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  5. WILLIAM J. BURNS, D.D.S., LTD.

WILLIAM J. BURNS, D.D.S., LTD.

Company Details

Entity Name: WILLIAM J. BURNS, D.D.S., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 11 Feb 1970
Company Number: CORP_49622104
File Number: 49622104
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BURNS FAMILY DENTISTRY SAFE HARBOR 401K PLAN 2023 362687230 2024-03-17 BURNS FAMILY DENTISTRY 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472910888
Plan sponsor’s address 405 LAKE COOK ROAD, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2024-03-17
Name of individual signing WILLIAM F. BURNS
Valid signature Filed with authorized/valid electronic signature
BURNS FAMILY DENTISTRY SAFE HARBOR 401K PLAN 2022 362687230 2023-04-26 BURNS FAMILY DENTISTRY 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472910888
Plan sponsor’s address 405 LAKE COOK ROAD, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2023-04-26
Name of individual signing WILLIAM F. BURNS
Valid signature Filed with authorized/valid electronic signature
BURNS FAMILY DENTISTRY SAFE HARBOR 401K PLAN 2021 362687230 2022-03-29 BURNS FAMILY DENTISTRY 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472910888
Plan sponsor’s address 405 LAKE COOK ROAD, BUILDING A SUITE 208, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2022-03-29
Name of individual signing WILLIAM F. BURNS
Valid signature Filed with authorized/valid electronic signature
BURNS FAMILY DENTISTRY SAFE HARBOR 401K PLAN 2020 362687230 2021-03-25 BURNS FAMILY DENTISTRY 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472910888
Plan sponsor’s address 405 LAKE COOK ROAD, BUILDING A SUITE 208, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2021-03-25
Name of individual signing WILLIAM F. BURNS
Valid signature Filed with authorized/valid electronic signature
BURNS FAMILY DENTISTRY SAFE HARBOR 401K PLAN 2019 362687230 2020-04-01 BURNS FAMILY DENTISTRY 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472910888
Plan sponsor’s address 405 LAKE COOK ROAD, BUILDING A SUITE 208, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2020-04-01
Name of individual signing WILLIAM F. BURNS
Valid signature Filed with authorized/valid electronic signature
BURNS FAMILY DENTISTRY SAFE HARBOR 401K PLAN 2018 362687230 2019-05-15 BURNS FAMILY DENTISTRY 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472910888
Plan sponsor’s address 405 LAKE COOK ROAD, BUILDING A SUITE 208, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2019-05-15
Name of individual signing WILLIAM F. BURNS
Valid signature Filed with authorized/valid electronic signature
BURNS FAMILY DENTISTRY SAFE HARBOR 401K PLAN 2017 362687230 2018-04-10 BURNS FAMILY DENTISTRY 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472910888
Plan sponsor’s address 405 LAKE COOK ROAD, BUILDING A SUITE 208, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2018-04-10
Name of individual signing WILLIAM F. BURNS
Valid signature Filed with authorized/valid electronic signature
BURNS FAMILY DENTISTRY SAFE HARBOR 401K PLAN 2016 362687230 2017-06-26 BURNS FAMILY DENTISTRY 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472910888
Plan sponsor’s address 405 LAKE COOK ROAD, BUILDING A SUITE 208, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing WILLIAM F. BURNS
Valid signature Filed with authorized/valid electronic signature
BURNS FAMILY DENTISTRY SAFE HARBOR 401K PLAN 2015 362687230 2016-05-14 BURNS FAMILY DENTISTRY 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472910888
Plan sponsor’s address 405 LAKE COOK ROAD, BUILDING A SUITE 208, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2016-05-14
Name of individual signing WILLIAM F. BURNS
Valid signature Filed with authorized/valid electronic signature
BURNS FAMILY DENTISTRY SAFE HARBOR 401K PLAN 2014 362687230 2015-04-13 BURNS FAMILY DENTISTRY 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472910888
Plan sponsor’s address 405 LAKE COOK ROAD, BUILDING A SUITE 208, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2015-04-13
Name of individual signing WILLIAM F. BURNS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DANIEL P SCOTT, 1700 HIGGINS RD #430, DES PLAINES, 60018, COOK-NOT IN CITY OF CHICAGO Agent 2021-01-11

President

Name and Address Role
WILLIAM F BURNS 405 LAKE COOKRD #A208 DEERFIELD, IL 60015 President

Secretary

Name and Address Role
WILLIAM M. BURNS 405 LAKE COOKRD #A208 DEERFIELD IL 60015 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060012049 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2017-06-06 2019-03-19 2022-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BURNS FAMILY DENTISTRY Assume Name 2000-03-24 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 1

Related by officers

DANIEL P SCOTT, 1700 HIGGINS RD #430, DES PLAINES, 60018, COOK-NOT IN CITY OF CHICAGO

DANIEL P. SCOTT, LTD. DSM DISTRIBUTORS, INC. 2 SISTERS A&L BOUTIQUE, INC. ILLINOIS TRUCK PARKING, INC. FSU MANAGEMENT CORP. SINGLE BARREL SELECTIONS, INC. IQ CONSTRUCTION, INC.

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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