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ENDODONTISTS OF ILLINOIS, LLC

Company Details

Entity Name: ENDODONTISTS OF ILLINOIS, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 25 Mar 2014
Company Number: LLC_04667794
File Number: 04667794
Type of Management: Manager Managed
Date Status Change: 19 Feb 2024
Address 113 N REGENCY DR, BLOOMINGTON, 61701, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENDODONTISTS OF ILLINOIS, LLC 401(K) PLAN 2023 465009251 2024-08-13 ENDODONTISTS OF ILLINOIS, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3096618900
Plan sponsor’s address 113 N. REGENCY DR., BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2024-08-13
Name of individual signing KEITH EVANS
Valid signature Filed with authorized/valid electronic signature
ENDODONTISTS OF ILLINOIS, LLC 401(K) PLAN 2023 465009251 2024-04-22 ENDODONTISTS OF ILLINOIS, LLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3096618900
Plan sponsor’s address 113 N. REGENCY DR., BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2024-04-22
Name of individual signing KEITH EVANS
Valid signature Filed with authorized/valid electronic signature
ENDODONTISTS OF ILLINOIS, LLC 401(K) PLAN 2022 465009251 2023-07-07 ENDODONTISTS OF ILLINOIS, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3096618900
Plan sponsor’s address 113 N. REGENCY DR., BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2023-07-07
Name of individual signing KEITH EVANS
Valid signature Filed with authorized/valid electronic signature
ENDODONTISTS OF ILLINOIS, LLC 401(K) PLAN 2021 465009251 2022-10-07 ENDODONTISTS OF ILLINOIS, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3096618900
Plan sponsor’s address 113 N. REGENCY DR., BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2022-10-07
Name of individual signing KEITH EVANS
Valid signature Filed with authorized/valid electronic signature
ENDODONTISTS OF ILLINOIS SAFE HARBOR 401K PLAN 2017 465009251 2018-07-27 ENDODONTISTS OF ILLINOIS LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-05-01
Business code 621210
Sponsor’s telephone number 3096618900
Plan sponsor’s address 113 N REGENCY DR, BLOOMINGTON, IL, 617013515
ENDODONTISTS OF ILLINOIS SAFE HARBOR 401K PLAN 2016 465009251 2017-07-03 ENDODONTISTS OF ILLINOIS LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-05-01
Business code 621210
Sponsor’s telephone number 3096618900
Plan sponsor’s address 113 N REGENCY DR, BLOOMINGTON, IL, 617013515
ENDODONTISTS OF ILLINOIS SAFE HARBOR 401K PLAN 2015 465009251 2016-07-27 ENDODONTISTS OF ILLINOIS LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-05-01
Business code 621210
Sponsor’s telephone number 3096618900
Plan sponsor’s address 113 N REGENCY DR, BLOOMINGTON, IL, 617013515
ENDODONTISTS OF ILLINOIS SAFE HARBOR 401(K) PLAN 2014 465009251 2015-09-14 ENDODONTISTS OF ILLINOIS 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-05-01
Business code 621210
Sponsor’s telephone number 3096618900
Plan sponsor’s address 113 NORTH REGENCY DRIVE, BLOOMINGTON, IL, 61701

Agent

Name and Address Role Appointment Date
COGENCY GLOBAL INC., 600 SOUTH SECOND ST, SUITE 404, SPRINGFIELD, 62704 Agent 2024-12-05

Manager

Name and Address Role Appointment Date
EVANS, KEITH A., 113 N REGENCY DRIVE, BLOOMINGTON, IL, 61701 Manager 2024-02-19

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000994 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2014-05-16 2021-10-29 2025-01-01
LIMITED LIABILITY CO 248000993 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2014-05-16 2019-01-17 2022-01-01

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State