| Entity Name: | CAPEZIO PEDIATRIC DENTISTRY, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 20 Jul 2021 |
| Company Number: | LLC_10037123 |
| File Number: | 10037123 |
| Type of Management: | Manager Managed |
| Date Status Change: | 06 Jun 2024 |
| Address | 4814 N. DAMEN AVE. APT 413, CHICAGO, 60625, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAPEZIO PEDIATRIC DENTISTRY PLLC, 401(K) PLAN | 2023 | 871801488 | 2024-07-17 | CAPEZIO PEDIATRIC DENTISTRY PLLC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-17 |
| Name of individual signing | NICHOLAS CAPEZIO, DMD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8474599195 |
| Plan sponsor’s address | 123 MCHENRY ROAD, BUFFALO GROVE, IL, 60089 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-12 |
| Name of individual signing | NICHOLAS CAPEZIO, DMD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JORDAN UDITSKY, 2 MID AMERICA PLAZA, STE 110, OAKBROOK TERRACE, 60181 | Agent | 2021-07-20 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CAPEZIO, NICHOLAS, 4814 N. DAMEN AVE. APT 413, CHICAGO, IL, 60625 | Manager | 2024-06-06 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248003264 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2021-09-02 | 2021-10-29 | 2025-01-01 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| CAPEZIO LOIBEN PEDIATRIC DENTISTRY | Assumed name | 2021-11-01 | No data | No data | No data |
Date of last update: 20 Jan 2025
