| Entity Name: | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 30 Jan 1970 |
| Date of Dissolution: | 15 Feb 2022 |
| Company Number: | CORP_49617534 |
| File Number: | 49617534 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Date Status Change: | 15 Feb 2022 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KWAPIS, DYER, KNOX & MILLER, LTD. PROFIT SHARING PLAN | 2009 | 370916882 | 2010-06-01 | KWAPIS, DYER, KNOX & MILLER, LTD. | 17 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 371020285 |
| Plan administrator’s name | KWAPIS, DYER, KNOX & MILLER, LTD. PROFIT SHARING ADMIN. COMMITTEE |
| Plan administrator’s address | 10200 WEST MAIN STREET, BELLEVILLE, IL, 622231408 |
| Administrator’s telephone number | 6183972464 |
Number of participants as of the end of the plan year
| Active participants | 18 |
| Retired or separated participants receiving benefits | 1 |
| Number of participants with account balances as of the end of the plan year | 19 |
| 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 | 2010-06-01 |
| Name of individual signing | GLENN MILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1970-02-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6183972464 |
| Plan sponsor’s mailing address | 10200 WEST MAIN STREET, BELLEVILLE, IL, 622231408 |
| Plan sponsor’s address | 10200 WEST MAIN STREET, BELLEVILLE, IL, 622231408 |
Plan administrator’s name and address
| Administrator’s EIN | 371020285 |
| Plan administrator’s name | KWAPIS, DYER, KNOX & MILLER, LTD. PROFIT SHARING ADMIN. COMMITTEE |
| Plan administrator’s address | 10200 WEST MAIN STREET, BELLEVILLE, IL, 622231408 |
| Administrator’s telephone number | 6183972464 |
Number of participants as of the end of the plan year
| Active participants | 18 |
| Retired or separated participants receiving benefits | 1 |
| Number of participants with account balances as of the end of the plan year | 19 |
| 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 | 2010-06-01 |
| Name of individual signing | GLENN MILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| GLENN A MILLER, 5319 HOLLIN DR, FREEBURG, 62243, ST. CLAIR | Agent | 2020-01-14 |
| Name and Address | Role |
|---|---|
| GLENN A MILLER, 5319 HOLLIN DRIVE FREEBURG 62243 | President |
| Name | Change Date |
|---|---|
| KWAPIS, DYER, KNOX & MILLER, LTD. | 2010-04-01 |
| KWAPIS, DYER AND KNOX, LTD. | 1981-07-16 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 5000 | 315000 | 10 |
Date of last update: 27 Jan 2025
