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  5. ELMHURST DENTAL GROUP, LTD.

ELMHURST DENTAL GROUP, LTD.

Company Details

Entity Name: ELMHURST DENTAL GROUP, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 07 Apr 1972
Company Number: CORP_50003604
File Number: 50003604
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
ELMHURST DENTAL GROUP, LTD. 401(K) PLAN 2023 362736573 2024-07-19 ELMHURST DENTAL GROUP, LTD. 102
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-04-01
Business code 621210
Sponsor’s telephone number 6308335110
Plan sponsor’s address 333 WEST FIRST ST, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2024-07-17
Name of individual signing KRISTEN GALAYDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-19
Name of individual signing DR PETER SMITH
Valid signature Filed with authorized/valid electronic signature
ELMHURST DENTAL GROUP, LTD. 401(K) PLAN 2022 362736573 2023-07-24 ELMHURST DENTAL GROUP, LTD. 120
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-04-01
Business code 621210
Sponsor’s telephone number 6308335110
Plan sponsor’s address 333 WEST FIRST ST, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2023-07-06
Name of individual signing KRISTEN GALAYDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-24
Name of individual signing DR PETER SMITH
Valid signature Filed with authorized/valid electronic signature
ELMHURST DENTAL GROUP, LTD. 401(K) PLAN 2021 362736573 2022-08-23 ELMHURST DENTAL GROUP, LTD. 120
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-04-01
Business code 621210
Sponsor’s telephone number 6308335110
Plan sponsor’s address 333 WEST FIRST ST, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2022-08-23
Name of individual signing KRISTEN GALAYDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-23
Name of individual signing DR PETER SMITH
Valid signature Filed with authorized/valid electronic signature
ELMHURST DENTAL GROUP, LTD. 401(K) PLAN 2020 362736573 2021-07-30 ELMHURST DENTAL GROUP, LTD. 114
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-04-01
Business code 621210
Sponsor’s telephone number 6308335110
Plan sponsor’s address 333 WEST FIRST ST, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing LAWRENCE GROH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-30
Name of individual signing KRISTEN GALAYDA
Valid signature Filed with authorized/valid electronic signature
ELMHURST DENTAL GROUP, LTD. 401(K) PLAN 2019 362736573 2020-09-03 ELMHURST DENTAL GROUP, LTD. 98
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-04-01
Business code 621210
Sponsor’s telephone number 6308335110
Plan sponsor’s address 333 WEST FIRST ST, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2020-09-02
Name of individual signing LAWRENCE GROH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-03
Name of individual signing KRISTEN GALAYDA
Valid signature Filed with authorized/valid electronic signature
ELMHURST DENTAL GROUP, LTD. 401(K) PLAN 2018 362736573 2019-07-08 ELMHURST DENTAL GROUP, LTD. 105
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-04-01
Business code 621210
Sponsor’s telephone number 6308335110
Plan sponsor’s address 333 WEST FIRST ST, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing LAWRENCE GROH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-08
Name of individual signing MARY BETH WALTER
Valid signature Filed with authorized/valid electronic signature
ELMHURST DENTAL GROUP, LTD. 401(K) PLAN 2017 362736573 2018-07-11 ELMHURST DENTAL GROUP, LTD. 110
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-04-01
Business code 621210
Sponsor’s telephone number 6308335110
Plan sponsor’s address 333 WEST FIRST ST, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing LAWRENCE GROH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-11
Name of individual signing MARY BETH WALTER
Valid signature Filed with authorized/valid electronic signature
ELMHURST DENTAL GROUP, LTD. 401(K) PLAN 2016 362736573 2017-05-25 ELMHURST DENTAL GROUP, LTD. 92
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-04-01
Business code 621210
Sponsor’s telephone number 6308335110
Plan sponsor’s address 333 WEST FIRST ST, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing LAWRENCE GROH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-25
Name of individual signing MARY BETH WALTER
Valid signature Filed with authorized/valid electronic signature
ELMHURST DENTAL GROUP, LTD PROFIT SHARING PLAN 2012 362736573 2013-10-08 ELMHURST DENTAL GROUP, LTD 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-07
Business code 621210
Sponsor’s telephone number 6308335110
Plan sponsor’s address 333 WEST 1ST ST, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing LAWRENCE GROH
Valid signature Filed with authorized/valid electronic signature
ELMHURST DENTAL GROUP, LTD PROFIT SHARING PLAN 2011 362736573 2012-07-11 ELMHURST DENTAL GROUP, LTD 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-07
Business code 621210
Sponsor’s telephone number 6308335110
Plan sponsor’s address 333 WEST 1ST STREET, ELMHURST, IL, 60126

Plan administrator’s name and address
Administrator’s EIN 362736573
Plan administrator’s name ELMHURST DENTAL GROUP, LTD
Plan administrator’s address 333 WEST 1ST STREET, ELMHURST, IL, 60126
Administrator’s telephone number 6308335110

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing LAWRENCE P GROH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CAPITOL CORPORATE SERVICES, INC., 1315 W LAWRENCE AVE, SPRINGFIELD, 62704, SANGAMON Agent 2024-11-12

President

Name and Address Role
PETER SMITH DDS, 333 W. FIRSTSTREET, ELMHURST, IL 60126 President

Secretary

Name and Address Role
PETER SMITH DDS, 333 W. FIRSTSTREET, ELMHURST, IL, 60126 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060012666 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2022-01-07 2022-01-07 2025-01-01
PROF SERVICE CORP 060012665 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2022-01-07 2022-01-07 2025-01-01
PROF SERVICE CORP 060011789 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2016-04-14 2021-10-29 2025-01-01
PROF SERVICE CORP 060011790 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2016-04-14 2021-10-29 2025-01-01
PROF SERVICE CORP 060009884 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2008-06-23 2021-10-29 2025-01-01
PROF SERVICE CORP 060009885 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2008-06-23 2021-10-29 2025-01-01
PROF SERVICE CORP 060009882 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2008-06-16 2021-10-29 2025-01-01
PROF SERVICE CORP 060009334 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2006-07-10 2008-03-19 2009-01-01
PROF SERVICE CORP 060009306 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2006-06-09 2007-10-25 2009-01-01
PROF SERVICE CORP 060008988 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2005-07-12 2021-10-29 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BARTLETT DENTISTRY Assume Name 2020-09-28 No data No data No data
BARTLETT DENTAL CARE Assume Name 2020-09-25 No data No data No data
AURORA ORAL & MAXILLOFACIAL SURGERY Assume Name 2019-04-09 No data No data No data
WEST DUNDEE DENTAL CARE Assume Name 2017-11-17 No data No data No data
AURORA DENTAL SPECIALISTS No data 2016-02-10 2020-03-16 Voluntary Cancellation No data
ADDISON DENTAL Assume Name 2013-07-29 No data No data No data
ELMHURST DENTAL Assume Name 2008-05-16 No data No data No data
ST CHARLES DENTAL Assume Name 2008-05-16 No data No data No data
BLOOMINGDALE DENTAL Assume Name 2008-05-16 No data No data No data
BLOOMINGDALE DENTAL CARE No data 2005-12-13 2010-03-17 Expired No data

Historical Names

Name Change Date
ELMHURST DENTAL ASSOCIATES, LTD. 1990-05-03

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 3882000 1

Related by officers

CAPITOL CORPORATE SERVICES, INC., 1315 W LAWRENCE AVE, SPRINGFIELD, 62704, SANGAMON

PIERCE BIOTECHNOLOGY, INC. WILLETT, HOFMANN & ASSOCIATES, INC. WATER SERVICE CORPORATION INTERNATIONAL ASSOCIATION OF ASSESSING OFFICERS ELECTRONIC SECURITY ASSOCIATION, INC. ELECTRIC ENERGY, INC. MATERIAL SCIENCES CORPORATION, ENGINEERED MATERIALS AND SOLUTIONS GROUP, INC. ESSENTRA COMPONENTS INC. NATIONAL BOARD FOR RESPIRATORY CARE, INC. THE AMERICAN COLLEGE OF OSTEOPATHIC PEDIATRICIANS

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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