| Entity Name: | SETH THOMAS BARNETT, DMD, MS, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 02 Jul 2020 |
| Company Number: | LLC_08757194 |
| File Number: | 08757194 |
| Type of Management: | Manager Managed |
| Date Status Change: | 10 Sep 2024 |
| Address | 3601 GENERAL ELECTRIC RD, #6, BLOOMINGTON, 61704, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ENDODONTIC SPECIALISTS 401(K) PLAN | 2023 | 852031419 | 2024-05-15 | SETH THOMAS BARNETT DMD MS PLLC | 5 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-15 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3096639521 |
| Plan sponsor’s address | 3601 GENERAL ELECTRIC RD STE 6, BLOOMINGTON, IL, 61704 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3096639521 |
| Plan sponsor’s address | 3601 GENERAL ELECTRIC RD STE 6, BLOOMINGTON, IL, 61704 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-01 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| SETH T. BARNETT, DMD, MS, 3601 GENERAL ELECTRIC RD STE 6, BLOOMINGTON, 61704 | Agent | 2020-09-22 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BARNETT, DMD, MS, SETH T., 6 CLOVERHILL CIRCLE, BLOOMINGTON, IL, 61705 | Manager | 2024-09-10 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| ENDODONTIC SPECIALISTS | Assumed name | 2020-10-27 | No data | No data | No data |
Date of last update: 13 Jan 2025
