| Entity Name: | BURCH DENTAL PARTNERS, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 28 Dec 2020 |
| Company Number: | LLC_09484507 |
| File Number: | 09484507 |
| Type of Management: | Manager Managed |
| Date Status Change: | 04 Nov 2024 |
| Address | 8100 FOREST HILLS RD., LOVES PARK, 61111, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BURCH DENTAL PARTNERS LLC 401K | 2023 | 861274936 | 2024-05-30 | BURCH DENTAL PARTNERS LLC | 24 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-05-30 |
| Name of individual signing | LINDSEY SVATOS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-10-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8444757272 |
| Plan sponsor’s address | 8100 FOREST HILLS ROAD, LOVES PARK, IL, 61111 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-05 |
| Name of individual signing | LINDSEY SVATOS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-10-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8444757272 |
| Plan sponsor’s address | 8100 FOREST HILLS ROAD, LOVES PARK, IL, 61111 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-13 |
| Name of individual signing | JAIME STALEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| TIMOTHY J. LEAKE, 839 N PERRYVILLE RD STE. 200, ROCKFORD, 61107 | Agent | 2022-08-16 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BURCH DMD, MS, JEFFREY, 8100 FOREST HILLS RD., LOVES PARK, IL, 61111 | Manager | 2024-11-04 |
Date of last update: 23 Dec 2024
