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  5. GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD

GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD

Company Details

Entity Name: GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 27 Jul 1972
Company Number: CORP_50069265
File Number: 50069265
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
GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2023 370958381 2024-06-03 GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-07-01
Business code 621210
Sponsor’s telephone number 3096631326
Plan sponsor’s address 119 NORTH WILLIAMSBURG, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2024-06-03
Name of individual signing GREGORY M. RANDOLPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-03
Name of individual signing GREGORY M. RANDOLPH
Valid signature Filed with authorized/valid electronic signature
GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2022 370958381 2023-05-24 GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-07-01
Business code 621210
Sponsor’s telephone number 3096631326
Plan sponsor’s address 119 NORTH WILLIAMSBURG, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2023-05-24
Name of individual signing GREGORY M. RANDOLPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-24
Name of individual signing GREGORY M. RANDOLPH
Valid signature Filed with authorized/valid electronic signature
GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2021 370958381 2022-05-31 GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-07-01
Business code 621210
Sponsor’s telephone number 3096631326
Plan sponsor’s address 119 NORTH WILLIAMSBURG, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing GREGORY M. RANDOLPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-31
Name of individual signing GREGORY M. RANDOLPH
Valid signature Filed with authorized/valid electronic signature
GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2020 370958381 2021-06-28 GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-07-01
Business code 621210
Sponsor’s telephone number 3096631326
Plan sponsor’s address 119 NORTH WILLIAMSBURG, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-28
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2019 370958381 2020-05-28 GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-07-01
Business code 621210
Sponsor’s telephone number 3096631326
Plan sponsor’s address 119 NORTH WILLIAMSBURG, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2020-05-28
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-28
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2018 370958381 2019-06-25 GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-07-01
Business code 621210
Sponsor’s telephone number 3096631326
Plan sponsor’s address 119 NORTH WILLIAMSBURG, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2019-06-25
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-25
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2017 370958381 2018-05-29 GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-07-01
Business code 621210
Sponsor’s telephone number 3096631326
Plan sponsor’s address 119 NORTH WILLIAMSBURG, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2018-05-29
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-29
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2016 370958381 2017-06-14 GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-07-01
Business code 621210
Sponsor’s telephone number 3096631326
Plan sponsor’s address 119 NORTH WILLIAMSBURG, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2017-06-14
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-14
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2015 370958381 2016-05-26 GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-07-01
Business code 621210
Sponsor’s telephone number 3096631326
Plan sponsor’s address 119 NORTH WILLIAMSBURG, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-26
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 401(K) PROFIT-SHARING PLAN & TRUST 2014 370958381 2015-05-15 GREGORY M. RANDOLPH, DDS & ASSOCIATES, LTD. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-07-01
Business code 621210
Sponsor’s telephone number 3096631326
Plan sponsor’s address 119 NORTH WILLIAMSBURG, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2015-05-15
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-15
Name of individual signing GREGORY RANDOLPH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GREGORY M RANDOLPH, 119 WILLIAMSBURG DR, BLOOMINGTON, 61704, MC LEAN Agent 2005-06-21

President

Name and Address Role
GREGORY M RANDOLPH 119 W WILLIAMSBURG DR BLOOMINGTON 61704 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060000673 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 1998-01-01 2017-02-21 2018-01-01

Historical Names

Name Change Date
RANDOLPH & THOMPSON, LTD. 2008-05-16
LOWELL M. THOMPSON, LTD. 2002-01-31

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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