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  5. J.ANTONIO SALON, LLC

J.ANTONIO SALON, LLC

Company Details

Entity Name: J.ANTONIO SALON, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 12 Apr 2016
Company Number: LLC_05758947
File Number: 05758947
Type of Management: Member Managed
Date Status Change: 13 Mar 2024
Address 639 W. DIVERSEY PARKWAY SUITE 219, CHICAGO, 60614, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID S. PETERSEN, M.D., S.C. PROFIT SHARING PLAN 2012 364287616 2013-10-10 DAVID S. PETERSEN, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3097649790
Plan sponsor’s address 2121 1ST STREET A, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing DAVID S. PETERSEN
Valid signature Filed with authorized/valid electronic signature
DAVID S. PETERSEN, M.D., S.C. PROFIT SHARING PLAN 2011 364287616 2012-10-30 DAVID S. PETERSEN, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3097649790
Plan sponsor’s address 2121 1ST STREET A, MOLINE, IL, 61265

Plan administrator’s name and address
Administrator’s EIN 364287616
Plan administrator’s name DAVID S. PETERSEN, M.D., S.C.
Plan administrator’s address 2121 1ST STREET A, MOLINE, IL, 61265
Administrator’s telephone number 3097649790

Signature of
Role Plan administrator
Date 2012-10-30
Name of individual signing DAVID S PETERSEN
Valid signature Filed with authorized/valid electronic signature
DAVID S. PETERSEN, M.D., S.C. PROFIT SHARING PLAN 2011 364287616 2012-10-16 DAVID S. PETERSEN, M.D., S.C. 4
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3097649790
Plan sponsor’s address 2121 1ST STREET A, MOLINE, IL, 61265

Plan administrator’s name and address
Administrator’s EIN 364287616
Plan administrator’s name DAVID S. PETERSEN, M.D., S.C.
Plan administrator’s address 2121 1ST STREET A, MOLINE, IL, 61265
Administrator’s telephone number 3097649790

Signature of
Role Plan administrator
Date 2012-10-16
Name of individual signing D
Valid signature Filed with authorized/valid electronic signature
DAVID S. PETERSEN, M.D., S.C. PROFIT SHARING PLAN 2010 364287616 2011-10-14 DAVID S. PETERSEN, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3097649790
Plan sponsor’s address 2121 1ST STREET A, MOLINE, IL, 61265

Plan administrator’s name and address
Administrator’s EIN 364287616
Plan administrator’s name DAVID S. PETERSEN, M.D., S.C.
Plan administrator’s address 2121 1ST STREET A, MOLINE, IL, 61265
Administrator’s telephone number 3097649790

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing DAVID S. PETERSEN
Valid signature Filed with authorized/valid electronic signature
DAVID S. PETERSEN, M.D., S.C. PROFIT SHARING PLAN 2009 364287616 2010-07-29 DAVID S. PETERSEN, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 3097649790
Plan sponsor’s address 2121 1ST STREET A, MOLINE, IL, 61265

Plan administrator’s name and address
Administrator’s EIN 364287616
Plan administrator’s name DAVID S. PETERSEN, M.D., S.C.
Plan administrator’s address 2121 1ST STREET A, MOLINE, IL, 61265
Administrator’s telephone number 3097649790

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing DAVID S. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-29
Name of individual signing DAVID S. PETERSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JULIO A HERNANDEZ, 5601 N SHERIDAN RD APT 13D, CHICAGO, 60660 Agent 2022-05-09

Manager

Name and Address Role Appointment Date
HERNANDEZ, JULIO ANTONIO, 639 W. DIVERSEY PARKWAY, CHICAGO, IL, 60614 Manager 2024-03-13

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
COSMO 189017131 No data No data BCENT SALON/SHOP REGISTRATION No data 2016-08-22 2016-11-20 2018-11-30

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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