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  5. RICHARD J. CLAYDON DDS, LLC

RICHARD J. CLAYDON DDS, LLC

Company Details

Entity Name: RICHARD J. CLAYDON DDS, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 16 Mar 2009
Company Number: LLC_03094189
File Number: 03094189
Type of Management: Member Managed
Date Status Change: 08 Sep 2023
Address 25097 EAGLE POINT, HUDSON, 61748, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RJC SIGNATURE RETIREE HEALTH BENEFIT TRUST 2023 270155525 2024-11-11 RICHARD J CLAYDON DDS LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3093102238
Plan sponsor’s address 25097 EAGLE PT, HUDSON, IL, 617487505

Signature of
Role Plan administrator
Date 2024-11-11
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
RJC SIGNATURE RETIREE HEALTH BENEFIT TRUST 2022 270155525 2023-08-03 RICHARD J CLAYDON DDS LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3093102238
Plan sponsor’s address 25097 EAGLE PT, HUDSON, IL, 617487505

Signature of
Role Plan administrator
Date 2023-08-03
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
RJC SIGNATURE RETIREE HEALTH BENEFIT TRUST 2021 270155525 2022-07-18 RICHARD J CLAYDON DDS LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3093102238
Plan sponsor’s address 25097 EAGLE PT, HUDSON, IL, 617487505

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
RJC SIGNATURE RETIREE HEALTH BENEFIT TRUST 2020 270155525 2021-11-23 RICHARD J CLAYDON DDS LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3093102238
Plan sponsor’s address 25097 EAGLE PT, HUDSON, IL, 617487505

Signature of
Role Plan administrator
Date 2021-07-20
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
RJC SIGNATURE RETIREE HEALTH BENEFIT TRUST 2019 270155525 2020-07-31 RICHARD J CLAYDON DDS LLC 0
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3093102238
Plan sponsor’s address 25097 EAGLE PT, HUDSON, IL, 617487505

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
RJC SIGNATURE RETIREE HEALTH BENEFIT TRUST 2018 270155525 2019-06-19 RICHARD J CLAYDON DDS LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3093102238
Plan sponsor’s address 25097 EAGLE PT, HUDSON, IL, 617487505

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
RJC SIGNATURE RETIREE HEALTH BENEFIT TRUST 2017 270155525 2018-05-16 RICHARD J CLAYDON DDS LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3093102238
Plan sponsor’s address 25097 EAGLE PT, HUDSON, IL, 617487505

Signature of
Role Plan administrator
Date 2018-05-16
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
RJC SIGNATURE RETIREE HEALTH BENEFIT TRUST 2016 270155525 2017-05-10 RICHARD J CLAYDON DDS, LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3093102238
Plan sponsor’s address 25097 EAGLE PT, HUDSON, IL, 617487505

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
RJC SIGNATURE RETIREE HEALTH BENEFIT TRUST 2015 270155525 2016-07-27 RICHARD J CLAYDON DDS, LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3093102238
Plan sponsor’s address 25097 EAGLE PT, HUDSON, IL, 617487505

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
RJC SIGNATURE RETIREE HEALTH BENEFIT TRUST 2014 270155525 2015-07-07 RICHARD J CLAYDON DDS, LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3093102238
Plan sponsor’s address 25097 EAGLE POINTE, HUDSON, IL, 61748

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JENNY H. PARK, 306 W CHURCH ST, CHAMPAIGN, 61820, CHAMPAIGN Agent 2009-03-16

Manager

Name and Address Role Appointment Date
CLAYDON DDS, RICHARD J., 25097 EAGLE POINT, HUDSON, IL, 61748 Manager 2022-03-22

Related by officers

JENNY H. PARK, 306 W CHURCH ST, CHAMPAIGN, 61820, CHAMPAIGN

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Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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