| Entity Name: | BARRETT FAMILY DENTAL, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | NGS |
| Date Formed: | 17 Dec 2021 |
| Company Number: | LLC_11001637 |
| File Number: | 11001637 |
| Type of Management: | Manager Managed |
| Date Status Change: | 01 Dec 2024 |
| Address | 114 PARK PLAZA DR., RED BUD, 62278, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BARRETT FAMILY DENTAL PLLC 401(K) PLAN | 2023 | 874326623 | 2024-10-14 | BARRETT FAMILY DENTAL PLLC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-14 |
| Name of individual signing | ELIZABETH BARRETT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-08-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5732288201 |
| Plan sponsor’s address | 114 PARK PLAZA DR, RED BUD, IL, 62278 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-16 |
| Name of individual signing | ELIZABETH BARRETT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CHRISTOPHER W. BYRON, 411 ST. LOUIS STREET, EDWARDSVILLE, 62025 | Agent | 2021-12-17 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ELIZABETH BARRETT, 729 WINDING BLUFFS DR., FENTON, MO, 62026 | Manager | 2024-01-17 |
Date of last update: 27 Jan 2025
