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ARTISAN DENTAL GROUP OF ILLINOIS LLC

ARTISAN DENTAL GROUP OF ILLINOIS LLC

Company Details

Entity Name:	ARTISAN DENTAL GROUP OF ILLINOIS LLC
Jurisdiction:	Illinois
Entity Type:	Limited Liability Company
Status:	Goodstanding
Date Formed:	15 Dec 2016
Company Number:	LLC_06087906
File Number:	06087906
Type of Management:	Member Managed
Date Status Change:	11 Nov 2024
Address	649 N 1ST BANK DRIVE, PALATINE, 60067, IL
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

ARTISAN DENTAL GROUP OF ILLINOIS LLC 401(K) PLAN

2023

814716368

2024-03-23

ARTISAN DENTAL GROUP OF ILLINOIS LLC

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	8479344280
Plan sponsor’s address	649 N. 1ST BANK DRIVE, PALATINE, IL, 60067

ARTISAN DENTAL GROUP OF ILLINOIS LLC 401(K) PLAN

2022

814716368

2023-02-24

ARTISAN DENTAL GROUP OF ILLINOIS LLC

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	8479344280
Plan sponsor’s address	649 N. 1ST BANK DRIVE, PALATINE, IL, 60067

ARTISAN DENTAL GROUP OF ILLINOIS LLC 401(K) PLAN

2021

814716368

2022-06-13

ARTISAN DENTAL GROUP OF ILLINOIS LLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	8479344280
Plan sponsor’s address	649 N. 1ST BANK DRIVE, PALATINE, IL, 60067

ARTISAN DENTAL GROUP OF ILLINOIS LLC 401(K) PLAN

2020

814716368

2021-03-09

ARTISAN DENTAL GROUP OF ILLINOIS LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	8479344280
Plan sponsor’s address	649 N. 1ST BANK DRIVE, PALATINE, IL, 60067

ARTISAN DENTAL GROUP OF ILLINOIS LLC 401(K) PLAN

2019

814716368

2020-07-28

ARTISAN DENTAL GROUP OF ILLINOIS LLC

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	8479344280
Plan sponsor’s address	649 N. 1ST BANK DRIVE, PALATINE, IL, 60067

ARTISAN DENTAL GROUP OF ILLINOIS LLC 401(K) PLAN

2018

814716368

2019-07-22

ARTISAN DENTAL GROUP OF ILLINOIS LLC

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	8479344280
Plan sponsor’s address	649 N. 1ST BANK DRIVE, PALATINE, IL, 60067

ARTISAN DENTAL GROUP OF ILLINOIS LLC 401(K) PLAN

2017

814716368

2018-07-26

ARTISAN DENTAL GROUP OF ILLINOIS LLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	8479344280
Plan sponsor’s address	649 N. 1ST BANK DRIVE, PALATINE, IL, 60067

Agent

Name and Address	Role	Appointment Date
DONNA MADDALOZZO, 1668 MONTEREY DR, GLENVIEW, 60026	Agent	2020-10-08

Manager

Name and Address	Role	Appointment Date
MADDALOZZO, DONNA, 1668 MONTEREY DRIVE, GLENVIEW, IL, 60026	Manager	2024-11-11
MALTEZOS, ANGELO N, 1668 MONTEREY DRIVE, GLENVIEW, IL, 60026	Manager	2024-11-11
MADDALOZZO, RICHARD, 1536 KITTYHAWK LANE, GLENVIEW, IL, 60026	Manager	2024-11-11

License

License Type	License Number	Status	License Code	License Description	Business Activity	Date Issued	Effective Date	Expiration Date
LIMITED LIABILITY CO	248001700	No data	No data	PROFESSIONAL LIMITED LIABILITY COMPANY	No data	2017-05-24	2021-10-29	2025-01-01

Assumed Names

Name	Type	Effective Date	Cancellation Date	Cancellation Type	Last Renewal Date
ARTISAN DENTAL GROUP	Assumed name	2016-12-22	No data	No data	2020-11-06

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State