| Entity Name: | SMALLTOWN DENTAL MANAGEMENT, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 27 Feb 2019 |
| Company Number: | LLC_07621892 |
| File Number: | 07621892 |
| Type of Management: | Manager Managed |
| Date Status Change: | 11 Apr 2024 |
| Address | 17471 MOORE RD, MORTON, 61550, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SMALLTOWN DENTAL MANAGEMENT LLC 401(K) PLAN | 2023 | 833582275 | 2024-09-19 | SMALLTOWN DENTAL MANAGEMENT, LLC | 69 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-09-19 |
| Name of individual signing | MICHAEL VANDERFORD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-07-07 |
| Business code | 621210 |
| Sponsor’s telephone number | 3093705853 |
| Plan sponsor’s address | 1600 S. FOURTH AVE., SUITE 110, MORTON, IL, 61550 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-11 |
| Name of individual signing | MICHAEL VANDERFORD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| PETER D. SMIDT, 1600 S 4TH AVE STE 110, MORTON, 61550 | Agent | 2024-04-17 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| SMIDT, PETER, 1600 S 4TH AVE STE 110, MORTON, IL, 61550 | Manager | 2024-04-11 |
Date of last update: 23 Dec 2024
