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  5. DELTA DENTAL PLANS ASSOCIATION

DELTA DENTAL PLANS ASSOCIATION

Headquarter

Company Details

Entity Name: DELTA DENTAL PLANS ASSOCIATION
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 07 Jan 1965
Company Number: CORP_44945801
File Number: 44945801
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of DELTA DENTAL PLANS ASSOCIATION, MINNESOTA 1006539c-c644-ed11-9066-00155d32b947 MINNESOTA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN 2023 362551984 2024-07-30 DELTA DENTAL PLANS ASSOCIATION 96
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 813000
Sponsor’s telephone number 6305746851
Plan sponsor’s address 1515 WEST 22ND STREET, SUITE 450, OAK BROOK, IL, 60523
DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN 2022 362551984 2023-07-06 DELTA DENTAL PLANS ASSOCIATION 77
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 813000
Sponsor’s telephone number 6305746853
Plan sponsor’s address 1515 WEST 22ND STREET, SUITE 450, OAK BROOK, IL, 60523
DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN 2021 362551984 2022-04-28 DELTA DENTAL PLANS ASSOCIATION 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 813000
Sponsor’s telephone number 6305746853
Plan sponsor’s address 1515 WEST 22ND STREET, SUITE 450, OAK BROOK, IL, 60523

Plan administrator’s name and address
Administrator’s EIN 410417830
Plan administrator’s name MINNESOTA LIFE INSURANCE COMPANY
Plan administrator’s address 400 ROBERT STREET N, ST PAUL, MN, 55101
Administrator’s telephone number 6516653500

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing THEODORE SCHMELZLE
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN 2020 362551984 2021-05-11 DELTA DENTAL PLANS ASSOCIATION 68
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 813000
Sponsor’s telephone number 6305746853
Plan sponsor’s address 1515 WEST 22ND STREET, SUITE 450, OAK BROOK, IL, 60523

Plan administrator’s name and address
Administrator’s EIN 410417830
Plan administrator’s name MINNESOTA LIFE INSURANCE COMPANY
Plan administrator’s address 400 ROBERT STREET N, ST PAUL, MN, 55101
Administrator’s telephone number 6516653500

Signature of
Role Plan administrator
Date 2021-05-11
Name of individual signing RICK AYERS
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN 2019 362551984 2020-07-14 DELTA DENTAL PLANS ASSOCIATION 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 813000
Sponsor’s telephone number 6305746001
Plan sponsor’s address 1515 WEST 22ND STREET, SUITE 450, OAK BROOK, IL, 60523

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing SAMANTHA QUINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing SAMANTHA QUINN
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN 2018 362551984 2019-06-20 DELTA DENTAL PLANS ASSOCIATION 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 813000
Sponsor’s telephone number 6305746001
Plan sponsor’s address 1515 WEST 22ND STREET, SUITE 450, OAK BROOK, IL, 60523

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing SAMANTHA QUINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-20
Name of individual signing SAMANTHA QUINN
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN 2017 362551984 2018-07-19 DELTA DENTAL PLANS ASSOCIATION 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 813000
Sponsor’s telephone number 6305746853
Plan sponsor’s address 1515 WEST 22ND STREET, SUITE 450, OAK BROOK ILLINOIS, IL, 60523

Signature of
Role Plan administrator
Date 2018-07-19
Name of individual signing SAMANTHA QUINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-19
Name of individual signing SAMANTHA QUINN
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN 2016 362551984 2017-05-31 DELTA DENTAL PLANS ASSOCIATION 59
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 813000
Sponsor’s telephone number 6305746853
Plan sponsor’s address 1515 WEST 22ND STREET, SUITE 450, OAK BROOK ILLINOIS, IL, 60523

Signature of
Role Plan administrator
Date 2017-05-31
Name of individual signing SAMANTHA QUINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-31
Name of individual signing SAMANTHA QUINN
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN 2015 362551984 2016-06-09 DELTA DENTAL PLANS ASSOCIATION 57
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 813000
Sponsor’s telephone number 6305746853
Plan sponsor’s address 1515 WEST 22ND STREET, SUITE 450, OAK BROOK ILLINOIS, IL, 60523

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing SAMANTHA QUINN
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL PLANS ASSOCIATION 401(K) PLAN 2014 362551984 2015-07-08 DELTA DENTAL PLANS ASSOCIATION 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 813000
Sponsor’s telephone number 6305746853
Plan sponsor’s address 1515 WEST 22ND STREET, SUITE 450, OAK BROOK ILLINOIS, IL, 60523

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing SAMANTHA QUINN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES W HUTCHISON, 1515 W 22ND ST STE 450, OAK BROOK, 60523, DU PAGE Agent 2021-03-15

President

Name and Address Role
JAMES W HUTCHISON 1515 W 22ND ST #450 OAK BROOK 60523 President

Secretary

Name and Address Role
DOUG BALLWEG (TR/DI) 2801 HOOVER RD POB 828 STEVENS PT WI Secretary

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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