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KELLY ORTHODONTICS, P.C.

Company Details

Entity Name: KELLY ORTHODONTICS, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Sep 1979
Company Number: CORP_51840887
File Number: 51840887
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KELLY ORTHODONTICS, LTD. 401(K) PLAN 2023 363045300 2024-08-01 KELLY ORTHODONTICS, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 517000
Sponsor’s telephone number 6304850076
Plan sponsor’s address 11 S. 6TH STREET, SAINT CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2024-08-01
Name of individual signing JENNIFER KELLY
Valid signature Filed with authorized/valid electronic signature
KELLY ORTHODONTICS, LTD. 401(K) PLAN 2022 363045300 2023-04-18 KELLY ORTHODONTICS, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 517000
Sponsor’s telephone number 6304850076
Plan sponsor’s address 11 S. 6TH STREET, SAINT CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2023-04-18
Name of individual signing JENNIFER KELLY
Valid signature Filed with authorized/valid electronic signature
KELLY ORTHODONTICS, LTD. 401(K) PLAN 2021 363045300 2022-03-09 KELLY ORTHODONTICS, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 517000
Sponsor’s telephone number 6304850076
Plan sponsor’s address 11 S. 6TH STREET, SAINT CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2022-03-09
Name of individual signing JENNIFER KELLY
Valid signature Filed with authorized/valid electronic signature
KELLY ORTHODONTICS, LTD. 401(K) PLAN 2020 363045300 2021-06-09 KELLY ORTHODONTICS, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 517000
Sponsor’s telephone number 6304850076
Plan sponsor’s address 11 S. 6TH STREET, SAINT CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2021-06-09
Name of individual signing JENNIFER KELLY
Valid signature Filed with authorized/valid electronic signature
KELLY ORTHODONTICS, LTD. 401(K) PLAN 2019 363045300 2020-06-08 KELLY ORTHODONTICS, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 517000
Sponsor’s telephone number 6304850076
Plan sponsor’s address 11 S. 6TH STREET, SAINT CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2020-06-08
Name of individual signing JENNIFER KELLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
AARON E. RUSWICK, 1755 S NAPERVILLE RD STE 200, WHEATON, 60189, DU PAGE Agent 2021-07-01

President

Name and Address Role
DANIEL M KELLY, 11 S 6TH ST, ST CHARLES 60174 President

Secretary

Name and Address Role
DANIEL M KELLY 11 S 6TH ST STCHARLES IL 60174 Secretary

Historical Names

Name Change Date
KELLY ORTHODONTICS, LTD. 2019-10-17
WILLIAM M. KELLY, D.D.S., M.S., LTD. 2011-11-03

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State