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KOSEL DENTAL P.C.

Company Details

Entity Name: KOSEL DENTAL P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 17 Sep 1974
Date of Dissolution: 08 Feb 2019
Company Number: CORP_50517594
File Number: 50517594
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 08 Feb 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALFRED C. KOSEL D.D.S. P.C. PROFIT SHARING PLAN 2015 362812857 2016-05-02 KOSEL DENTAL P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621210
Sponsor’s telephone number 7085320091
Plan sponsor’s address 17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2016-05-02
Name of individual signing ALFRED C. KOSEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-02
Name of individual signing ALFRED C. KOSEL
Valid signature Filed with authorized/valid electronic signature
ALFRED C KOSEL DDS PC PROFIT SHARING PLAN 2014 362812857 2015-06-08 KOSEL DENTAL P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621210
Sponsor’s telephone number 7085320091
Plan sponsor’s address 17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2015-06-08
Name of individual signing ALFRED C. KOSEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-08
Name of individual signing ALFRED C. KOSEL
Valid signature Filed with authorized/valid electronic signature
ALFRED C. KOSEL D.D.S. P.C. PROFIT SHARING PLAN 2013 362812857 2014-06-06 KOSEL DENTAL P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621210
Sponsor’s telephone number 7085320091
Plan sponsor’s address 17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2014-06-06
Name of individual signing ALFRED C. KOSEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-06
Name of individual signing ALFRED C. KOSEL
Valid signature Filed with authorized/valid electronic signature
ALFRED C. KOSEL D.D.S. P.C. PROFIT SHARING PLAN 2012 362812857 2013-06-07 KOSEL DENTAL P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621210
Sponsor’s telephone number 7085320091
Plan sponsor’s address 17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477

Signature of

Role Plan administrator
Date 2013-06-07
Name of individual signing ALFRED C. KOSEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-07
Name of individual signing ALFRED C. KOSEL
Valid signature Filed with authorized/valid electronic signature
ALFRED C. KOSEL D.D.S. P.C. PROFIT SHARING PLAN 2011 362812857 2012-06-12 KOSEL DENTAL P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621210
Sponsor’s telephone number 7085320091
Plan sponsor’s address 17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477

Plan administrator’s name and address

Administrator’s EIN 362812857
Plan administrator’s name KOSEL DENTAL P.C.
Plan administrator’s address 17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477
Administrator’s telephone number 7085320091

Signature of

Role Plan administrator
Date 2012-06-12
Name of individual signing ALFRED C. KOSEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-12
Name of individual signing ALFRED C. KOSEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RICHARD L VERKLER, 1 WESTMINSTER PLACE, LAKE FOREST, 60045, LAKE Agent 1988-09-13

President

Name and Address Role
ALFRED KOSEL, 1300 E FRANCIS RD NEW LENOX 60451 President

Historical Names

Name Change Date
ALFRED C. KOSEL, D. D. S., P. C. 2005-02-02

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State