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  5. CHILDREN'S CENTER FOR DENTISTRY, PLLC

CHILDREN'S CENTER FOR DENTISTRY, PLLC

Company Details

Entity Name: CHILDREN'S CENTER FOR DENTISTRY, PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 11 Feb 2013
Company Number: LLC_04257693
File Number: 04257693
Type of Management: Manager Managed
Date Status Change: 16 Jan 2024
Address 314 SUSAN DR, NORMAL, 61761, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIETZ 401(K) RETIREMENT PLAN 2023 814527745 2024-06-21 CHILDREN'S CENTER FOR DENTISTRY 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3098275437
Plan sponsor’s address 314 SUSAN DRIVE, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2024-06-21
Name of individual signing DR. GREGORY DIETZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-21
Name of individual signing DR. GREGORY DIETZ
Valid signature Filed with authorized/valid electronic signature
DIETZ 401(K) RETIREMENT PLAN 2022 814527745 2023-07-19 CHILDREN'S CENTER FOR DENTISTRY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3098275437
Plan sponsor’s address 314 SUSAN DRIVE, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing DR. GREGORY DIETZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-19
Name of individual signing DR. GREGORY DIETZ
Valid signature Filed with authorized/valid electronic signature
DIETZ 401(K) RETIREMENT PLAN 2021 814527745 2022-06-07 CHILDREN'S CENTER FOR DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3098275437
Plan sponsor’s address 314 SUSAN DRIVE, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2022-06-07
Name of individual signing DR. GREGORY DIETZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-07
Name of individual signing DR. GREGORY DIETZ
Valid signature Filed with authorized/valid electronic signature
DIETZ 401(K) RETIREMENT PLAN 2020 814527745 2021-09-24 CHILDREN'S CENTER FOR DENTISTRY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3098275437
Plan sponsor’s address 314 SUSAN DRIVE, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2021-09-24
Name of individual signing DR. GREGORY DIETZ
Valid signature Filed with authorized/valid electronic signature
DIETZ 401(K) RETIREMENT PLAN 2019 814527745 2020-07-14 CHILDREN'S CENTER FOR DENTISTRY 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3098275437
Plan sponsor’s address 314 SUSAN DRIVE, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing DR. GREGORY DIETZ
Valid signature Filed with authorized/valid electronic signature
DIETZ 401(K) RETIREMENT PLAN 2018 814527745 2019-07-14 CHILDREN'S CENTER FOR DENTISTRY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3098275437
Plan sponsor’s address 2111 EAST OAKLAND AVE., SUITE C, BLOOMINGTON, IL, 61701

Signature of
Role Plan administrator
Date 2019-07-14
Name of individual signing DR. GREGORY DIETZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GREGORY M DIETZ, 314 SUSAN DR., NORMAL, 61761 Agent 2020-02-24

Manager

Name and Address Role Appointment Date
DIETZ, GREGORY M, 314 SUSAN DR, NORMAL, IL, 61761 Manager 2013-02-11

Historical Names

Name Change Date
CHILDREN'S CENTER FOR DENTISTRY LLC 2019-08-27

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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