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  5. PALOS FAMILY DENTAL LLC

PALOS FAMILY DENTAL LLC

Company Details

Entity Name: PALOS FAMILY DENTAL LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 19 Mar 2014
Company Number: LLC_04660447
File Number: 04660447
Type of Management: Manager Managed
Date Status Change: 10 Sep 2021
Address 7132 W 127TH STREET, PALOS HEIGHTS, 60463, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALOS FAMILY DENTAL, LLC 401(K) PLAN 2019 364782780 2020-10-26 PALOS FAMILY DENTAL, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7084484161
Plan sponsor’s address 7132 W. 127TH STREET, PALOS HEIGHTS, IL, 60463

Signature of
Role Plan administrator
Date 2020-10-26
Name of individual signing PHILIP COLLINS
Valid signature Filed with authorized/valid electronic signature
PALOS FAMILY DENTAL, LLC 401(K) PLAN 2019 364782780 2020-04-24 PALOS FAMILY DENTAL, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7084484161
Plan sponsor’s address 7132 W. 127TH STREET, PALOS HEIGHTS, IL, 60463

Signature of
Role Plan administrator
Date 2020-04-24
Name of individual signing PHILIP COLLINS
Valid signature Filed with authorized/valid electronic signature
PALOS FAMILY DENTAL, LLC 401(K) PLAN 2018 364782780 2019-04-12 PALOS FAMILY DENTAL, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7084484161
Plan sponsor’s address 7132 W. 127TH STREET, PALOS HEIGHTS, IL, 60463

Signature of
Role Plan administrator
Date 2019-04-12
Name of individual signing PHILIP COLLINS
Valid signature Filed with authorized/valid electronic signature
PALOS FAMILY DENTAL, LLC 401(K) PLAN 2017 364782780 2018-06-30 PALOS FAMILY DENTAL, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7084484161
Plan sponsor’s address 7132 W. 127TH STREET, PALOS HEIGHTS, IL, 60463

Signature of
Role Plan administrator
Date 2018-06-30
Name of individual signing PHILIP COLLINS
Valid signature Filed with authorized/valid electronic signature
PALOS FAMILY DENTAL, LLC 401(K) PLAN 2016 364782780 2017-05-15 PALOS FAMILY DENTAL, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7084484161
Plan sponsor’s address 7132 W. 127TH STREET, PALOS HEIGHTS, IL, 60463

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing PHILIP COLLINS
Valid signature Filed with authorized/valid electronic signature
PALOS FAMILY DENTAL, LLC 401(K) PLAN 2015 364782780 2016-07-12 PALOS FAMILY DENTAL, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7084484161
Plan sponsor’s address 7132 W. 127TH STREET, PALOS HEIGHTS, IL, 60463
PALOS FAMILY DENTAL, LLC 401(K) PLAN 2014 364782780 2015-07-06 PALOS FAMILY DENTAL, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 812990
Sponsor’s telephone number 7084484161
Plan sponsor’s address 7132 W. 127TH STREET, PALOS HEIGHTS, IL, 60463

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing PHILIP H. COLLINS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PHILIP H COLLINS, 7132 W 127TH STREET, PALOS HEIGHTS, 60463 Agent 2014-03-19

Manager

Name and Address Role Appointment Date
COLLINS DDS, PHILIP H, 11120 FAWN CREEK LN, ORLAND PARK, IL, 60467 Manager 2014-03-19

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Mar 2025

Sources: Illinois Office of the Secretary of State

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