| Entity Name: | REBECCA TESTA PEDIATRIC DENTAL SPECIALIST, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 01 Mar 2022 |
| Company Number: | LLC_11021433 |
| File Number: | 11021433 |
| Type of Management: | Manager Managed |
| Date Status Change: | 13 Feb 2024 |
| Address | 19815 GOVERNORS HWY, STE 4, FLOSSMOOR, 60422, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REBECCA TESTA PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN AND TRUST | 2023 | 880989678 | 2024-03-25 | REBECCA TESTA PEDIATRIC DENTAL SPECIALIST PLLC | 5 | |||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-03-25 |
| Name of individual signing | REBECCA TESTA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-03-25 |
| Name of individual signing | REBECCA TESTA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-03-15 |
| Business code | 621210 |
| Sponsor’s telephone number | 7087995437 |
| Plan sponsor’s DBA name | REBECCA TESTA PEDIATRIC DENTISTRY |
| Plan sponsor’s address | 19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-07 |
| Name of individual signing | REBECCA TESTA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-03-07 |
| Name of individual signing | REBECCA TESTA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ROBERT E. HANEY, 2 MID AMERICA PLAZA, STE 110, OAKBROOK TERRACE, 60181 | Agent | 2022-03-01 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| REBECCA TESTA, 19815 GOVERNORS HWY, STE 4, FLOSSMOOR, IL, 60422 | Manager | 2024-02-13 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| REBECCA TESTA PEDIATRIC DENTISTRY | Assumed name | 2022-03-04 | No data | No data | No data |
Date of last update: 20 Jan 2025
