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  5. AFFILIATED DENTISTS, LLC

AFFILIATED DENTISTS, LLC

Company Details

Entity Name: AFFILIATED DENTISTS, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 05 Aug 2020
Company Number: LLC_09085254
File Number: 09085254
Type of Management: Manager Managed
Date Status Change: 08 Jul 2024
Address 214 N. MAIN ST., PONTIAC, 61764, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFFILIATED DENTISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2023 852321761 2024-10-11 AFFILIATED DENTISTS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 8158442723
Plan sponsor’s address 214 NORTH MAIN STREET, PONTIAC, IL, 61764

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing ANDREW JORDAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing ANDREW JORDAN
Valid signature Filed with authorized/valid electronic signature
AFFILIATED DENTISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2022 852321761 2023-10-06 AFFILIATED DENTISTS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 8158442723
Plan sponsor’s address 214 NORTH MAIN STREET, PONTIAC, IL, 61764

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing ANDREW JORDAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-06
Name of individual signing ANDREW JORDAN
Valid signature Filed with authorized/valid electronic signature
AFFILIATED DENTISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST 2021 852321761 2022-10-17 AFFILIATED DENTISTS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 8158442723
Plan sponsor’s address 124 NORTH MAIN STREET, PONTIAC, IL, 61764

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing ANDREW JORDAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing ANDREW JORDAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANDREW JORDAN, 2216 BELLA FIORE LN, PONTIAC, 61764 Agent 2020-08-05

Manager

Name and Address Role Appointment Date
JORDAN, ANDREW, 2216, BELLA FIORE LANE, PONTIAC, IL, 61764 Manager 2020-08-05

Related by officers

ANDREW JORDAN, 2216 BELLA FIORE LN, PONTIAC, 61764

ANDREW JORDAN, LLC

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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