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  5. ROSELAND DENTAL CLINIC LLC

ROSELAND DENTAL CLINIC LLC

Company Details

Entity Name: ROSELAND DENTAL CLINIC LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 18 Mar 2008
Company Number: LLC_02479621
File Number: 02479621
Type of Management: Manager Managed
Date Status Change: 08 Sep 2017
Address 134 W. 111TH ST., CHICAGO, 60628, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROSELAND DENTAL CLINIC LLC 401K PLAN 2015 262203570 2016-08-31 ROSELAND DENTAL CLINIC LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7739953024
Plan sponsor’s address 134 W 111TH ST, CHICAGO, IL, 60628
ROSELAND DENTAL CLINIC LLC 401K PLAN 2013 262203570 2014-07-24 ROSELAND DENTAL CLINIC LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7739953024
Plan sponsor’s address 134 W 111TH ST, CHICAGO, IL, 60628

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature
ROSELAND DENTAL CLINIC LLC 401K PLAN 2013 262203570 2014-07-09 ROSELAND DENTAL CLINIC LLC 2
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7739953024
Plan sponsor’s address 134 W 111TH ST, CHICAGO, IL, 60628

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing DR AMIT SAPARIA
Valid signature Filed with authorized/valid electronic signature
ROSELAND DENTAL CLINIC LLC 401K PLAN 2012 262203570 2013-07-16 ROSELAND DENTAL CLINIC LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7739953024
Plan sponsor’s address 134 W 111TH ST, CHICAGO, IL, 60628

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing DR AMIT SAPARIA
Valid signature Filed with authorized/valid electronic signature
ROSELAND DENTAL CLINIC LLC 401K PLAN 2012 262203570 2013-07-09 ROSELAND DENTAL CLINIC LLC 2
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7739953024
Plan sponsor’s address 134 W 111TH ST, CHICAGO, IL, 60628

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing DR AMIT SAPARIA
Valid signature Filed with authorized/valid electronic signature
ROSELAND DENTAL CLINIC LLC 401K PLAN 2011 262203570 2012-09-28 ROSELAND DENTAL CLINIC LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7739953024
Plan sponsor’s address 134 W 111TH ST, CHICAGO, IL, 60628

Plan administrator’s name and address
Administrator’s EIN 262203570
Plan administrator’s name ROSELAND DENTAL CLINIC LLC
Plan administrator’s address 134 W 111TH ST, CHICAGO, IL, 60628
Administrator’s telephone number 7739953024

Signature of
Role Plan administrator
Date 2012-09-28
Name of individual signing DR AMIT SAPARIA
Valid signature Filed with authorized/valid electronic signature
ROSELAND DENTAL CLINIC LLC 401K PLAN 2011 262203570 2012-06-25 ROSELAND DENTAL CLINIC LLC 2
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7739953024
Plan sponsor’s address 134 W 111TH ST, CHICAGO, IL, 60628

Plan administrator’s name and address
Administrator’s EIN 262203570
Plan administrator’s name ROSELAND DENTAL CLINIC LLC
Plan administrator’s address 134 W 111TH ST, CHICAGO, IL, 60628
Administrator’s telephone number 7739953024

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing DR AMIT SAPARIA
Valid signature Filed with authorized/valid electronic signature
ROSELAND DENTAL CLINIC LLC 401K PLAN 2010 262203570 2011-09-28 ROSELAND DENTAL CLINIC LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7739953024
Plan sponsor’s address 134 W 111TH ST, CHICAGO, IL, 60628

Plan administrator’s name and address
Administrator’s EIN 262203570
Plan administrator’s name ROSELAND DENTAL CLINIC LLC
Plan administrator’s address 134 W 111TH ST, CHICAGO, IL, 60628
Administrator’s telephone number 7739953024

Signature of
Role Plan administrator
Date 2011-09-28
Name of individual signing DR AMIT SAPARIA
Valid signature Filed with authorized/valid electronic signature
ROSELAND DENTAL CLINIC LLC 401K PLAN 2010 262203570 2011-09-23 ROSELAND DENTAL CLINIC LLC 2
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7739953024
Plan sponsor’s address 134 W 111TH ST, CHICAGO, IL, 60628

Plan administrator’s name and address
Administrator’s EIN 262203570
Plan administrator’s name ROSELAND DENTAL CLINIC LLC
Plan administrator’s address 134 W 111TH ST, CHICAGO, IL, 60628
Administrator’s telephone number 7739953024

Signature of
Role Plan administrator
Date 2011-09-23
Name of individual signing DR AMIT SAPARIA
Valid signature Filed with authorized/valid electronic signature
ROSELAND DENTAL CLINIC LLC 401K PLAN 2009 262203570 2010-10-12 ROSELAND DENTAL CLINIC LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7739953024
Plan sponsor’s address 134 W 111TH ST, CHICAGO, IL, 60628

Plan administrator’s name and address
Administrator’s EIN 262203570
Plan administrator’s name ROSELAND DENTAL CLINIC LLC
Plan administrator’s address 134 W 111TH ST, CHICAGO, IL, 60628
Administrator’s telephone number 7739953024

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GINTARAS P. CEPENAS, 6436 S. PULASKI RD., CHICAGO, 60629, COOK-NOT IN CITY OF CHICAGO Agent 2008-03-18

Manager

Name and Address Role Appointment Date
AHMED, JUNAID D.D.S., 6449 S. PULASKI RD., CHICAGO, IL, 60629 Manager 2015-05-06

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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