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AMAZING SMILES, LLC

Company Details

Entity Name: AMAZING SMILES, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Revoked
Date Formed: 16 Apr 2019
Company Number: LLC_07581246
File Number: 07581246
Type of Management: Manager Managed
Date Status Change: 13 Oct 2023
Address 93 CRESTMOOR STREET, COLLINSVILLE, 62234, IL
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMAZING SMILES 401(K) PLAN 2023 274437582 2024-09-26 AMAZING SMILES 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 7086330430
Plan sponsor’s address 16906 OAK PARK AVE, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
AMAZING SMILES 401(K) PLAN 2022 274437582 2023-08-01 AMAZING SMILES 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 7086330430
Plan sponsor’s address 16906 OAK PARK AVE, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2023-08-01
Name of individual signing JASON CRESCENZO
Valid signature Filed with authorized/valid electronic signature
AMAZING SMILES 401(K) PLAN 2021 274437582 2022-10-10 AMAZING SMILES 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 7086330430
Plan sponsor’s address 16906 OAK PARK AVE, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing JASON CRESCENZO
Valid signature Filed with authorized/valid electronic signature
AMAZING SMILES 401(K) PLAN 2020 274437582 2021-08-05 AMAZING SMILES 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 7086330430
Plan sponsor’s address 16906 OAK PARK AVE, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2021-08-05
Name of individual signing JASON CRESCENZO
Valid signature Filed with authorized/valid electronic signature
AMAZING SMILES 401(K) PLAN 2019 274437582 2020-10-06 AMAZING SMILES 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 7086330430
Plan sponsor’s address 16906 OAK PARK AVE, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2020-10-06
Name of individual signing JASON CRESCENZO
Valid signature Filed with authorized/valid electronic signature
AMAZING SMILES 401(K) PLAN 2018 274437582 2020-01-03 AMAZING SMILES 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 7086330430
Plan sponsor’s address 16906 OAK PARK AVE, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2020-01-03
Name of individual signing JASON CRESCENZO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
REBECCA SCHREINER, 93 CRESTMOOR STREET, COLLINSVILLE, 62234, COOK-NOT IN CITY OF CHICAGO Agent 2020-10-28

Manager

Name and Address Role Appointment Date
SCHREINER, REBECCA, 18009 TARA WOODS CT, CHESTERFIELD, MO, 63005 Manager 2022-05-02
MASTROIANNI, JEFF, 1532 RENOIR AVE., SWANSEA, IL, 62222 Manager 2022-05-02

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BLUE SAGE DENTAL GROUP Assumed name 2019-12-30 2020-08-04 Involuntary cancellation No data
AMAZING SMILES OF ILLINOIS, LLC Foreign assumed name 2019-04-16 2023-10-13 Involuntary cancellation 2020-10-28

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State