Entity Name: | SPROUT PEDIATRIC DENTISTRY LLC |
Jurisdiction: | Illinois |
Entity Type: | Limited Liability Company |
Status: | Goodstanding |
Date Formed: | 25 Jan 2016 |
Company Number: | LLC_05579287 |
File Number: | 05579287 |
Type of Management: | Member Managed |
Date Status Change: | 09 Dec 2024 |
Address | 6036 N NORTHWEST HIGHWAY, CHICAGO, 60631, IL |
Place of Formation: | ILLINOIS |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SPROUT PEDIATRIC DENTISTRY 401(K) PLAN | 2023 | 811199937 | 2024-05-02 | SPROUT PEDIATRIC DENTISTRY LLC | 7 | |||||||||||||||||||||||||||||||
|
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2024-05-02 |
Name of individual signing | QIAN LIU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2022-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 7733775658 |
Plan sponsor’s address | 6036 N NORTHWEST HWY, CHICAGO, IL, 60631 |
Plan administrator’s name and address
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2023-05-27 |
Name of individual signing | CHRISTINE RIMER |
Valid signature | Filed with authorized/valid electronic signature |
Name and Address | Role | Appointment Date |
---|---|---|
TODD L. ERDMAN, ESQ., 127 SOUTH WHEELING ROAD, WHEELING, 60090 | Agent | 2019-12-09 |
Name and Address | Role | Appointment Date |
---|---|---|
KUTTAB, JOHNNY, 6036 N NORTHWEST HWY, CHICAGO, IL, 60631 | Manager | 2024-12-09 |
Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
---|---|---|---|---|---|
TELEDENTX PEDIATRIC DENTISTRY | Assumed name | 2020-05-26 | No data | No data | No data |
Date of last update: 23 Dec 2024