SECURE DENTAL II, LLC

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SECURE DENTAL LLC 401K PLAN

2023

461279765

2024-06-18

SECURE DENTAL II LLC

Plan administrator’s name and address

Administrator’s EIN	621874769
Plan administrator’s name	ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address	6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number	8656701844

Signature of

Role	Plan administrator
Date	2024-06-18
Name of individual signing	TARA EVANS
Valid signature	Filed with authorized/valid electronic signature

SECURE DENTAL LLC 401K PLAN

2022

461279765

2023-07-27

SECURE DENTAL II LLC

Plan administrator’s name and address

Administrator’s EIN	621874769
Plan administrator’s name	ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address	6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number	8656701844

Signature of

Role	Plan administrator
Date	2023-07-27
Name of individual signing	TARA EVANS
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
ATTORNEY BRETTE FREEDLE, 7210 E STATE ST #102, ROCKFORD, 61108	Agent	2022-01-05

Name and Address	Role	Appointment Date
JAFRI, NAZISH, 4601 16TH ST., MOLINE, IL, 61265	Manager	2024-09-30

Name	Type	Effective Date	Cancellation Date	Cancellation Type	Last Renewal Date
SECURE DENTAL MOLINE	Assumed name	2013-04-29	2020-12-11	Involuntary cancellation	2015-08-31

Date of last update: 16 Jan 2025