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PETTY & BIELIK ORTHODONTICS, P.C.

Company Details

Entity Name: PETTY & BIELIK ORTHODONTICS, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 28 Oct 1974
Date of Dissolution: 25 Aug 2021
Company Number: CORP_50541223
File Number: 50541223
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 25 Aug 2021
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETTY & BIELIK ORTHODONTICS, P. C. 401(K) PROFIT SHARING PLAN 2020 362809686 2021-08-11 PETTY & BIELIK ORTHODONTICS, P.C. 44
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1983-11-01
Business code 621210
Sponsor’s telephone number 7086362900
Plan sponsor’s address 4233 WEST 95TH STREET, OAK LAWN, IL, 60453

Signature of

Role Plan administrator
Date 2021-08-11
Name of individual signing KATHRYN BIELIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-11
Name of individual signing KATHRYN BIELIK
Valid signature Filed with authorized/valid electronic signature
PETTY & BIELIK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2019 362809686 2020-09-21 PETTY & BIELIK ORTHODONTICS, P.C. 43
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1983-11-01
Business code 621210
Sponsor’s telephone number 7086362900
Plan sponsor’s address 4233 W. 95TH ST., OAK LAWN, IL, 60453

Signature of

Role Plan administrator
Date 2020-09-21
Name of individual signing KATHRYN BIELIK
Valid signature Filed with authorized/valid electronic signature
PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2018 362809686 2019-07-29 PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 42
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1983-11-01
Business code 621210
Sponsor’s telephone number 7086362900
Plan sponsor’s address 4233 W. 95TH ST., OAK LAWN, IL, 60453

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing KATHRYN BIELIK
Valid signature Filed with authorized/valid electronic signature
PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2017 362809686 2018-09-11 PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 44
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1983-11-01
Business code 541990
Sponsor’s telephone number 7086362900
Plan sponsor’s address 4233 W. 95TH ST., OAK LAWN, IL, 60453

Signature of

Role Plan administrator
Date 2018-09-11
Name of individual signing KELLY MCCLELLAND
Valid signature Filed with authorized/valid electronic signature
PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2016 362809686 2017-07-18 PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 45
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1983-11-01
Business code 541990
Sponsor’s telephone number 7086362900
Plan sponsor’s address 4233 W. 95TH ST., OAK LAWN, IL, 60453

Signature of

Role Plan administrator
Date 2017-07-18
Name of individual signing KELLY MCCLELLAND
Valid signature Filed with authorized/valid electronic signature
PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2015 362809686 2016-07-20 PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 43
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1983-11-01
Business code 541990
Sponsor’s telephone number 7086362900
Plan sponsor’s address 4233 W. 95TH ST., OAK LAWN, IL, 60453

Signature of

Role Plan administrator
Date 2016-07-20
Name of individual signing KELLY MCCLELLAND
Valid signature Filed with authorized/valid electronic signature
PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2014 362809686 2015-10-12 PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 44
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1983-11-01
Business code 541990
Sponsor’s telephone number 7086362900
Plan sponsor’s address 4233 W. 95TH ST., OAK LAWN, IL, 60453

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing KELLY MCCLELLAND
Valid signature Filed with authorized/valid electronic signature
PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2013 362809686 2014-10-07 PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 42
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1983-11-01
Business code 541990
Sponsor’s telephone number 7086362900
Plan sponsor’s address 4233 W. 95TH ST., OAK LAWN, IL, 60453

Signature of

Role Plan administrator
Date 2014-10-07
Name of individual signing DEBRA SPITZER
Valid signature Filed with authorized/valid electronic signature
PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2012 362809686 2013-04-02 PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 43
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1983-11-01
Business code 541990
Sponsor’s telephone number 7086362900
Plan sponsor’s address 4233 W. 95TH ST., OAK LAWN, IL, 60453

Signature of

Role Plan administrator
Date 2013-04-01
Name of individual signing DEBRA SPITZER
Valid signature Filed with authorized/valid electronic signature
PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2011 362809686 2012-10-12 PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 43
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1983-11-01
Business code 541990
Sponsor’s telephone number 7086362900
Plan sponsor’s address 4233 W. 95TH ST., OAK LAWN, IL, 60453

Plan administrator’s name and address

Administrator’s EIN 362809686
Plan administrator’s name PETTY, BIELIK & BURKE ORTHODONTICS, P.C.
Plan administrator’s address 4233 W. 95TH ST., OAK LAWN, IL, 60453
Administrator’s telephone number 7086362900

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing DEBRA SPITZER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEPHANIE D. UHLER, 4709 W GOLF RD 475, SKOKIE, 60077, COOK-NOT IN CITY OF CHICAGO Agent 2018-10-02

President

Name and Address Role
WILLIAM D PETTY DDS 4233 W 95TH 2ND FLOOR OAK LAWN 60453 President

Historical Names

Name Change Date
PETTY, BIELIK & BURKE ORTHODONTICS, P.C. 2019-09-05
PETTY & BIELIK ORTHODONTICS, P.C. 2008-01-01
WILLIAM D. PETTY, D.D.S., M.S., LTD. 2004-07-08

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1500000 1

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6718838402 2021-02-10 0507 PPS 4233 W 95th St # 2, Oak Lawn, IL, 60453-2623
Loan Status Date 2022-01-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 411625
Loan Approval Amount (current) 411625
Undisbursed Amount 0
Franchise Name -
Lender Location ID 118813
Servicing Lender Name Hinsdale Bank & Trust Company, National Association
Servicing Lender Address 25 E First St, HINSDALE, IL, 60521-7825
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Oak Lawn, COOK, IL, 60453-2623
Project Congressional District IL-06
Number of Employees 32
NAICS code 541990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 118813
Originating Lender Name Hinsdale Bank & Trust Company, National Association
Originating Lender Address HINSDALE, IL
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 415009.47
Forgiveness Paid Date 2021-12-16
4095917105 2020-04-12 0507 PPP 4233 W. 95th Street, OAK LAWN, IL, 60453-2623
Loan Status Date 2021-09-25
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 273137
Loan Approval Amount (current) 273138
Undisbursed Amount 0
Franchise Name -
Lender Location ID 119325
Servicing Lender Name Village Bank and Trust, National Association
Servicing Lender Address 234 W Northwest Hwy, ARLINGTON HEIGHTS, IL, 60004-5934
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address OAK LAWN, COOK, IL, 60453-2623
Project Congressional District IL-06
Number of Employees 25
NAICS code 541990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 119325
Originating Lender Name Village Bank and Trust, National Association
Originating Lender Address ARLINGTON HEIGHTS, IL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 276673.62
Forgiveness Paid Date 2021-08-02

Date of last update: 17 Feb 2025

Sources: Illinois Office of the Secretary of State