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ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH

Company Details

Entity Name: ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 23 Aug 1963
Date of Dissolution: 08 Jan 2021
Company Number: CORP_43371215
File Number: 43371215
Type of Business: Charitable or benevolent
Date Status Change: 08 Jan 2021
Address 180 N MICHIGAN AVE 11 1150, CHICAGO, IL, 60601
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TIAA-CREF DEFERRED ANNUITY FOR ORAL HEALTH AMERICA 2012 362382334 2016-03-30 ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 813000
Sponsor’s telephone number 3128369900
Plan sponsor’s DBA name ORAL HEALTH AMERICA
Plan sponsor’s mailing address 180 N MICHIGAN AVE, SUITE 1150, CHICAGO, IL, 60601
Plan sponsor’s address 180 N MICHIGAN AVE, SUITE 1150, CHICAGO, IL, 60601

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2016-03-30
Name of individual signing VERNON BRODERS
Valid signature Filed with authorized/valid electronic signature
TIAA-CREF DEFERRED ANNUITY FOR ORAL HEALTH AMERICA 2012 362382334 2013-11-16 ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH 30
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 813000
Sponsor’s telephone number 3128369900
Plan sponsor’s DBA name ORAL HEALTH AMERICA
Plan sponsor’s mailing address 180 N MICHIGAN AVENUE, SUITE 1150, CHICAGO, IL, 60601
Plan sponsor’s address 180 N MICHIGAN AVENUE, SUITE 1150, CHICAGO, IL, 60601

Number of participants as of the end of the plan year

Active participants 23
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 28
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-11-16
Name of individual signing VERNON BRODERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-11-16
Name of individual signing VERNON BRODERS
Valid signature Filed with authorized/valid electronic signature
TEACHER INSURANCE & ANNUITY ASSOCIATION COLLEGE RETIREMENT EQUITY FUND - ORAL HEALTH AMERICA 2012 362382334 2013-11-16 ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 813000
Sponsor’s telephone number 3128369900
Plan sponsor’s DBA name ORAL HEALTH AMERICA
Plan sponsor’s mailing address 180 N MICHGAN AVENUE, SUITE 1150, CHICAGO, IL, 60601
Plan sponsor’s address 180 N MICHGAN AVENUE, SUITE 1150, CHICAGO, IL, 60601

Number of participants as of the end of the plan year

Active participants 23
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 28
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-11-16
Name of individual signing VERNON BRODERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-11-16
Name of individual signing VERNON BRODERS
Valid signature Filed with authorized/valid electronic signature
TIAA-CREF DEFERRED ANNUITY FOR ORAL HEALTH AMERICA 2011 362382334 2012-07-25 ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 611000
Sponsor’s telephone number 3128369900
Plan sponsor’s mailing address 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611
Plan sponsor’s address 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 362382334
Plan administrator’s name ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH
Plan administrator’s address 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611
Administrator’s telephone number 3128369900

Number of participants as of the end of the plan year

Active participants 22
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 27
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-07-25
Name of individual signing J THOMAS MESICH
Valid signature Filed with authorized/valid electronic signature
TEACHER INSURANCE & ANNUITY ASSOCIATION COLLEGE RETIREMENT EQUITY FUND - ORAL HEALTH AMERICA 2011 362382334 2012-07-25 ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 611000
Sponsor’s telephone number 3128369900
Plan sponsor’s mailing address 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611
Plan sponsor’s address 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 362382334
Plan administrator’s name ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH
Plan administrator’s address 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611
Administrator’s telephone number 3128369900

Number of participants as of the end of the plan year

Active participants 22
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 27
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-07-25
Name of individual signing J THOMAS MESICH
Valid signature Filed with authorized/valid electronic signature
ORAL HEALTH AMERICA PREMIUM PLAN ONLY 2010 362382334 2011-12-30 ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH 28
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1992-02-01
Business code 813000
Sponsor’s telephone number 3128369900
Plan sponsor’s mailing address ORAL HEALTH AMERICA, 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611
Plan sponsor’s address ORAL HEALTH AMERICA, 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 362382334
Plan administrator’s name ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH
Plan administrator’s address ORAL HEALTH AMERICA, 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611
Administrator’s telephone number 3128369900

Number of participants as of the end of the plan year

Active participants 20
Other retired or separated participants entitled to future benefits 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-12-30
Name of individual signing J THOMAS MESICH
Valid signature Filed with authorized/valid electronic signature
TIAA-CREF DEFERRED ANNUITY FOR ORAL HEALTH AMERICA 2010 362382334 2011-12-30 ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 611000
Sponsor’s telephone number 3128369900
Plan sponsor’s mailing address ORAL HEALTH AMERICA, 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611
Plan sponsor’s address ORAL HEALTH AMERICA, 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 362382334
Plan administrator’s name ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH
Plan administrator’s address ORAL HEALTH AMERICA, 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611
Administrator’s telephone number 3128369900

Number of participants as of the end of the plan year

Active participants 6

Signature of

Role Plan administrator
Date 2011-12-30
Name of individual signing J THOMAS MESICH
Valid signature Filed with authorized/valid electronic signature
TEACHER INSURANCE & ANNUITY ASSOCIATION COLLEGE RETIREMENT EQUITY FUND RETIREMENT PLAN FOR ORAL HEALTH AMERICA 2010 362382334 2011-12-30 ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1959-01-01
Business code 611000
Sponsor’s telephone number 3128369900
Plan sponsor’s mailing address 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611
Plan sponsor’s address 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 362382334
Plan administrator’s name ORAL HEALTH AMERICA, AMERICA'S FUND FOR DENTAL HEALTH
Plan administrator’s address 410 N MICHIGAN AVENUE, SUITE 352, CHICAGO, IL, 60611
Administrator’s telephone number 3128369900

Number of participants as of the end of the plan year

Active participants 6

Signature of

Role Plan administrator
Date 2011-12-30
Name of individual signing J THOMAS MESICH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WAGENMAKER & OBERLY, LLC, 53 W JACKSON BLVD STE 1734, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO Agent 2019-12-23

President

Name and Address Role Account Number
Beth J Truett Haagen President 401790

Secretary

Name and Address Role Account Number
Vernon R Broders Secretary 401790

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2429020 Issued 1625 Raffles 720 - Not-For-Profit Selling Raffles for Prizes of $50 or More 2018-10-25 2018-10-16 2019-10-15

Historical Names

Name Change Date
AMERICAN FUND FOR DENTAL HEALTH 1994-11-09

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State