| Entity Name: | ELK GROVE SMILE CENTER, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | NGS |
| Date Formed: | 05 Dec 2012 |
| Company Number: | LLC_04212126 |
| File Number: | 04212126 |
| Type of Management: | Member Managed |
| Date Status Change: | 01 Dec 2024 |
| Address | 800 BIESTERFIELD RD, STE 660, ELK GROVE VILLAGE, 60007, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELK GROVE SMILE CENTER, LLC 401(K) PLAN | 2021 | 461521253 | 2022-07-30 | ELK GROVE SMILE CENTER, LLC | 7 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2022-07-30 |
| Name of individual signing | VISHAL ADVANI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8474373250 |
| Plan sponsor’s address | 70 TURNER AVE, ELK GROVE VILLAGE, IL, 60007 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-15 |
| Name of individual signing | VISHAL ADVANI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8474373250 |
| Plan sponsor’s address | 70 TURNER AVE, ELK GROVE VILLAGE, IL, 60007 |
Signature of
| Role | Plan administrator |
| Date | 2020-09-15 |
| Name of individual signing | VISHAL ADVANI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| VISHAL ADVANI, 800 BIESTERFIELD RD STE 660, ELK GROVE VILLAGE, 60007 | Agent | 2023-03-01 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ADVANI, VISHAL, 800 BIESTERFIELD RD, STE 660, ELK GROVE VILLAGE, IL, 60007 | Manager | 2023-10-30 |
| Name | Change Date |
|---|---|
| ELK GROVE VILLAGE SMILES, LLC | 2012-12-27 |
Date of last update: 16 Jan 2025
