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  5. E. MICHAEL OZMENT DDS, LLC

E. MICHAEL OZMENT DDS, LLC

Company Details

Entity Name: E. MICHAEL OZMENT DDS, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 12 Oct 2009
Company Number: LLC_03177718
File Number: 03177718
Type of Management: Member Managed
Date Status Change: 14 Apr 2023
Address 2514 PRAIRIE RIDGE PL, CHAMPAIGN, 61822, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OZMENT SIGNATURE RETIREE HEALTH BENEFIT TRUST 2016 271106281 2017-05-10 E. MICHAEL OZMENT DDS, LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2173597072
Plan sponsor’s address 3112 VILLAGE OFFICE PL, CHAMPAIGN, IL, 618227680

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
OZMENT SIGNATURE RETIREE HEALTH BENEFIT TRUST 2015 271106281 2016-07-27 E. MICHAEL OZMENT DDS, LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2173597072
Plan sponsor’s address 3112 VILLAGE OFFICE PL, CHAMPAIGN, IL, 618227680

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
OZMENT SIGNATURE RETIREE HEALTH BENEFIT TRUST 2014 271106281 2015-07-07 E. MICHAEL OZMENT DDS, LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2173597072
Plan sponsor’s address 801 HELLEL BLVD, CHAMPAIGN, IL, 61820

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
OZMENT SIGNATURE RETIREE HEALTH BENEFIT TRUST 2013 271106281 2014-07-24 E. MICHAEL OZMENT DDS, LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2173597072
Plan sponsor’s address 801 HELLEL BLVD, CHAMPAIGN, IL, 61820

Signature of
Role Plan administrator
Date 2014-07-21
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
OZMENT SIGNATURE RETIREE HEALTH BENEFIT TRUST 2012 271106281 2013-07-15 E. MICHAEL OZMENT DDS, LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2173597072
Plan sponsor’s address 801 HELLEL BLVD, CHAMPAIGN, IL, 61820

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing NICOLE FALCO WATSON
Valid signature Filed with authorized/valid electronic signature
OZMENT SIGNATURE RETIREE HEALTH BENEFIT TRUST 2011 271106281 2012-06-05 E. MICHAEL OZMENT DDS, LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2173597072
Plan sponsor’s address 801 HELLEL BLVD, CHAMPAIGN, IL, 61820

Plan administrator’s name and address
Administrator’s EIN 271106281
Plan administrator’s name E. MICHAEL OZMENT DDS, LLC
Plan administrator’s address 801 HELLEL BLVD, CHAMPAIGN, IL, 61820
Administrator’s telephone number 2173597072

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing PAUL DOUCETTE
Valid signature Filed with authorized/valid electronic signature
OZMENT SIGNATURE RETIREE HEALTH BENEFIT TRUST 2010 271106281 2011-08-01 E. MICHAEL OZMENT DDS, LLC 1
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2173597072
Plan sponsor’s address 801 HELLEL BLVD., CHAMPAIGN, IL, 61820

Plan administrator’s name and address
Administrator’s EIN 271106281
Plan administrator’s name E. MICHAEL OZMENT DDS, LLC
Plan administrator’s address 801 HELLEL BLVD., CHAMPAIGN, IL, 61820
Administrator’s telephone number 2173597072

Signature of
Role Plan administrator
Date 2011-08-01
Name of individual signing PAUL DOUCETTE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JENNY H. PARK, 306 W CHURCH ST, CHAMPAIGN, 61820 Agent 2009-10-12

Member

Name and Address Role Appointment Date
OZMENT, E. MICHAEL, 2514 PRAIRIE RIDGE PL, CHAMPAIGN, IL, 61822 Member 2014-09-12

Related by officers

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

LARSON HOLDINGS B, LLC REALTY SELECT ONE LLC REGENCY CONSOLIDATED RESIDENTIAL LLC LEVITATION JEWELRY LLC DRAKE FAMILY INVESTMENTS LLC TLC RENTAL MANAGEMENT, LLC 4958 FOREST AVENUE LLC PHILIP R. BANGHART DDS, LLC B GRAIN INVESTMENT GROUP LLC CHAMPAIGN VILLAGE 2, LLC

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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