| Entity Name: | STONY ISLAND DENTALWORKS LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 07 Sep 2017 |
| Company Number: | LLC_06504698 |
| File Number: | 06504698 |
| Type of Management: | Manager Managed |
| Date Status Change: | 04 Oct 2024 |
| Address | 2235 EAST 71ST STREET, CHICAGO, 60649, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STONY ISLAND DENTALWORKS LLC 401(K) P/S PLAN | 2023 | 822704196 | 2024-10-11 | STONY ISLAND DENTALWORKS LLC | 5 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-10-11 |
| Name of individual signing | PAIGE BAKER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 7732340777 |
| Plan sponsor’s address | 56 E 47TH ST STE 200, CHICAGO, IL, 60653 |
Plan administrator’s name and address
| Administrator’s EIN | 822704196 |
| Plan administrator’s name | STONY ISLAND DENTALWORKS LLC |
| Plan administrator’s address | 56 E 47TH ST STE 200, CHICAGO, IL, 60653 |
| Administrator’s telephone number | 7732340777 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-27 |
| Name of individual signing | PAIGE BAKER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 7732340777 |
| Plan sponsor’s address | 56 E 47TH ST STE 200, CHICAGO, IL, 60653 |
Plan administrator’s name and address
| Administrator’s EIN | 822704196 |
| Plan administrator’s name | STONY ISLAND DENTALWORKS LLC |
| Plan administrator’s address | 56 E 47TH ST STE 200, CHICAGO, IL, 60653 |
| Administrator’s telephone number | 7732340777 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-07 |
| Name of individual signing | REGINALD BAKER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| REGINALD T. BAKER, 2235 E. 71ST ST., CHICAGO, 60649 | Agent | 2018-07-18 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BAKER, REGINALD T, 56 E 47TH STREET SUITE 209C, CHICAGO, IL, 60653 | Manager | 2024-10-04 |
| BAKER, PAIGE M, 56 E 47TH STREET SUITE 209C, CHICAGO, IL, 60653 | Manager | 2024-10-04 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| TEAM DENTAL FAMILY DENTISTRY | Assumed name | 2018-10-11 | No data | No data | 2020-08-21 |
Date of last update: 16 Jan 2025
