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  5. ANCER DENTAL LABORATORY, INC.

ANCER DENTAL LABORATORY, INC.

Company Details

Entity Name: ANCER DENTAL LABORATORY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 11 Jan 1971
Date of Dissolution: 10 Jun 2016
Company Number: CORP_49769474
File Number: 49769474
Date Status Change: 10 Jun 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANCER DENTAL LABORATORY, INC. PROFIT SHARING AND SAVINGS PLAN AND TRUST 2012 362711515 2013-02-15 ANCER DENTAL LABORATORY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621399
Sponsor’s telephone number 7737282200
Plan sponsor’s address 5789 NORTH LINCOLN AVENUE, CHICAGO, IL, 606594722

Signature of
Role Plan administrator
Date 2013-02-14
Name of individual signing VICTOR ANCER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-14
Name of individual signing VICTOR ANCER
Valid signature Filed with authorized/valid electronic signature
ANCER DENTAL LABORATORY, INC. PROFIT SHARING AND SAVINGS PLAN AND TRUST 2011 362711515 2012-02-21 ANCER DENTAL LABORATORY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621399
Sponsor’s telephone number 7737282200
Plan sponsor’s address 5789 NORTH LINCOLN AVENUE, CHICAGO, IL, 606594722

Plan administrator’s name and address
Administrator’s EIN 362711515
Plan administrator’s name ANCER DENTAL LABORATORY, INC.
Plan administrator’s address 5789 NORTH LINCOLN AVENUE, CHICAGO, IL, 606594722
Administrator’s telephone number 7737282200

Signature of
Role Plan administrator
Date 2012-02-21
Name of individual signing VICTOR ANCER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-21
Name of individual signing VICTOR ANCER
Valid signature Filed with authorized/valid electronic signature
ANCER DENTAL LABORATORY, INC. PROFIT SHARING AND SAVINGS PLAN AND TRUST 2010 362711515 2011-02-09 ANCER DENTAL LABORATORY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621399
Sponsor’s telephone number 7737282200
Plan sponsor’s address 5789 NORTH LINCOLN AVENUE, CHICAGO, IL, 606594722

Plan administrator’s name and address
Administrator’s EIN 362711515
Plan administrator’s name ANCER DENTAL LABORATORY, INC.
Plan administrator’s address 5789 NORTH LINCOLN AVENUE, CHICAGO, IL, 606594722
Administrator’s telephone number 7737282200

Signature of
Role Plan administrator
Date 2011-02-09
Name of individual signing VICTOR ANCER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-09
Name of individual signing VICTOR ANCER
Valid signature Filed with authorized/valid electronic signature
ANCER DENTAL LABORATORY, INC. PROFIT SHARING AND SAVINGS PLAN AND TRUST 2009 362711515 2010-06-24 ANCER DENTAL LABORATORY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621399
Sponsor’s telephone number 7737282200
Plan sponsor’s address 5789 NORTH LINCOLN AVENUE, CHICAGO, IL, 606594722

Plan administrator’s name and address
Administrator’s EIN 362711515
Plan administrator’s name ANCER DENTAL LABORATORY, INC.
Plan administrator’s address 5789 NORTH LINCOLN AVENUE, CHICAGO, IL, 606594722
Administrator’s telephone number 7737282200

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing VICTOR ANCER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-24
Name of individual signing VICTOR ANCER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HOWARD S GOLDEN, 180 N LASALLE ST STE 3300, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2013-01-04

President

Name and Address Role
VICTOR ANCER 5789 N LINCOLN AVENUE, CHICAGO IL 60659 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 25000 4589440 No data

Related by officers

HOWARD S GOLDEN, 180 N LASALLE ST STE 3300, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO

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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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