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MALTA FAMILY DENTAL LLC

Company Details

Entity Name: MALTA FAMILY DENTAL LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 18 Apr 2011
Company Number: LLC_03584208
File Number: 03584208
Type of Management: Manager Managed
Date Status Change: 18 Mar 2024
Address 304 VAN BUREN STREET, MALTA, 60150, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MALTA FAMILY DENTAL LLC CASH BALANCE PLAN 2023 274625975 2024-10-04 MALTA FAMILY DENTAL LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8155619100
Plan sponsor’s address 820 S. 7TH STREET, ROCHELLE, IL, 61068

Signature of

Role Plan administrator
Date 2024-10-03
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-03
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
MALTA FAMILY DENTAL LLC 401(K) PROFIT SHARING PLAN 2023 274625975 2024-07-15 MALTA FAMILY DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8155619100
Plan sponsor’s address 820 S. 7TH STREET, ROCHELLE, IL, 61068

Signature of

Role Plan administrator
Date 2024-07-13
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-13
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
MALTA FAMILY DENTAL LLC CASH BALANCE PLAN 2022 274625975 2023-10-12 MALTA FAMILY DENTAL LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8155619100
Plan sponsor’s address 820 S. 7TH STREET, ROCHELLE, IL, 61068

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-11
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
MALTA FAMILY DENTAL LLC 401(K) PROFIT SHARING PLAN 2022 274625975 2023-07-24 MALTA FAMILY DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8155619100
Plan sponsor’s address 820 S. 7TH STREET, ROCHELLE, IL, 61068

Signature of

Role Plan administrator
Date 2023-07-24
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-24
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
MALTA FAMILY DENTAL LLC CASH BALANCE PLAN 2021 274625975 2022-10-14 MALTA FAMILY DENTAL LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8155619100
Plan sponsor’s address 820 S. 7TH STREET, ROCHELLE, IL, 61068

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
MALTA FAMILY DENTAL LLC 401(K) PROFIT SHARING PLAN 2021 274625975 2022-06-01 MALTA FAMILY DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8155619100
Plan sponsor’s address 820 S. 7TH STREET, ROCHELLE, IL, 61068

Signature of

Role Plan administrator
Date 2022-05-31
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-31
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
MALTA FAMILY DENTAL LLC 401(K) PROFIT SHARING PLAN 2020 274625975 2021-04-07 MALTA FAMILY DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8155619100
Plan sponsor’s address 820 S. 7TH STREET, ROCHELLE, IL, 61068

Signature of

Role Plan administrator
Date 2021-04-07
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-07
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
MALTA FAMILY DENTAL LLC CASH BALANCE PLAN 2020 274625975 2021-10-13 MALTA FAMILY DENTAL LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8155619100
Plan sponsor’s address 820 S. 7TH STREET, ROCHELLE, IL, 61068

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
MALTA FAMILY DENTAL LLC 401(K) PROFIT SHARING PLAN 2019 274625975 2020-04-28 MALTA FAMILY DENTAL LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8155619100
Plan sponsor’s address 304 VAN BUREN ST., MALTA, IL, 601509512

Signature of

Role Plan administrator
Date 2020-04-27
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-27
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
MALTA FAMILY DENTAL LLC CASH BALANCE PLAN 2019 274625975 2020-10-13 MALTA FAMILY DENTAL LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8155619100
Plan sponsor’s address 304 VAN BUREN ST., MALTA, IL, 601509512

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing ABRAM ANDERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ABRAM ANDERSON, 304 VAN BUREN ST, MALTA, 60150 Agent 2011-04-18

Manager

Name and Address Role Appointment Date
ANDERSON, ABRAM S, 304 VAN BUREN STREET, MALTA, IL, 60150 Manager 2021-06-28

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State