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  5. MEDPRO HEALTH PROVIDERS LLC

MEDPRO HEALTH PROVIDERS LLC

Company Details

Entity Name: MEDPRO HEALTH PROVIDERS LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 13 Apr 2009
Company Number: LLC_03105822
File Number: 03105822
Type of Management: Member Managed
Date Status Change: 27 Feb 2024
Address 16820 OAK PARK AVE., TINLEY PARK, 60477, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDPRO HEALTH PROVIDERS, LLC 401(K) PLAN 2023 264671376 2024-10-01 MEDPRO HEALTH PROVIDERS, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-15
Business code 621610
Sponsor’s telephone number 7082408088
Plan sponsor’s address 16820 OAK PARK AVE, TINLEY PARK, IL, 604771753

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
MEDPRO HEALTH PROVIDERS, LLC 401(K) PLAN 2022 264671376 2023-10-02 MEDPRO HEALTH PROVIDERS, LLC 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-15
Business code 621610
Sponsor’s telephone number 7082408088
Plan sponsor’s address 16325 HARLEM AVE. STE. 350, TINLEY PARK, IL, 604771753

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
MEDPRO HEALTH PROVIDERS, LLC 401(K) PLAN 2021 264671376 2022-07-06 MEDPRO HEALTH PROVIDERS, LLC 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-15
Business code 621610
Sponsor’s telephone number 7082408088
Plan sponsor’s address 16325 HARLEM AVE, #350, TINLEY PARK, IL, 60477

Signature of
Role Plan administrator
Date 2022-07-06
Name of individual signing RIZALDY VILLASENOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-06
Name of individual signing RIZALDY VILLASENOR
Valid signature Filed with authorized/valid electronic signature
MEDPRO HEALTH PROVIDERS, LLC 401(K) PLAN 2020 264671376 2021-10-04 MEDPRO HEALTH PROVIDERS, LLC 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-15
Business code 621610
Sponsor’s telephone number 7082408088
Plan sponsor’s address 16325 HARLEM AVE #350, TINLEY PARK, IL, 60477

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing RIZALDY VILLASENOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-04
Name of individual signing RIZALDY VILLASENOR
Valid signature Filed with authorized/valid electronic signature
MEDPRO HEALTH PROVIDERS, LLC 401(K) PLAN 2019 264671376 2020-07-07 MEDPRO HEALTH PROVIDERS, LLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-15
Business code 621610
Sponsor’s telephone number 7082408088
Plan sponsor’s address 16325 HARLEM AVE. STE. 350, TINLEY PARK, IL, 60477

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing RIZALDY VILLASENOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-07
Name of individual signing RIZALDY VILLASENOR
Valid signature Filed with authorized/valid electronic signature
MEDPRO HEALTH PROVIDERS, LLC 401(K) PLAN 2018 264671376 2019-10-11 MEDPRO HEALTH PROVIDERS, LLC 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-15
Business code 621610
Sponsor’s telephone number 7082408088
Plan sponsor’s address 16325 HARLEM AVE, TINLEY PARK, IL, 60477

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing RIZALDY VILLASENOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing RIZALDY VILLASENOR
Valid signature Filed with authorized/valid electronic signature
MEDPRO HEALTH PROVIDERS, LLC 401(K) PLAN 2017 264671376 2018-10-03 MEDPRO HEALTH PROVIDERS, LLC 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-15
Business code 621610
Sponsor’s telephone number 7082408088
Plan sponsor’s address 16325 HARLEM AVE, SUITE 350, TINLEY PARK, IL, 60477

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing RIZALDY VILLASENOR
Valid signature Filed with authorized/valid electronic signature
MEDPRO HEALTH PROVIDERS 401(K) PLAN 2016 264671376 2017-07-31 MEDPRO HEALTH PROVIDERS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-02-15
Business code 621610
Sponsor’s telephone number 7082408088
Plan sponsor’s address 16325 HARLEM AVE. STE. 350, TINLEY PARK, IL, 60477

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing RIZALDY VILLASENOR
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RIZALDY VILLASENOR, 16820 OAK PARK AVE., TINLEY PARK, 60477 Agent 2022-03-16

Manager

Name and Address Role Appointment Date
VILLASENOR, RIZALDY, 13549 W OAKWOOD CT, HOMER GLEN, IL, 60491 Manager 2024-02-27
CHAN, JAYE MICHAEL, 735 ROBIN DRIVE, CORTE MADERA, CA, 94925 Manager 2024-02-27
CASTILLO, RAY PHILIP, 8000 REVELL COURT, ORLAND PARK, IL, 60462 Manager 2024-02-27
OCAMPO, ANTHONY, 5208 W 110TH STREET, OAK LAWN, IL, 60453 Manager 2024-02-27

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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