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DAVID P. POTTS, D. D. S., LTD.

Company Details

Entity Name: DAVID P. POTTS, D. D. S., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 09 Jul 1976
Company Number: CORP_50942805
File Number: 50942805
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID P. POTTS, D.D.S. LTD. PROFIT SHARING PLAN 2023 362877910 2024-04-11 DAVID P. POTTS, D.D.S. LTD. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1986-07-01
Business code 621210
Sponsor’s telephone number 8473626540
Plan sponsor’s address 1298 S. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2024-04-12
Name of individual signing DAVID P. POTTS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID P. POTTS, D.D.S. LTD. PROFIT SHARING PLAN 2022 362877910 2023-04-25 DAVID P. POTTS, D.D.S. LTD. 18
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1986-07-01
Business code 621210
Sponsor’s telephone number 8473626540
Plan sponsor’s address 1298 S. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2023-04-25
Name of individual signing DAVID P. POTTS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID P. POTTS, D.D.S. LTD. PROFIT SHARING PLAN 2021 362877910 2022-04-30 DAVID P. POTTS, D.D.S. LTD. 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1986-07-01
Business code 621210
Sponsor’s telephone number 8473626540
Plan sponsor’s address 1298 S. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2022-04-29
Name of individual signing DAVID P. POTTS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID P. POTTS, D.D.S. LTD. PROFIT SHARING PLAN 2020 362877910 2021-06-18 DAVID P. POTTS, D.D.S. LTD. 18
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1986-07-01
Business code 621210
Sponsor’s telephone number 8473626540
Plan sponsor’s address 1298 S. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2021-06-18
Name of individual signing DAVID P. POTTS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID P. POTTS, DDS, LTD DEFINED BENEFIT PENSION PLAN & TRUST 2020 362877910 2021-05-06 DAVID P. POTTS, D.D.S., LTD. 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8473626540
Plan sponsor’s address 908 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2021-05-06
Name of individual signing DAVID P. POTTS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID P. POTTS, D.D.S. LTD. PROFIT SHARING PLAN 2019 362877910 2020-05-15 DAVID P. POTTS, D.D.S. LTD. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1986-07-01
Business code 621210
Sponsor’s telephone number 8473626540
Plan sponsor’s address 1298 S. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2020-05-15
Name of individual signing DAVID P. POTTS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID P. POTTS, DDS, LTD DEFINED BENEFIT PENSION PLAN & TRUST 2019 362877910 2020-10-01 DAVID P. POTTS, D.D.S., LTD. 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8473626540
Plan sponsor’s address 908 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2020-10-01
Name of individual signing DAVID P. POTTS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID P. POTTS, DDS, LTD DEFINED BENEFIT PENSION PLAN & TRUST 2018 362877910 2019-10-08 DAVID P. POTTS, D.D.S., LTD. 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8473626540
Plan sponsor’s address 908 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2019-10-08
Name of individual signing DAVID P. POTTS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID P. POTTS, D.D.S., LTD. PROFIT SHARING PLAN 2018 362877910 2019-09-16 DAVID P. POTTS, D.D.S., LTD. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1986-07-01
Business code 621210
Sponsor’s telephone number 8473626540
Plan sponsor’s address 908 S. MILWAUKEE AVE., LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2019-09-16
Name of individual signing DAVID P. POTTS, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID POTTS, 1298 S MILWAUKEE AVE, LIBERTYVILLE, 60048, LAKE Agent 2019-06-13

President

Name and Address Role
DAVID POTTS, 1298 S MILWAUKEEAVE., LIBERTYVILLE, 60048 President

Secretary

Name and Address Role
WHITNEY M BOOTH Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
LAKE COUNTY FAMILY DENTAL CARE Assume Name 2018-01-16 No data No data No data
COMPASSIONATE DENTAL SERVICES, 60048A Assume Name 2011-03-11 No data No data No data
LAKE COUNTY DENTAL CARE Assume Name 1998-09-28 No data No data No data

Shares

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

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State