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RICHARD S. NICKLAS, DDS, PLLC

Company Details

Entity Name: RICHARD S. NICKLAS, DDS, PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 11 Dec 2015
Company Number: LLC_05540887
File Number: 05540887
Type of Management: Manager Managed
Date Status Change: 25 Nov 2024
Address 497 S WALL ST, KANKAKEE, 60901, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN 2023 363387069 2024-07-07 RICHARD S. NICKLAS, DDS 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8152168366
Plan sponsor’s address 497 S. WALL STREET, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2024-07-07
Name of individual signing RICHARD S NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN 2022 363387069 2023-07-14 RICHARD S. NICKLAS, DDS 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8152168366
Plan sponsor’s address 497 S. WALL STREET, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2023-07-14
Name of individual signing RICHARD S NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN 2021 363387069 2022-08-23 RICHARD S. NICKLAS, DDS 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8152168366
Plan sponsor’s address 497 S. WALL STREET, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2022-08-23
Name of individual signing RICHARD S NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN 2020 363387069 2021-06-22 RICHARD S. NICKLAS, DDS 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8159326251
Plan sponsor’s address 497 S. WALL STREET, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2021-06-22
Name of individual signing RICHARD S NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN 2019 363387069 2020-06-18 RICHARD S. NICKLAS, DDS 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8159326251
Plan sponsor’s address 497 S. WALL STREET, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2020-06-18
Name of individual signing RICHARD S NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN 2018 363387069 2019-06-10 RICHARD S. NICKLAS, DDS 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8159326251
Plan sponsor’s address 497 S. WALL STREET, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2019-06-10
Name of individual signing RICHARD S NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN 2017 363387069 2019-06-10 RICHARD S. NICKLAS, DDS 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8159326251
Plan sponsor’s address 497 S. WALL STREET, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2019-06-10
Name of individual signing RICHARD S NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN 2016 363387069 2017-07-05 RICHARD S. NICKLAS, DDS 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8159326251
Plan sponsor’s address 497 S. WALL STREET, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2017-07-05
Name of individual signing RICHARD S NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN 2015 363387069 2016-07-10 RICHARD S. NICKLAS, DDS 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8159326251
Plan sponsor’s address 497 S. WALL STREET, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2016-07-10
Name of individual signing RICHARD S NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN 2014 363387069 2015-09-01 RICHARD S NICKLAS, DDS 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8159326251
Plan sponsor’s address 497 S WALL STREET, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2015-09-01
Name of individual signing RICHARD S. NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-01
Name of individual signing RICHARD S. NICKLAS, DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS G GARDINER, 121 W. WACKER DR., STE. 3600, CHICAGO, 60601 Agent 2024-09-17

Manager

Name and Address Role Appointment Date
NICKLAS, RICHARD S DDS, 497 S WALL ST, KANKAKEE, IL, 60901 Manager 2024-11-25

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
RICHARD S. NICKLAS, DDS, LLC Assumed name 2022-09-09 No data No data No data
RICHARD S. NICKLAS, DDS Assumed name 2015-12-31 No data No data 2020-12-29

Historical Names

Name Change Date
RICHARD S. NICKLAS, DDS, LLC 2021-11-18

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State