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JASON LUCHTEFELD, DMD, LLC

JASON LUCHTEFELD, DMD, LLC

Company Details

Entity Name:	JASON LUCHTEFELD, DMD, LLC
Jurisdiction:	Illinois
Entity Type:	Limited Liability Company
Status:	Voluntary Diss./Terminated
Date Formed:	19 Sep 2011
Company Number:	LLC_03706915
File Number:	03706915
Type of Management:	Member Managed
Date Status Change:	25 Aug 2022
Address	1502 W. MAIN ST., ROBINSON, 62454, IL
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

ROBINSON SMILE CENTER 401(K) PLAN

2016

453314418

2017-11-06

JASON LUCHTEFELD DMD LLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621210
Sponsor’s telephone number	6185442626
Plan sponsor’s address	1502 WEST MAIN STREET, ROBINSON, IL, 62454

ROBINSON SMILE CENTER 401(K) PLAN

2016

453314418

2017-03-23

JASON LUCHTEFELD DMD LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621210
Sponsor’s telephone number	6185442626
Plan sponsor’s address	1502 WEST MAIN STREET, ROBINSON, IL, 62454

ROBINSON SMILE CENTER 401(K) PLAN

2015

453314418

2016-03-26

JASON LUCHTEFELD DMD LLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621210
Sponsor’s telephone number	6185442626
Plan sponsor’s address	1502 WEST MAIN STREET, ROBINSON, IL, 62454

ROBINSON SMILE CENTER 401(K) PLAN

2014

453314418

2015-04-20

JASON LUCHTEFELD DMD LLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621210
Sponsor’s telephone number	6185442626
Plan sponsor’s address	1502 WEST MAIN STREET, ROBINSON, IL, 62454

ROBINSON SMILE CENTER 401(K) PLAN

2013

453314418

2014-04-22

JASON LUCHTEFELD DMD LLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621210
Sponsor’s telephone number	6185442626
Plan sponsor’s address	1502 WEST MAIN STREET, ROBINSON, IL, 62454

ROBINSON SMILE CENTER 401(K) PLAN

2012

453314418

2013-06-10

JASON LUCHTEFELD DMD LLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621210
Sponsor’s telephone number	6185442626
Plan sponsor’s address	1502 WEST MAIN STREET, ROBINSON, IL, 62454

Signature of

Role	Plan administrator
Date	2013-06-10
Name of individual signing	JASON LUCHTEFELD
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
JASON LUCHTEFELD DMD, 801 N HOWARD ST, ROBINSON, 62454	Agent	2015-04-01

Manager

Name and Address	Role	Appointment Date
LUCHTEFELD, JASON MATTHEW, 1502 W. MAIN ST., ROBINSON, IL, 62454	Manager	2018-08-10

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State