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JOSEPH D. JACKSON, DMD, LLC

Company Details

Entity Name: JOSEPH D. JACKSON, DMD, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 14 Dec 2011
Company Number: LLC_03745678
File Number: 03745678
Type of Management: Member Managed
Date Status Change: 01 Dec 2024
Address 2900 - 41ST STREET, MOLINE, 61265, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOSEPH D. JACKSON, DMD, LLC 401(K) PROFIT SHARING PLAN 2023 454049632 2024-10-14 JOSEPH D. JACKSON, 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 3097643242
Plan sponsor’s address 2900 41ST ST, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing JOSEPH D. JACKSON
Valid signature Filed with authorized/valid electronic signature
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2022 454049632 2023-09-29 LJ DENTISTRY, 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 3097643242
Plan sponsor’s address 2900 41ST STREET, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2023-09-29
Name of individual signing JOSEPH JACKSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2021 454049632 2022-10-14 LJ DENTISTRY, 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 3097643242
Plan sponsor’s address 2900 41ST STREET, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing JOSEPH JACKSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2020 454049632 2021-10-06 LJ DENTISTRY, 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 3097643242
Plan sponsor’s address 2900 41ST STREET, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2021-10-06
Name of individual signing JOSEPH JACKSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2019 454049632 2020-10-02 LJ DENTISTRY, 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 3097643242
Plan sponsor’s address 2900 41ST STREET, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2020-10-02
Name of individual signing JOSEPH JACKSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2018 454049632 2019-10-01 LJ DENTISTRY, 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 3097643242
Plan sponsor’s address 2900 41ST STREET, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2019-10-01
Name of individual signing JOSEPH JACKSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2017 454049632 2018-10-04 LJ DENTISTRY, 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 3097643242
Plan sponsor’s address 2900 41ST STREET, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2018-10-04
Name of individual signing JOSEPH JACKSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2016 454049632 2017-08-26 LJ DENTISTRY, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3097643242
Plan sponsor’s address 2900 41ST STREET, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2017-08-26
Name of individual signing JOSEPH JACKSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2015 454049632 2016-07-07 LJ DENTISTRY, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3097643242
Plan sponsor’s address 2900 41ST STREET, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2016-07-07
Name of individual signing JOSEPH JACKSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2014 454049632 2015-07-07 LJ DENTISTRY, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3097643242
Plan sponsor’s address 2900 41ST STREET, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2015-07-07
Name of individual signing JOSEPH JACKSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOSEPH D. JACKSON, 2900 41ST ST., MOLINE, 61265 Agent 2019-03-19

Manager

Name and Address Role Appointment Date
JACKSON, JOSEPH D., D.M.D., 2900 - 41ST STREET, MOLINE, IL, 61265 Manager 2024-12-01

Historical Names

Name Change Date
LJ DENTISTRY LLC 2023-04-13

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State