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  5. VALLEY DENTAL CARE OF PLAINFIELD, LLC

VALLEY DENTAL CARE OF PLAINFIELD, LLC

Company Details

Entity Name: VALLEY DENTAL CARE OF PLAINFIELD, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 04 Aug 2016
Company Number: LLC_05857309
File Number: 05857309
Type of Management: Manager Managed
Date Status Change: 05 Jul 2024
Address 2356 S. ROUTE 59, PLAINFIELD, 60544, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VALLEY DENTAL CARE OF PLAINFIELD 401(K) PLAN 2023 271280954 2024-09-25 VALLEY DENTAL CARE OF PLAINFIELD, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6306008904
Plan sponsor’s address 4320 CASTLEROCK CIRCLE, AURORA, IL, 60504

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing APARNA GOTTUMUKKULA
Valid signature Filed with authorized/valid electronic signature
VALLEY DENTAL CARE OF PLAINFIELD, LLC CASH BALANCE PLAN 2023 271280954 2024-09-24 VALLEY DENTAL CARE OF PLAINFIELD, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 6306008904
Plan sponsor’s address 4320 CASTLEROCK CIRCLE, AURORA, IL, 60504

Signature of
Role Plan administrator
Date 2024-09-24
Name of individual signing APARNA GOTTUMUKKULA
Valid signature Filed with authorized/valid electronic signature
VALLEY DENTAL CARE OF PLAINFIELD, LLC CASH BALANCE PLAN 2022 271280954 2023-09-11 VALLEY DENTAL CARE OF PLAINFIELD, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 6306008904
Plan sponsor’s address 4320 CASTLEROCK CIRCLE, AURORA, IL, 60504

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing APARNA GOTTUMUKKULA
Valid signature Filed with authorized/valid electronic signature
VALLEY DENTAL CARE OF PLAINFIELD 401(K) PLAN 2022 271280954 2023-09-11 VALLEY DENTAL CARE OF PLAINFIELD, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6306008904
Plan sponsor’s address 4320 CASTLEROCK CIRCLE, AURORA, IL, 60504

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing APARNA GOTTUMUKKULA
Valid signature Filed with authorized/valid electronic signature
VALLEY DENTAL CARE OF PLAINFIELD 401(K) PLAN 2021 271280954 2022-10-12 VALLEY DENTAL CARE OF PLAINFIELD, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 8154366800
Plan sponsor’s address 2356 S ROUTE 59, PLAINFIELD, IL, 605867756

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing APARNA GOTTUMUKKULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing APARNA GOTTUMUKKULA
Valid signature Filed with authorized/valid electronic signature
VALLEY DENTAL CARE OF PLAINFIELD 401(K) PLAN 2020 271280954 2021-05-26 VALLEY DENTAL CARE OF PLAINFIELD, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 8154366800
Plan sponsor’s address 2356 S ROUTE 59, PLAINFIELD, IL, 605867756

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing LISA FIXMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-26
Name of individual signing LISA FIXMER
Valid signature Filed with authorized/valid electronic signature
VALLEY DENTAL CARE OF PLAINFIELD 401(K) PLAN 2019 271280954 2021-06-04 VALLEY DENTAL CARE OF PLAINFIELD, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 8154366800
Plan sponsor’s address 2356 S ROUTE 59, PLAINFIELD, IL, 605867756

Signature of
Role Plan administrator
Date 2021-06-04
Name of individual signing LISA FIXMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-04
Name of individual signing LISA FIXMER
Valid signature Filed with authorized/valid electronic signature
VALLEY DENTAL CARE OF PLAINFIELD 401(K) PLAN 2018 271280954 2019-07-30 VALLEY DENTAL CARE OF PLAINFIELD, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 8154366800
Plan sponsor’s address 2356 S ROUTE 59, PLAINFIELD, IL, 605867756

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing LISA FIXMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-30
Name of individual signing LISA FIXMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
APARNA GOTTUMUKKULA, 2356 S. ROUTE 59, PLAINFIELD, 60544 Agent 2016-08-04

Manager

Name and Address Role Appointment Date
GOTTUMUKKULA, APARNA, 2356 S. ROUTE 59, PLAINFIELD, IL, 60544 Manager 2018-01-23

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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