| Entity Name: | PRECISION DENTAL CARE 5 LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 30 Jun 2015 |
| Company Number: | LLC_05326605 |
| File Number: | 05326605 |
| Type of Management: | Member Managed |
| Date Status Change: | 17 May 2024 |
| Address | 5745 W. BELMONT, CHICAGO, 60634, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRECISION DENTAL CARE 5 LLC 401K PLAN | 2023 | 273868397 | 2024-04-06 | PRECISION DENTAL CARE 5 LLC | 31 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-04-06 |
| Name of individual signing | KHANH NGUYEN |
| 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 | 3123203268 |
| Plan sponsor’s address | 5745 W BELMONT AVE, CHICAGO, IL, 60634 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-28 |
| Name of individual signing | KHANH NGUYEN |
| 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 | 3123203268 |
| Plan sponsor’s address | 5745 W BELMONT AVE, CHICAGO, IL, 60634 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-14 |
| Name of individual signing | KHANH NGUYEN |
| 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 | 3123203268 |
| Plan sponsor’s address | 5745 W BELMONT AVE, CHICAGO, IL, 60634 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-29 |
| Name of individual signing | KHANH NGUYEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-06-29 |
| Name of individual signing | KHANH NGUYEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Sponsor’s telephone number | 3123203268 |
| Plan sponsor’s address | 5745 W BELMONT AVE, CHICAGO, IL, 60634 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-05 |
| Name of individual signing | KHANH NGUYEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-06-05 |
| Name of individual signing | KHANH NGUYEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KHANH NGUYEN, 6930 S PULASKI RD, CHICAGO, 60629 | Agent | 2015-06-30 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| NGUYEN, KHANH, 5745 W. BELMONT AVE, CHICAGO, IL, 60634 | Manager | 2024-05-17 |
Date of last update: 16 Jan 2025
