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  5. WEST SUBURBAN ENDODONTICS, LLC

WEST SUBURBAN ENDODONTICS, LLC

Company Details

Entity Name: WEST SUBURBAN ENDODONTICS, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 20 May 2014
Company Number: LLC_04842006
File Number: 04842006
Type of Management: Manager Managed
Date Status Change: 13 May 2024
Address 1749 S NAPERVILLE RD SUITE 100, WHEATON, 60189, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST SUBURBAN ENDODONTICS, LLC RETIREMENT PLAN 2023 465718027 2024-04-17 WEST SUBURBAN ENDODONTICS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-20
Business code 621210
Sponsor’s telephone number 6306553636
Plan sponsor’s address 1749 S NAPERVILLE ROAD, SUITE 100, WHEATON, IL, 60189

Signature of
Role Plan administrator
Date 2024-04-17
Name of individual signing BRIAN WARDELL
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN ENDODONTICS, LLC RETIREMENT PLAN 2022 465718027 2023-09-13 WEST SUBURBAN ENDODONTICS, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-20
Business code 621210
Sponsor’s telephone number 6306553636
Plan sponsor’s address 1749 S NAPERVILLE ROAD, SUITE 100, WHEATON, IL, 60189

Signature of
Role Plan administrator
Date 2023-09-13
Name of individual signing BRIAN WARDELL
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN ENDODONTICS, LLC RETIREMENT PLAN 2021 465718027 2022-04-20 WEST SUBURBAN ENDODONTICS, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-20
Business code 621210
Sponsor’s telephone number 6306553636
Plan sponsor’s address 1749 S NAPERVILLE ROAD, SUITE 100, WHEATON, IL, 60189

Signature of
Role Plan administrator
Date 2022-04-20
Name of individual signing BRIAN WARDELL
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN ENDODONTICS, LLC RETIREMENT PLAN 2020 465718027 2021-03-05 WEST SUBURBAN ENDODONTICS, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-20
Business code 621210
Sponsor’s telephone number 6306553636
Plan sponsor’s address 522 CHESTNUT STREET, SUITE GA, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2021-03-05
Name of individual signing BRIAN WARDELL
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN ENDODONTICS, LLC RETIREMENT PLAN 2019 465718027 2020-02-26 WEST SUBURBAN ENDODONTICS, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-20
Business code 621210
Sponsor’s telephone number 6306553636
Plan sponsor’s address 522 CHESTNUT STREET, SUITE GA, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2020-02-26
Name of individual signing BRIAN WARDELL
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN ENDODONTICS, LLC RETIREMENT PLAN 2018 465718027 2019-03-25 WEST SUBURBAN ENDODONTICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-20
Business code 621210
Sponsor’s telephone number 6306553636
Plan sponsor’s address 522 CHESTNUT STREET, SUITE GA, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2019-03-25
Name of individual signing BRIAN WARDELL
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN ENDODONTICS, LLC RETIREMENT PLAN 2017 465718027 2018-08-09 WEST SUBURBAN ENDODONTICS, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-20
Business code 621210
Sponsor’s telephone number 6306553636
Plan sponsor’s address 522 CHESTNUT STREET, SUITE GA, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2018-08-09
Name of individual signing BRIAN WARDELL
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN ENDODONTICS, LLC RETIREMENT PLAN 2016 465718027 2017-03-13 WEST SUBURBAN ENDODONTICS, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-20
Business code 621210
Sponsor’s telephone number 6306553636
Plan sponsor’s address 522 CHESTNUT STREET, SUITE GA, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2017-03-13
Name of individual signing BRIAN WARDELL
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN ENDODONTICS, LLC RETIREMENT PLAN 2015 465718027 2016-04-06 WEST SUBURBAN ENDODONTICS, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-20
Business code 621210
Sponsor’s telephone number 6306553636
Plan sponsor’s address 522 CHESTNUT STREET, SUITE GA, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2016-04-06
Name of individual signing BRIAN WARDELL
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN ENDODONTICS, LLC RETIREMENT PLAN 2014 465718027 2015-07-07 WEST SUBURBAN ENDODONTICS, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-20
Business code 621210
Sponsor’s telephone number 6306553636
Plan sponsor’s address 522 CHESTNUT STREET, SUITE GA, HINSDALE, IL, 60521

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

Agent

Name and Address Role Appointment Date
CHARLES G. WENTWORTH, 536 CRESCENT BLVD STE 200, GLEN ELLYN, 60137 Agent 2019-04-23

Manager

Name and Address Role Appointment Date
DR. WARDELL, BRIAN, 1749 S NAPERVILLE RD SUITE 100, WHEATON, IL, 60189 Manager 2024-05-13
DR. BURGENER, BRUNA, 1749 S NAPERVILLE RD SUITE 100, WHEATON, IL, 60189 Manager 2024-05-13

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248001816 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2017-06-29 2017-06-29 2018-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PREMIER ENDODONTIC ASSOCIATES Assumed name 2014-10-31 No data No data 2020-04-10

Related by officers

CHARLES G. WENTWORTH, 536 CRESCENT BLVD STE 200, GLEN ELLYN, 60137

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Related by address

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Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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