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  5. LA CROSS DENTAL, LLC

LA CROSS DENTAL, LLC

Company Details

Entity Name: LA CROSS DENTAL, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 05 Jan 2012
Company Number: LLC_03811034
File Number: 03811034
Type of Management: Member Managed
Date Status Change: 19 Dec 2024
Address 6117 TIMBERWOLFE DRIVE, GLEN CARBON, 62034, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LA CROSS DENTAL, LLC 2021 270459663 2022-10-14 LA CROSS DENTAL, LLC 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-01
Business code 621210
Sponsor’s telephone number 6187918047
Plan sponsor’s address 1922 EDWARDSVILLE CLUB PLAZA ROAD, EDWARDSVILLE, IL, 62025

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing CORY DARR
Valid signature Filed with authorized/valid electronic signature
LA CROSS DENTAL, LLC 401(K) PROFIT SHARING PLAN 2020 270459663 2021-07-29 LA CROSS DENTAL, LLC 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-01
Business code 621210
Sponsor’s telephone number 2179325266
Plan sponsor’s address 6117 TIMBERWOLFE DRIVE, CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing CORY DARR
Valid signature Filed with authorized/valid electronic signature
LA CROSS DENTAL, LLC 401(K) PROFIT SHARING PLAN 2019 270459663 2020-06-24 LA CROSS DENTAL, LLC 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-01
Business code 621210
Sponsor’s telephone number 2179325266
Plan sponsor’s address 6117 TIMBERWOLFE DRIVE, CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing KATIE GRAHEK
Valid signature Filed with authorized/valid electronic signature
LA CROSS DENTAL, LLC 401(K) PROFIT SHARING PLAN 2018 270459663 2019-07-17 LA CROSS DENTAL, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-01
Business code 621210
Sponsor’s telephone number 2179325266
Plan sponsor’s address 6117 TIMBERWOLFE DRIVE, CARBON, IL, 62034
LA CROSS DENTAL, LLC 401(K) PROFIT SHARING PLAN 2017 270459663 2018-10-15 LA CROSS DENTAL, LLC 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-01
Business code 621210
Sponsor’s telephone number 2179325266
Plan sponsor’s address 6117 TIMBERWOLFE DRIVE, CARBON, IL, 62034
LA CROSS DENTAL, LLC 401(K) PROFIT SHARING PLAN 2016 270459663 2017-10-14 LA CROSS DENTAL, LLC 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-01
Business code 621210
Sponsor’s telephone number 2179325266
Plan sponsor’s address 6117 TIMBERWOLFE DRIVE, CARBON, IL, 62034
LA CROSS DENTAL, LLC 401(K) PROFIT SHARING PLAN 2015 270459663 2016-10-19 LA CROSS DENTAL, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-01
Business code 621210
Sponsor’s telephone number 2179325266
Plan sponsor’s address 6117 TIMBERWOLFE DRIVE, CARBON, IL, 62034
LA CROSS DENTAL, LLC 401(K) PROFIT SHARING PLAN 2015 270459663 2016-10-17 LA CROSS DENTAL, LLC 36
Three-digit plan number (PN) 001
Effective date of plan 2005-06-01
Business code 621210
Sponsor’s telephone number 2179325266
Plan sponsor’s address 6117 TIMBERWOLFE DRIVE, CARBON, IL, 62034
LA CROSS DENTAL, LLC 401(K) PROFIT SHARING PLAN 2014 270459663 2015-09-28 LA CROSS DENTAL, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-01
Business code 621210
Sponsor’s telephone number 2179325266
Plan sponsor’s address 6117 TIMBERWOLFE DRIVE, CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing DAVID GUILBEAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-28
Name of individual signing DAVID GUILBEAULT
Valid signature Filed with authorized/valid electronic signature
LA CROSS DENTAL, LLC 401(K) PROFIT SHARING PLAN 2013 270459663 2014-07-01 LA CROSS DENTAL, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-01
Business code 621210
Sponsor’s telephone number 2179325266
Plan sponsor’s address 6117 TIMBERWOLFE DRIVE, CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing DAVID GUILBEAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-01
Name of individual signing DAVID GUILBEAULT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CHRISTOPHER W. BYRON, 411 SAINT LOUIS ST, EDWARDSVILLE, 62025 Agent 2022-08-31

Manager

Name and Address Role Appointment Date
GUILBEAULT, D.M.D., DAVID, 6117 TIMBERWOLFE DRIVE, GLEN CARBON, IL, 62034 Manager 2024-12-19

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000772 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2013-03-12 2021-10-29 2025-01-01
LIMITED LIABILITY CO 248000458 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2011-10-31 2013-01-04 2014-01-01

Historical Names

Name Change Date
LA CROSS DENTAL II, LLC 2013-12-31

Related by officers

CHRISTOPHER W. BYRON, 411 SAINT LOUIS ST, EDWARDSVILLE, 62025

GINGER CREEK DENTAL, LLC SCHAEFFER PROPERTIES, LLC SYMMETRY SOLUTIONS, LLC RIVERBEND DENTAL LLC WS COMMUNICATIONS, LLC BPK II, LLC BJG PROPERTIES, LLC CMS RENEWABLES II, LLC BELTLINE DENTAL, LLC Z INDUSTRIAL, LLC

Related by address

6117 TIMBERWOLFE DRIVE, GLEN CARBON, 62034, IL

DCMTB PROPERTIES, LLC LA CROSS DENTAL, LLC CHARLESTON FAMILY DENTAL LLC LACROSS PROPERTIES, LLC RIVERBEND DENTAL LLC SCOTT DUNIVAN D.M.D. - ST. LOUIS SURGICAL ASSOCIATES, LLC LACROSS ALPINE, LLC WEST END FAMILY DENTAL, LLC PREMIER DENTAL OF EDWARDSVILLE, LLC

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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