| Entity Name: | BLAIR PEDIATRIC DENTISTRY & ORTHODONTICS, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 13 Jan 2023 |
| Company Number: | LLC_12649223 |
| File Number: | 12649223 |
| Type of Management: | Manager Managed |
| Date Status Change: | 26 Nov 2024 |
| Address | 949 S. MAIN STREET, LOMBARD, 60148, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLAIR PEDIATRIC DENTISTRY & ORTHODONTICS 401(K) PLAN | 2023 | 921758457 | 2024-05-21 | BLAIR PEDIATRIC DENTISTRY & ORTHODONTICS | 0 | |||||||||||||||||||||||||||||||
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| 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 | 2024-05-21 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| TODD L. ERDMAN, ESQ., 127 S. WHEELING ROAD, WHEELING, 60090 | Agent | 2023-01-13 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| SUSAN BLAIR, D.D.S., 949 S. MAIN STREET, LOMBARD, IL, 60148 | Manager | 2024-11-26 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| LOMBARD PEDIATRIC DENTISTRY & ORTHDONTICS | Assumed name | 2023-03-15 | No data | No data | No data |
| SMILES ON MAIN | Assumed name | 2023-03-15 | No data | No data | No data |
| MAIN STREET PEDIATRIC DENTISTRY & ORTHODONTICS | Assumed name | 2023-03-15 | No data | No data | No data |
Date of last update: 23 Dec 2024
