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MODERN DENTAL OF SPRINGFIELD, PLLC

Company Details

Entity Name: MODERN DENTAL OF SPRINGFIELD, PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 15 Nov 2019
Company Number: LLC_08199477
File Number: 08199477
Type of Management: Manager Managed
Date Status Change: 16 Sep 2024
Address 3240 HEDLEY ROAD, SUITE B, SPRINGFIELD, 62711, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MODERN DENTAL OF SPRINGFIELD, PLLC 401(K) PROFIT SHARING PLAN 2023 843701434 2024-06-07 MODERN DENTAL OF SPRINGFIELD, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2176983400
Plan sponsor’s address 3240 HEDLEY ROAD, SPRINGFIELD, IL, 62711

Signature of

Role Plan administrator
Date 2024-06-07
Name of individual signing TRACY MORLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-07
Name of individual signing MICHAEL A. MORLEY
Valid signature Filed with authorized/valid electronic signature
MODERN DENTAL OF SPRINGFIELD, PLLC CASH BALANCE PLAN 2023 843701434 2024-10-14 MODERN DENTAL OF SPRINGFIELD, PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2176983400
Plan sponsor’s address 3240 HEDLEY ROAD, SPRINGFIELD, IL, 62711
MODERN DENTAL OF SPRINGFIELD, PLLC CASH BALANCE PLAN 2022 843701434 2023-10-15 MODERN DENTAL OF SPRINGFIELD, PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2176983400
Plan sponsor’s address 3240 HEDLEY ROAD, SPRINGFIELD, IL, 62711
MODERN DENTAL OF SPRINGFIELD, PLLC 401(K) PROFIT SHARING PLAN 2022 843701434 2023-08-17 MODERN DENTAL OF SPRINGFIELD, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2176983400
Plan sponsor’s address 3240 HEDLEY ROAD, SPRINGFIELD, IL, 62711

Signature of

Role Plan administrator
Date 2023-08-07
Name of individual signing TRACY MORLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-17
Name of individual signing MICHAEL A. MORLEY
Valid signature Filed with authorized/valid electronic signature
MODERN DENTAL OF SPRINGFIELD, PLLC CASH BALANCE PLAN 2021 843701434 2022-10-04 MODERN DENTAL OF SPRINGFIELD, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2176983406
Plan sponsor’s address 3240 HEDLEY ROAD, SPRINGFIELD, IL, 62711
MODERN DENTAL OF SPRINGFIELD, PLLC 401(K) PROFIT SHARING PLAN 2021 843701434 2022-07-26 MODERN DENTAL OF SPRINGFIELD, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2176983400
Plan sponsor’s address 3240 HEDLEY ROAD, SPRINGFIELD, IL, 62711

Signature of

Role Plan administrator
Date 2022-07-26
Name of individual signing TRACY MORLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-25
Name of individual signing MICHAEL A. MORLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL A. MORLEY D.M.D., 3240 HEDLEY ROAD, SUITE B, SPRINGFIELD, 62711 Agent 2019-11-15

Manager

Name and Address Role Appointment Date
MORELY D.M.D. P.C., MICHAEL A., 3240 HEDLEY ROAD, SUITE B, SPRINGFIELD, IL, 62711 Manager 2024-09-16
BRIAN P. HAMEL, D.M.D., LLC, 901 EAST SPRUCE STREET, CHATHAM, IL, 62629 Manager 2024-09-16

Historical Names

Name Change Date
MODERN DENTAL OF SPRINGFIELD, LLC 2019-12-10

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State