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  5. DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC

DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC

Company Details

Entity Name: DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 28 Nov 2007
Company Number: LLC_02399733
File Number: 02399733
Type of Management: Member Managed
Date Status Change: 07 Oct 2024
Address 405 S MAIN ST, NAPERVILLE, 60540, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT SAVINGS PLAN 2020 261484979 2021-10-13 DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 6303577273
Plan sponsor’s address 405 S MAIN STREET, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing JEROME A. BERGAMINI, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT SAVINGS PLAN 2019 261484979 2020-10-13 DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY,LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 6303577273
Plan sponsor’s address 405 S MAIN STREET, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing JEROME A. BERGAMINI, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT SAVINGS PLAN 2018 261484979 2019-10-08 DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY,LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 6303577273
Plan sponsor’s address 405 S MAIN STREET, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing JEROME A. BERGAMINI, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT SAVINGS PLAN 2017 261484979 2018-09-28 DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 6303577273
Plan sponsor’s address 405 S MAIN STREET, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2018-09-28
Name of individual signing JEROME A. BERGAMINI, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT SAVINGS PLAN 2016 261484979 2017-07-10 DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 6303577273
Plan sponsor’s address 405 S MAIN STREET, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing JEROME A. BERGAMINI, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT SAVINGS PLAN 2015 261484979 2016-07-15 DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 6303577273
Plan sponsor’s address 405 S MAIN STREET, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing JEROME A. BERGAMINI, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT SAVINGS PLAN 2014 261484979 2015-08-05 DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 6303577273
Plan sponsor’s address 405 S MAIN STREET, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2015-08-05
Name of individual signing JEROME A. BERGAMINI, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT SAVINGS PLAN 2013 261484979 2014-05-22 DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 6303577273
Plan sponsor’s address 405 S MAIN STREET, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2014-05-22
Name of individual signing JEROME A. BERGAMINI, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DR. JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT SAVINGS PLAN 2012 261484979 2013-10-15 DR JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 6303577273
Plan sponsor’s address 405 S MAIN STREET, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing JEROME A. BERGAMINI, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC RETIREMENT SAVINGS PLAN 2011 261484979 2012-10-09 DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 6303577273
Plan sponsor’s address 405 S. MAIN ST., NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 261484979
Plan administrator’s name DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC
Plan administrator’s address 405 S. MAIN ST., NAPERVILLE, IL, 60540
Administrator’s telephone number 6303577273

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing JEROME A. BERGAMINI, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DR. JEROME A BERGAMINI, 405 S MAIN ST, NAPERVILLE, 60540, DU PAGE Agent 2007-11-28

Member

Name and Address Role Appointment Date
BERGAMINI, DR JEROME A, 405 S MAIN ST, NAPERVILLE, IL, 60540 Member 2007-11-28

Historical Names

Name Change Date
JEROME A. BERGAMINI ORAL & MAXILLOFACIAL SURGERY, LLC 2007-12-13

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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