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MID-ILLINOIS DENTAL ASSOCIATES, LTD.

Company Details

Entity Name: MID-ILLINOIS DENTAL ASSOCIATES, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 31 Jan 1975
Date of Dissolution: 09 Jun 2023
Company Number: CORP_50593355
File Number: 50593355
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 09 Jun 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MID-ILLINOIS DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2020 370990302 2021-09-15 MID-ILLINOIS DENTAL ASSOCIATES, LTD 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-02-01
Business code 621210
Sponsor’s telephone number 2178242201
Plan sponsor’s address 101 S. CHEROKEE, TAYLORVILLE, IL, 62568

Signature of

Role Plan administrator
Date 2021-09-15
Name of individual signing JOHN L. FERRY
Valid signature Filed with authorized/valid electronic signature
MID-ILLINOIS DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2020 370990302 2021-10-28 MID-ILLINOIS DENTAL ASSOCIATES, LTD 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-02-01
Business code 621210
Sponsor’s telephone number 2178242201
Plan sponsor’s address 101 S. CHEROKEE, TAYLORVILLE, IL, 62568

Signature of

Role Plan administrator
Date 2021-10-28
Name of individual signing JOHN L. FERRY
Valid signature Filed with authorized/valid electronic signature
MID-ILLINOIS DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2019 370990302 2020-03-26 MID-ILLINOIS DENTAL ASSOCIATES, LTD 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-02-01
Business code 621210
Sponsor’s telephone number 2178242201
Plan sponsor’s address 101 S. CHEROKEE, TAYLORVILLE, IL, 62568

Signature of

Role Plan administrator
Date 2020-03-26
Name of individual signing JOHN L. FERRY
Valid signature Filed with authorized/valid electronic signature
MID-ILLINOIS DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2018 370990302 2019-07-15 MID-ILLINOIS DENTAL ASSOCIATES, LTD 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-02-01
Business code 621210
Sponsor’s telephone number 2178242201
Plan sponsor’s address 101 S. CHEROKEE, TAYLORVILLE, IL, 62568

Signature of

Role Plan administrator
Date 2019-07-15
Name of individual signing JOHN L. FERRY
Valid signature Filed with authorized/valid electronic signature
MID-ILLINOIS DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2017 370990302 2018-02-04 MID-ILLINOIS DENTAL ASSOCIATES, LTD 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-02-01
Business code 621210
Sponsor’s telephone number 2178242201
Plan sponsor’s address 101 S. CHEROKEE, TAYLORVILLE, IL, 62568

Signature of

Role Plan administrator
Date 2018-02-04
Name of individual signing JOHN L. FERRY
Valid signature Filed with authorized/valid electronic signature
MID-ILLINOIS DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2016 370990302 2017-07-10 MID-ILLINOIS DENTAL ASSOCIATES, LTD 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-02-01
Business code 621210
Sponsor’s telephone number 2178242201
Plan sponsor’s address 101 S. CHEROKEE, TAYLORVILLE, IL, 62568

Signature of

Role Plan administrator
Date 2017-07-10
Name of individual signing JOHN L. FERRY
Valid signature Filed with authorized/valid electronic signature
MID-ILLINOIS DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2015 370990302 2016-08-23 MID-ILLINOIS DENTAL ASSOCIATES, LTD 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-02-01
Business code 621210
Sponsor’s telephone number 2178242201
Plan sponsor’s address 101 S. CHEROKEE, TAYLORVILLE, IL, 62568

Signature of

Role Plan administrator
Date 2016-08-23
Name of individual signing JOHN L. FERRY
Valid signature Filed with authorized/valid electronic signature
MID-ILLINOIS DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2014 370990302 2015-04-21 MID-ILLINOIS DENTAL ASSOCIATES, LTD 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-02-01
Business code 621210
Sponsor’s telephone number 2178242201
Plan sponsor’s address 101 S. CHEROKEE, TAYLORVILLE, IL, 62568

Signature of

Role Plan administrator
Date 2015-04-21
Name of individual signing JOHN L. FERRY
Valid signature Filed with authorized/valid electronic signature
MID-ILLINOIS DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2013 370990302 2014-06-24 MID-ILLINOIS DENTAL ASSOCIATES, LTD 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-02-01
Business code 621210
Sponsor’s telephone number 2178242201
Plan sponsor’s address 101 S. CHEROKEE, TAYLORVILLE, IL, 62568

Plan administrator’s name and address

Administrator’s EIN 370990302
Plan administrator’s name MID-ILLINOIS DENTAL ASSOCIATES, LTD
Plan administrator’s address 101 S. CHROKEE, TAYLORVILLE, IL, 62568
Administrator’s telephone number 2178242201

Signature of

Role Plan administrator
Date 2014-06-24
Name of individual signing JOHN L. FERRY
Valid signature Filed with authorized/valid electronic signature
MID-ILLINOIS DENTAL ASSOCIATES, LTD. 401(K) PROFI SHARING PLAN 2012 370990302 2013-04-17 MID-ILLINOIS DENTAL ASSOCIATES, LTD 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-02-01
Business code 621210
Sponsor’s telephone number 2178242201
Plan sponsor’s address 101 S. CHEROKEE, TAYLORVILLE, IL, 62568

Plan administrator’s name and address

Administrator’s EIN 370990302
Plan administrator’s name MID-ILLINOIS DENTAL ASSOCIATES, LTD
Plan administrator’s address 101 S. CHROKEE, TAYLORVILLE, IL, 62568
Administrator’s telephone number 2178242201

Signature of

Role Plan administrator
Date 2013-04-17
Name of individual signing JOHN L. FERRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN FERRY, 3705 LINCOLN TRAIL, TAYLORVILLE, 62568, CHRISTIAN Agent 2021-01-28

President

Name and Address Role
JOSEPH A SMITH, 1356 N 1600 E RD, TAYLORVILLE 62568 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 1000000 No data

Date of last update: 03 Feb 2025

Sources: Illinois Office of the Secretary of State