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  5. GROVE DENTAL ASSOCIATES, P.C.

GROVE DENTAL ASSOCIATES, P.C.

Company Details

Entity Name: GROVE DENTAL ASSOCIATES, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 31 Dec 1971
Company Number: CORP_49949197
File Number: 49949197
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
GROVE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 362663754 2016-07-28 GROVE DENTAL ASSOCIATES, P.C. 238
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 6309695350
Plan sponsor’s mailing address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Plan sponsor’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516

Plan administrator’s name and address
Administrator’s EIN 362663754
Plan administrator’s name GROVE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Administrator’s telephone number 6309695350

Number of participants as of the end of the plan year
Active participants 210
Other retired or separated participants entitled to future benefits 16
Number of participants with account balances as of the end of the plan year 213

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing GREGORY FREEBECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing GREGORY SHUBAT
Valid signature Filed with authorized/valid electronic signature
GROVE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 362663754 2015-07-30 GROVE DENTAL ASSOCIATES, P.C. 231
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 6309695350
Plan sponsor’s mailing address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Plan sponsor’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516

Plan administrator’s name and address
Administrator’s EIN 362663754
Plan administrator’s name GROVE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Administrator’s telephone number 6309695350

Number of participants as of the end of the plan year
Active participants 208
Other retired or separated participants entitled to future benefits 18
Number of participants with account balances as of the end of the plan year 224

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing GREGORY FREEBECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-30
Name of individual signing GREGORY SHUBAT
Valid signature Filed with authorized/valid electronic signature
GROVE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 362663754 2014-07-31 GROVE DENTAL ASSOCIATES, P.C. 231
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 6309695350
Plan sponsor’s mailing address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Plan sponsor’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516

Plan administrator’s name and address
Administrator’s EIN 362663754
Plan administrator’s name GROVE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Administrator’s telephone number 6309695350

Number of participants as of the end of the plan year
Active participants 216
Other retired or separated participants entitled to future benefits 15
Number of participants with account balances as of the end of the plan year 231

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing GREGORY FREEBECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-29
Name of individual signing GREGORY SHUBAT
Valid signature Filed with authorized/valid electronic signature
GROVE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 362663754 2013-07-22 GROVE DENTAL ASSOCIATES, P.C. 223
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 6309695350
Plan sponsor’s mailing address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Plan sponsor’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516

Plan administrator’s name and address
Administrator’s EIN 362663754
Plan administrator’s name GROVE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Administrator’s telephone number 6309695350

Number of participants as of the end of the plan year
Active participants 227
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 231

Signature of
Role Plan administrator
Date 2013-07-19
Name of individual signing GREGORY SHUBAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-19
Name of individual signing GREGORY FREEBECK
Valid signature Filed with authorized/valid electronic signature
GROVE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2011 362663754 2012-07-13 GROVE DENTAL ASSOCIATES, P.C. 219
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 6309695350
Plan sponsor’s mailing address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Plan sponsor’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516

Plan administrator’s name and address
Administrator’s EIN 362663754
Plan administrator’s name GROVE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Administrator’s telephone number 6309695350

Number of participants as of the end of the plan year
Active participants 219
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 223

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing GREGORY FREEBECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-12
Name of individual signing GREGORY SHUBAT
Valid signature Filed with authorized/valid electronic signature
GROVE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 362663754 2011-07-12 GROVE DENTAL ASSOCIATES, P.C. 184
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 6309695350
Plan sponsor’s mailing address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Plan sponsor’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516

Plan administrator’s name and address
Administrator’s EIN 362663754
Plan administrator’s name GROVE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Administrator’s telephone number 6309695350

Number of participants as of the end of the plan year
Active participants 212
Other retired or separated participants entitled to future benefits 7
Number of participants with account balances as of the end of the plan year 219

Signature of
Role Plan administrator
Date 2011-07-12
Name of individual signing GREGORY FREEBECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-12
Name of individual signing GREGORY SHUBAT
Valid signature Filed with authorized/valid electronic signature
GROVE DENTAL ASSOCIATES, P.C. PROFIT SHAING PLAN 2009 362663754 2010-07-26 GROVE DENTAL ASSOCIATES, P.C. 187
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 6309695350
Plan sponsor’s mailing address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Plan sponsor’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516

Plan administrator’s name and address
Administrator’s EIN 362663754
Plan administrator’s name GROVE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 6800 SOUTH MAIN STREET, DOWNERS GROVE, IL, 60516
Administrator’s telephone number 6309695350

Number of participants as of the end of the plan year
Active participants 179
Other retired or separated participants entitled to future benefits 5
Number of participants with account balances as of the end of the plan year 184
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 2010-07-22
Name of individual signing GREGORY FREEBECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-24
Name of individual signing GREGORY SHUBAT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL P. CUNNINGHAM, 6800 S MAIN ST, DOWNERS GROVE, 60516, DU PAGE Agent 2020-10-29

President

Name and Address Role
NORMA H ERICSON 1424 RIDGEWOOD CIR DOWNERS GROVE IL 60516 President

Secretary

Name and Address Role
GREGORY N FREEBECK, 160 ERIN CT, LEMONT IL 60439 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1050000 No data

Related by officers

No related officers

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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