| Entity Name: | ORAL & MAXILLOFACIAL SURGERY SPECIALISTS, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 08 Dec 1978 |
| Date of Dissolution: | 31 Mar 2015 |
| Company Number: | CORP_51619013 |
| File Number: | 51619013 |
| Date Status Change: | 31 Mar 2015 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS, LTD 401(K) PROFIT SHARING PLAN | 2011 | 362992495 | 2012-06-22 | ORAL & MAXILLOFACIAL SURGERY SPECIALISTS, LTD. | 10 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 362992495 |
| Plan administrator’s name | ORAL & MAXILLOFACIAL SURGERY SPECIALISTS, LTD. |
| Plan administrator’s address | 4035 MORSAY DRIVE, ROCKFORD, IL, 61107 |
| Administrator’s telephone number | 8152268920 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-22 |
| Name of individual signing | DR. STEPHEN ALBERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1978-12-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8152268920 |
| Plan sponsor’s address | 4035 MORSAY DRIVE, ROCKFORD, IL, 61107 |
Plan administrator’s name and address
| Administrator’s EIN | 362992495 |
| Plan administrator’s name | ORAL & MAXILLOFACIAL SURGERY SPECIALISTS, LTD. |
| Plan administrator’s address | 4035 MORSAY DRIVE, ROCKFORD, IL, 61107 |
| Administrator’s telephone number | 8152268920 |
Signature of
| Role | Plan administrator |
| Date | 2011-03-02 |
| Name of individual signing | DR. STEPHEN ALBERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1978-12-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8152268920 |
| Plan sponsor’s address | 4035 MORSAY DRIVE, ROCKFORD, IL, 61107 |
Plan administrator’s name and address
| Administrator’s EIN | 362992495 |
| Plan administrator’s name | ORAL & MAXILLOFACIAL SURGERY SPECIALISTS, LTD. |
| Plan administrator’s address | 4035 MORSAY DRIVE, ROCKFORD, IL, 61107 |
| Administrator’s telephone number | 8152268920 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-13 |
| Name of individual signing | DR. STEPHEN ALBERS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| STEPHEN ALBERS, 4035 MORSAY DR, ROCKFORD, 61107, WINNEBAGO | Agent | 1983-03-07 |
| Name and Address | Role |
|---|---|
| STEPHEN ALLENS, 401 N COLOIU PARK, ROCKFORD, 61107 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PROF SERVICE CORP | 060002027 | No data | No data | REGISTERED PROFESSIONAL SERVICE CORPORATION | No data | 1978-12-22 | 2014-12-15 | 2016-01-01 |
| Name | Change Date |
|---|---|
| STEPHEN W. ALBERS, D.D.S. & DAVID A FRANCIS, D.D.S., LTD. | 1999-06-11 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 100000 | 15000000 | 1 |
Date of last update: 27 Jan 2025
