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JILL S. YOUNG, DMD, LLC

JILL S. YOUNG, DMD, LLC

Company Details

Entity Name:	JILL S. YOUNG, DMD, LLC
Jurisdiction:	Illinois
Entity Type:	Limited Liability Company
Status:	Goodstanding
Date Formed:	16 Oct 2008
Company Number:	LLC_02625237
File Number:	02625237
Type of Management:	Member Managed
Date Status Change:	29 Oct 2024
Address	107 MALL DRIVE, STE C, NORMAL, 61761, IL
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

JILL S YOUNG DMD 401(K) PLAN

2023

263584228

2024-05-17

JILL S YOUNG DMD LLC

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621111
Sponsor’s telephone number	3092871234
Plan sponsor’s address	9 TAMI CT, BLOOMINGTON, IL, 61701

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2024-05-17
Name of individual signing	QIAN LIU
Valid signature	Filed with authorized/valid electronic signature

JILL S YOUNG DMD 401(K) PLAN

2022

263584228

2023-05-27

JILL S YOUNG DMD LLC

14

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621111
Sponsor’s telephone number	3092871234
Plan sponsor’s address	9 TAMI CT, BLOOMINGTON, IL, 61701

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2023-05-27
Name of individual signing	CHRISTINE RIMER
Valid signature	Filed with authorized/valid electronic signature

JILL S YOUNG DMD 401(K) PLAN

2021

263584228

2022-06-01

JILL S YOUNG DMD LLC

0

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621111
Sponsor’s telephone number	3092871234
Plan sponsor’s address	9 TAMI CT, BLOOMINGTON, IL, 61701

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2022-06-01
Name of individual signing	CHRISTINE RIMER
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
JILL S YOUNG, 9 TAMI CT, BLOOMINGTON, 61701	Agent	2022-10-26

Manager

Name and Address	Role	Appointment Date
YOUNG, JILL S DMD, 9 TAMI CT, BLOOMINGTON, IL, 61701	Manager	2024-10-29

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State