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  5. MILLER DENTISTRY, LLC

MILLER DENTISTRY, LLC

Company Details

Entity Name: MILLER DENTISTRY, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 04 Feb 2009
Company Number: LLC_03079236
File Number: 03079236
Type of Management: Member Managed
Date Status Change: 28 Jan 2025
Address 404 RANDALL RD, SOUTH ELGIN, 60177, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MILLER DENTISTRY LLC RETIREMENT TRUST 2023 264220920 2024-07-23 MILLER DENTISTRY LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 8476972700
Plan sponsor’s address 404 RANDALL ROAD, SOUTH ELGIN, IL, 60177

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature
MILLER DENTISTRY LLC RETIREMENT TRUST 2022 264220920 2023-07-28 MILLER DENTISTRY LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 8476972700
Plan sponsor’s address 404 RANDALL ROAD, SOUTH ELGIN, IL, 60177

Signature of
Role Plan administrator
Date 2023-07-28
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature
MILLER DENTISTRY LLC RETIREMENT TRUST 2021 264220920 2022-07-15 MILLER DENTISTRY LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 8476972700
Plan sponsor’s address 404 RANDALL ROAD, SOUTH ELGIN, IL, 60177

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature
MILLER DENTISTRY LLC RETIREMENT TRUST 2020 264220920 2021-07-15 MILLER DENTISTRY LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 8476972700
Plan sponsor’s address 404 RANDALL ROAD, SOUTH ELGIN, IL, 60177

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature
MILLER DENTISTRY LLC RETIREMENT TRUST 2019 264220920 2020-07-24 MILLER DENTISTRY LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 8476972700
Plan sponsor’s address 404 RANDALL ROAD, SOUTH ELGIN, IL, 60177

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature
MILLER DENTISTRY LLC RETIREMENT TRUST 2018 264220920 2019-07-15 MILLER DENTISTRY LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 8476972700
Plan sponsor’s address 404 RANDALL ROAD, SOUTH ELGIN, IL, 60177

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature
MILLER DENTISTRY LLC RETIREMENT TRUST 2017 264220920 2018-07-24 MILLER DENTISTRY LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 8476972700
Plan sponsor’s address 404 RANDALL ROAD, SOUTH ELGIN, IL, 60177

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature
MILLER DENTISTRY LLC RETIREMENT TRUST 2016 264220920 2017-07-28 MILLER DENTISTRY LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 8476972700
Plan sponsor’s address 404 RANDALL ROAD, SOUTH ELGIN, IL, 60177

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature
MILLER DENTISTRY LLC RETIREMENT TRUST 2015 264220920 2016-07-21 MILLER DENTISTRY LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 8476972700
Plan sponsor’s address 404 RANDALL ROAD, SOUTH ELGIN, IL, 60177

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing MILLER DENTISTRY LLC
Valid signature Filed with authorized/valid electronic signature
MILLER DENTISTRY LLC RETIREMENT TRUST 2014 264220920 2015-07-17 MILLER DENTISTRY LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 8476972700
Plan sponsor’s address 404 RANDALL ROAD, SOUTH ELGIN, IL, 60177

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-17
Name of individual signing RYAN MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANGELA MILLER, 404 RANDALL RD, SOUTH ELGIN, 60177 Agent 2011-01-19

Manager

Name and Address Role Appointment Date
MILLER, ANGELA, 404 RANDALL RD, SOUTH ELGIN, IL, 60177 Manager 2025-01-28

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000072 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2011-05-02 2019-01-09 2022-01-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9843687303 2020-05-03 0507 PPP 404 Randall Road, South Elgin, IL, 60177
Loan Status Date 2021-05-25
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 74985
Loan Approval Amount (current) 74985
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address South Elgin, KANE, IL, 60177-0011
Project Congressional District IL-08
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 121536
Originating Lender Name Customers Bank
Originating Lender Address Malvern, PA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 75687.6
Forgiveness Paid Date 2021-04-21

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Date of last update: 17 Mar 2025

Sources: Illinois Office of the Secretary of State

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