FULTON MARKET #2, CHICAGO, 60607, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AC DENTISTRY, LLC 401K PLAN 2012 202292101 2013-04-16 AC DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 423
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3122179630
Plan sponsor’s address 1209 WEST DIVERSEY PKWY, CICAGO, IL, 60614

Signature of
Role Plan administrator
Date 2013-04-16
Name of individual signing ADRIAN M CODEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-16
Name of individual signing ADRIAN M CODEL
Valid signature Filed with authorized/valid electronic signature
AC DENTISTRY, LLC 401K PLAN 2011 202292101 2012-04-03 AC DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 423
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7733278550
Plan sponsor’s address 1209 WEST DIVERSEY PKWY, CICAGO, IL, 60614

Plan administrator’s name and address
Administrator’s EIN 202292101
Plan administrator’s name AC DENTISTRY, LLC
Plan administrator’s address 1209 WEST DIVERSEY PKWY, CICAGO, IL, 60614
Administrator’s telephone number 7733278550

Signature of
Role Plan administrator
Date 2012-04-03
Name of individual signing ADRIAN M CODEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-03
Name of individual signing ADRIAN M. CODEL
Valid signature Filed with authorized/valid electronic signature
AC DENTISTRY, LLC 401K PLAN 2010 202292101 2011-07-20 AC DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 423
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7733278550
Plan sponsor’s address 1209 WEST DIVERSEY PKWY, CICAGO, IL, 60614

Plan administrator’s name and address
Administrator’s EIN 202292101
Plan administrator’s name AC DENTISTRY, LLC
Plan administrator’s address 1209 WEST DIVERSEY PKWY, CICAGO, IL, 60614
Administrator’s telephone number 7733278550

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing ADRIAN M CODEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-20
Name of individual signing ADRIAN M CODEL
Valid signature Filed with authorized/valid electronic signature
AC DENTISTRY, LLC 401K PLAN 2009 202292101 2010-07-20 AC DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 423
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7733278550
Plan sponsor’s address 1209 WEST DIVERSEY PKWY, CICAGO, IL, 60614

Plan administrator’s name and address
Administrator’s EIN 202292101
Plan administrator’s name AC DENTISTRY, LLC
Plan administrator’s address 1209 WEST DIVERSEY PKWY, CICAGO, IL, 60614
Administrator’s telephone number 7733278550

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing ADRIAN CODEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-20
Name of individual signing ADRIAN M CODEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRADLEY K. STAUBUS, 7055 VETERANS BLVD, UNIT B, BURR RIDGE, 60527, DU PAGE Agent 2009-02-03

Member

Name and Address Role Appointment Date
CODEL, ADRIAN, 1048 W FULTON MARKET #2, CHICAGO, IL, 60607 Member 2005-02-03

Related by officers

BRADLEY K. STAUBUS, 7055 VETERANS BLVD, UNIT B, BURR RIDGE, 60527, DU PAGE

JALECK DEVELOPMENT, LLC

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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