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  5. SCOTT MILLER, DDS, LLC

SCOTT MILLER, DDS, LLC

Company Details

Entity Name: SCOTT MILLER, DDS, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 01 Jan 2009
Company Number: LLC_02732866
File Number: 02732866
Type of Management: Member Managed
Date Status Change: 14 Jul 2023
Expiration Date: 31 Dec 2099
Address 5550 W TOUHY AVE STE 304, SKOKIE, 60077, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTT MILLER, DDS PROFIT SHARING PLAN & TRUST 2009 364057209 2010-04-23 SCOTT MILLER, DDS 2
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 7735888550
Plan sponsor’s address 3414 W PETERSON AVE, SUITE C, CHICAGO, IL, 60659

Plan administrator’s name and address
Administrator’s EIN 364057209
Plan administrator’s name SCOTT MILLER, DDS
Plan administrator’s address 3414 W PETERSON AVE, SUITE C, CHICAGO, IL, 60659
Administrator’s telephone number 7735888550

Signature of
Role Employer/plan sponsor
Date 2010-04-22
Name of individual signing SCOTT MILLER
Valid signature Filed with authorized/valid electronic signature
SCOTT MILLER, DDS PROFIT SHARING PLAN & TRUST 2009 364057209 2010-04-23 SCOTT MILLER, DDS 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 7735888550
Plan sponsor’s address 3414 W PETERSON AVE, SUITE C, CHICAGO, IL, 60659

Plan administrator’s name and address
Administrator’s EIN 364057209
Plan administrator’s name SCOTT MILLER, DDS
Plan administrator’s address 3414 W PETERSON AVE, SUITE C, CHICAGO, IL, 60659
Administrator’s telephone number 7735888550

Signature of
Role Plan administrator
Date 2010-04-23
Name of individual signing SCOTT MILLER
Valid signature Filed with authorized/valid electronic signature
SCOTT MILLER, DDS PROFIT SHARING PLAN & TRUST 2009 364057209 2010-04-23 SCOTT MILLER, DDS 2
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 7735888550
Plan sponsor’s address 3414 W PETERSON AVE, SUITE C, CHICAGO, IL, 60659

Plan administrator’s name and address
Administrator’s EIN 364057209
Plan administrator’s name SCOTT MILLER, DDS
Plan administrator’s address 3414 W PETERSON AVE, SUITE C, CHICAGO, IL, 60659
Administrator’s telephone number 7735888550

Signature of
Role Employer/plan sponsor
Date 2010-04-23
Name of individual signing SCOTT MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SCOTT MILLER, 1773 CLIFTON AVE, HIGHLAND PARK, 60035 Agent 2012-12-27

Member

Name and Address Role Appointment Date
MILLER, SCOTT, 1773 CLIFTON AVE, HIGHLAND PARK, IL, 60035 Member 2009-01-01

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000012 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2011-03-07 2021-10-29 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
LINCOLNWOOD DENTAL ASSOCIATES Assumed name 2013-01-31 2015-03-13 Involuntary cancellation No data
SCOTT MILLER, DDS, MPH, FAGD Assumed name 2009-01-15 2023-07-14 Involuntary cancellation 2019-12-11
SCOTT MILLER, DDS, MPH Assumed name 2009-01-15 2023-07-14 Involuntary cancellation 2019-12-11
SCOTT MILLER, DDS Assumed name 2009-01-15 2023-07-14 Involuntary cancellation 2019-12-11

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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