| Entity Name: | AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 15 Jun 1978 |
| Company Number: | CORP_51480392 |
| File Number: | 51480392 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. 401(K) PLAN | 2023 | 371052009 | 2024-12-10 | AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. | 21 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-12-10 |
| Name of individual signing | PHILIP BANGHART |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MEYER CAPEL A PROFESSIONAL ORGANIZATION, 306 W CHURCH ST, CHAMPAIGN, 61820, CHAMPAIGN | Agent | 2019-05-16 |
| Name and Address | Role |
|---|---|
| PHILIP BANGHART, 4414 SOUTHFORD TRACE DR, CHAMPAIGN IL 61822 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| DENTAL | 174000152 | No data | No data | APPROVED DENTAL/DENTAL HYGENIST CE SPONSOR | No data | 2010-01-13 | 2024-07-02 | 2026-09-30 |
| PROF SERVICE CORP | 060001902 | No data | No data | REGISTERED PROFESSIONAL SERVICE CORPORATION | No data | 1978-06-26 | 2021-10-29 | 2025-01-01 |
| Name | Change Date |
|---|---|
| DRS. KEEN, JORDAN & CLAYDON, LTD. | 1983-08-19 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 1000 | 300000 | 1 |
Date of last update: 13 Jan 2025
