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  5. ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD.

ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD.

Company Details

Entity Name: ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Reinstated
Date Formed: 16 Mar 1971
Company Number: CORP_49801483
File Number: 49801483
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
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. CASH BALANCE PENSION PLAN 2021 370925220 2022-06-22 ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 48
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3092821316
Plan sponsor’s address 2807 N. KNOXVILLE AVE., PEORIA, IL, 616042869

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. CASH BALANCE PENSION PLAN 2020 370925220 2021-10-14 ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 50
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3092821316
Plan sponsor’s address 2807 N. KNOXVILLE AVE., PEORIA, IL, 616042869

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 401(K) PLAN 2020 370925220 2021-07-28 ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-07-01
Business code 621210
Sponsor’s telephone number 3092821316
Plan sponsor’s address 2807 N. KNOXVILLE AVE., PEORIA, IL, 616042869

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-28
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 401(K) PLAN 2020 370925220 2021-02-11 ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-07-01
Business code 621210
Sponsor’s telephone number 3092821316
Plan sponsor’s address 2807 N. KNOXVILLE AVE., PEORIA, IL, 616042869

Signature of
Role Plan administrator
Date 2021-02-11
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-11
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. CASH BALANCE PENSION PLAN 2019 370925220 2020-10-14 ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 47
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3092821316
Plan sponsor’s address 2807 N. KNOXVILLE AVE., PEORIA, IL, 616042869

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 401(K) PLAN 2019 370925220 2020-05-01 ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 43
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-07-01
Business code 621210
Sponsor’s telephone number 3092821316
Plan sponsor’s address 2807 N. KNOXVILLE AVE., PEORIA, IL, 616042869

Signature of
Role Plan administrator
Date 2020-05-01
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-01
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 401(K) PLAN 2018 370925220 2019-03-26 ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-07-01
Business code 621210
Sponsor’s telephone number 3092821316
Plan sponsor’s address 2807 N. KNOXVILLE AVE., PEORIA, IL, 616042869

Signature of
Role Plan administrator
Date 2019-03-26
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-26
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. CASH BALANCE PENSION PLAN 2018 370925220 2019-10-11 ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 42
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3092821316
Plan sponsor’s address 2807 N. KNOXVILLE AVE., PEORIA, IL, 616042869

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 401(K) PLAN 2016 370925220 2017-07-11 ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-07-01
Business code 621210
Sponsor’s telephone number 3092821316
Plan sponsor’s address 2807 N. KNOXVILLE AVE., PEORIA, IL, 616042869

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-11
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. CASH BALANCE PENSION PLAN 2015 370925220 2016-10-11 ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3092821316
Plan sponsor’s address 2807 N. KNOXVILLE AVE., PEORIA, IL, 616042869

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing LARRY OTTE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KENNETH R EATHINGTON, 227 NE JEFFERSON AVE, PEORIA, 61602, PEORIA Agent 2018-04-04

President

Name and Address Role
LARRY OTTE 2807 N, KNOXVILLE AVE, PEORIA IL, 61604 President

Secretary

Name and Address Role
JEFFREY KRATKY 6 MCBRIDE AND SON CTR DR, CHESTERFIELD MO, 63 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 999000 No data

Related by officers

KENNETH R EATHINGTON, 227 NE JEFFERSON AVE, PEORIA, 61602, PEORIA

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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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