FREEPORT DENTAL, LLC

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

ANDERSON FINANCIAL GROUP

2011

364226027

2012-10-15

ANDERSON FINANCIAL GROUP

Plan administrator’s name and address

Administrator’s EIN	364226027
Plan administrator’s name	ANDERSON FINANCIAL GROUP
Plan administrator’s address	827 N MILWAUKEE AVE., CHICAGO, IL, 60642
Administrator’s telephone number	3126660600

Signature of

Role	Plan administrator
Date	2012-10-15
Name of individual signing	KELLY ANDERSON
Valid signature	Filed with authorized/valid electronic signature

ANDERSON FINANCIAL GROUP

2010

364226027

2011-10-17

ANDERSON FINANCIAL GROUP

Plan administrator’s name and address

Administrator’s EIN	364226027
Plan administrator’s name	ANDERSON FINANCIAL GROUP
Plan administrator’s address	827 N MILWAUKEE AVE., CHICAGO, IL, 60642
Administrator’s telephone number	3126660600

Signature of

Role	Plan administrator
Date	2011-10-17
Name of individual signing	KELLY ANDERSON
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
LYLE A. KRUG, 10 N GALENA AVE STE 300, FREEPORT, 61032	Agent	2015-08-26

Name and Address	Role	Appointment Date
SHADY OAK DENTAL, LLC, 208 N. WALNUT, FORRESTON, IL, 61030	Manager	2015-08-26

Date of last update: 23 Dec 2024