Search icon

SIKORA & JACOBSEN, PLLC

Company Details

Entity Name: SIKORA & JACOBSEN, PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 24 Apr 2013
Company Number: LLC_04356772
File Number: 04356772
Type of Management: Member Managed
Date Status Change: 06 Mar 2024
Address 3220 GERIG DRIVE, BLOOMINGTON, 61704, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRAIRIE DENTAL ASSOCIATES 401(K) PROFIT-SHARING PLAN & TRUST 2023 463090138 2024-07-05 SIKORA & JACOBSEN, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3096627722
Plan sponsor’s DBA name PRAIRIE DENTAL ASSOCIATES
Plan sponsor’s address 3220 GERIG DRIVE, BLOOMINGTON, IL, 61704

Signature of

Role Plan administrator
Date 2024-07-05
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-05
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
PRAIRIE DENTAL ASSOCIATES 401(K) PROFIT-SHARING PLAN & TRUST 2022 463090138 2023-08-25 SIKORA & JACOBSEN, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3096627722
Plan sponsor’s DBA name PRAIRIE DENTAL ASSOCIATES
Plan sponsor’s address 3220 GERIG DRIVE, BLOOMINGTON, IL, 61704

Signature of

Role Plan administrator
Date 2023-08-25
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-25
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
PRAIRIE DENTAL ASSOCIATES 401(K) PROFIT-SHARING PLAN & TRUST 2021 463090138 2022-07-25 SIKORA & JACOBSEN, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3096627722
Plan sponsor’s DBA name PRAIRIE DENTAL ASSOCIATES
Plan sponsor’s address 3220 GERIG DRIVE, BLOOMINGTON, IL, 61704

Signature of

Role Plan administrator
Date 2022-07-25
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-25
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
PRAIRIE DENTAL ASSOCIATES 401(K) PROFIT-SHARING PLAN & TRUST 2020 463090138 2021-07-12 SIKORA & JACOBSEN, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3096627722
Plan sponsor’s DBA name PRAIRIE DENTAL ASSOCIATES
Plan sponsor’s address 3220 GERIG DRIVE, BLOOMINGTON, IL, 61704

Signature of

Role Plan administrator
Date 2021-07-12
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-12
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
PRAIRIE DENTAL ASSOCIATES 401(K) PROFIT-SHARING PLAN & TRUST 2019 463090138 2020-05-20 SIKORA & JACOBSEN, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3096627722
Plan sponsor’s DBA name PRAIRIE DENTAL ASSOCIATES
Plan sponsor’s address 3220 GERIG DRIVE, BLOOMINGTON, IL, 61704

Signature of

Role Plan administrator
Date 2020-05-20
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-20
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
PRAIRIE DENTAL ASSOCIATES 401(K) PROFIT-SHARING PLAN & TRUST 2018 463090138 2019-06-28 SIKORA & JACOBSEN, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3096627722
Plan sponsor’s DBA name PRAIRIE DENTAL ASSOCIATES
Plan sponsor’s address 3220 GERIG DRIVE, BLOOMINGTON, IL, 61704

Signature of

Role Plan administrator
Date 2019-06-28
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-28
Name of individual signing DANIEL R. JACOBSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CLAY COX, 202 N. CENTER ST., BLOOMINGTON, 61701 Agent 2013-04-24

Manager

Name and Address Role Appointment Date
SIKORA, CHRIS, 3220 GERIG DRIVE, BLOOMINGTON, IL, 61704 Manager 2024-03-06
JACOBSEN, DANIEL, 3220 GERIG DRIVE, BLOOMINGTON, IL, 61704 Manager 2024-03-06

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248001789 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2017-06-12 2021-10-29 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PRAIRIE DENTAL ASSOCIATES Assumed name 2013-08-15 No data No data 2020-03-11

Historical Names

Name Change Date
SIKORA & JACOBSEN, LLC 2019-09-23

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State