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PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.

Company Details

Entity Name: PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Jan 1972
Company Number: CORP_49950861
File Number: 49950861
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
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD 401(K) PROFIT SHARING PLAN AND TRUST 2023 362728994 2024-09-18 PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8154623030
Plan sponsor’s address 315 ALANA DR, NEW LENOX, IL, 604511766

Signature of

Role Plan administrator
Date 2024-09-18
Name of individual signing GENERAND ALGENIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-18
Name of individual signing GENERAND ALGENIO
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST 2022 362728994 2023-08-21 PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8154623030
Plan sponsor’s address 315 ALANA DR, NEW LENOX, IL, 604511766

Signature of

Role Plan administrator
Date 2023-08-19
Name of individual signing GENERAND ALGENIO
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST 2021 362728994 2022-03-16 PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7087995437
Plan sponsor’s address 19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388

Signature of

Role Plan administrator
Date 2022-03-15
Name of individual signing GENERAND ALGENIO
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST 2020 362728994 2021-07-19 PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7087995437
Plan sponsor’s address 19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388

Signature of

Role Plan administrator
Date 2021-07-19
Name of individual signing RONALD TESTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-19
Name of individual signing RONALD TESTA
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST 2019 362728994 2020-07-30 PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7087995437
Plan sponsor’s address 19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing GENERAND ALGENIO
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST 2018 362728994 2019-03-13 PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7087995437
Plan sponsor’s address 19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388

Signature of

Role Plan administrator
Date 2019-03-13
Name of individual signing RONALD TESTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-13
Name of individual signing RONALD TESTA
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST 2017 362728994 2018-04-09 PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7087995437
Plan sponsor’s address 19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388

Signature of

Role Plan administrator
Date 2018-04-08
Name of individual signing RONALD TESTA
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST 2016 362728994 2017-04-18 PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7087995437
Plan sponsor’s address 19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388

Signature of

Role Plan administrator
Date 2017-04-18
Name of individual signing RONALD TESTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-18
Name of individual signing RONALD TESTA
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST 2015 362728994 2016-03-14 PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7087995437
Plan sponsor’s address 19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388

Signature of

Role Plan administrator
Date 2016-03-11
Name of individual signing RONALD TESTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-11
Name of individual signing RONALD TESTA
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST 2014 362728994 2015-03-25 PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7087995437
Plan sponsor’s address 19815 GOVERNORS HIGHWAY, SUITE 4, FLOSSMOOR, IL, 60422

Signature of

Role Plan administrator
Date 2015-03-25
Name of individual signing RONALD TESTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GENERAND CARANDANG ALGENIO, 315 ALANA DR, NEW LENOX, 60451, WILL Agent 2022-06-04

President

Name and Address Role
GENERAND ALGENIO 25265 S TUSCANY DR E, MONEE, IL 60449 President

Secretary

Name and Address Role
GENERAND ALGENIO 25265 S TUSCANY DR E, MONEE, IL 60449 Secretary

Historical Names

Name Change Date
DRS, DONALD E. ORE AND RONALD G. TESTA, LTD. 2003-07-21

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 500000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State