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AMERICAN STUDENT DENTAL ASSOCIATION

Company Details

Entity Name: AMERICAN STUDENT DENTAL ASSOCIATION
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 10 May 1971
Company Number: CORP_49829558
File Number: 49829558
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN STUDENT DENTAL ASSOCIATION RETIREMENT PLAN 2023 237136741 2024-07-25 AMERICAN STUDENT DENTAL ASSOCIATION 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 541990
Sponsor’s telephone number 3124402795
Plan sponsor’s address 211 EAST CHICAGO AVENUE, SUITE 700, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2024-07-25
Name of individual signing NANCY HONEYCUTT
Valid signature Filed with authorized/valid electronic signature
AMERICAN STUDENT DENTAL ASSOCIATION RETIREMENT PLAN 2022 237136741 2023-07-19 AMERICAN STUDENT DENTAL ASSOCIATION 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 541990
Sponsor’s telephone number 3124402795
Plan sponsor’s address 211 EAST CHICAGO AVENUE, SUITE 700, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2023-07-19
Name of individual signing NANCY HONEYCUTT
Valid signature Filed with authorized/valid electronic signature
AMERICAN STUDENT DENTAL ASSOCIATION RETIREMENT PLAN 2021 237136741 2022-02-03 AMERICAN STUDENT DENTAL ASSOCIATION 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 541990
Sponsor’s telephone number 3124402795
Plan sponsor’s address 211 EAST CHICAGO AVENUE, SUITE 700, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2022-02-03
Name of individual signing NANCY HONEYCUTT
Valid signature Filed with authorized/valid electronic signature
AMERICAN STUDENT DENTAL ASSOCIATION RETIREMENT PLAN 2020 237136741 2021-02-15 AMERICAN STUDENT DENTAL ASSOCIATION 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 541990
Sponsor’s telephone number 3124402795
Plan sponsor’s address 211 EAST CHICAGO AVENUE, SUITE 700, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2021-02-15
Name of individual signing NANCY HONEYCUTT
Valid signature Filed with authorized/valid electronic signature
AMERICAN STUDENT DENTAL ASSOCIATION RETIREMENT PLAN 2019 237136741 2020-02-13 AMERICAN STUDENT DENTAL ASSOCIATION 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 541990
Sponsor’s telephone number 3124402795
Plan sponsor’s address 211 EAST CHICAGO AVENUE, SUITE 700, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2020-02-13
Name of individual signing NANCY HONEYCUTT
Valid signature Filed with authorized/valid electronic signature
AMERICAN STUDENT DENTAL ASSOCIATION RETIREMENT PLAN 2018 237136741 2019-03-08 AMERICAN STUDENT DENTAL ASSOCIATION 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 541990
Sponsor’s telephone number 3124402795
Plan sponsor’s address 211 EAST CHICAGO AVENUE, SUITE 700, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2019-03-08
Name of individual signing NANCY HONEYCUTT
Valid signature Filed with authorized/valid electronic signature
AMERICAN STUDENT DENTAL ASSOCIATION RETIREMENT PLAN 2017 237136741 2018-04-30 AMERICAN STUDENT DENTAL ASSOCIATION 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 541990
Sponsor’s telephone number 3124402795
Plan sponsor’s address 211 EAST CHICAGO AVENUE, SUITE 700, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2018-04-30
Name of individual signing NANCY HONEYCUTT
Valid signature Filed with authorized/valid electronic signature
AMERICAN STUDENT DENTAL ASSOCIATION RETIREMENT PLAN 2016 237136741 2017-04-28 AMERICAN STUDENT DENTAL ASSOCIATION 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 541990
Sponsor’s telephone number 3124402795
Plan sponsor’s address 211 EAST CHICAGO AVENUE, SUITE 700, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2017-04-28
Name of individual signing NANCY HONEYCUTT
Valid signature Filed with authorized/valid electronic signature
AMERICAN STUDENT DENTAL ASSOCIATION RETIREMENT PLAN 2015 237136741 2016-06-24 AMERICAN STUDENT DENTAL ASSOCIATION 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 541990
Sponsor’s telephone number 3124402795
Plan sponsor’s address 211 EAST CHICAGO AVENUE, SUITE 700, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2016-06-24
Name of individual signing NANCY HONEYCUTT
Valid signature Filed with authorized/valid electronic signature
AMERICAN STUDENT DENTAL ASSOCIATION RETIREMENT PLAN 2014 237136741 2015-06-12 AMERICAN STUDENT DENTAL ASSOCIATION 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 541990
Sponsor’s telephone number 3124402795
Plan sponsor’s address 211 EAST CHICAGO AVENUE, SUITE 700, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2015-06-12
Name of individual signing NANCY HONEYCUTT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
NANCY R HONEYCUTT, 211 E CHICAGO AVE STE 700, CHICAGO, 60611, COOK-NOT IN CITY OF CHICAGO Agent 2013-04-30

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State