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  5. WILLIAM E. CUSACK, D.D.S., LTD.

WILLIAM E. CUSACK, D.D.S., LTD.

Company Details

Entity Name: WILLIAM E. CUSACK, D.D.S., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Dec 1980
Company Number: CORP_52250919
File Number: 52250919
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIAM E. CUSACK, D. D. S. , LTD. CASH BALANCE PLAN 2023 371091681 2024-10-07 WILLIAM E. CUSACK, D.D.S., LTD. 15
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3096932220
Plan sponsor’s address 5013 N UNIVERSITY, PEORIA, IL, 61614
WILLIAM E. CUSACK, D.D.S., LTD. 401(K) PLAN 2023 371091681 2024-10-02 WILLIAM E. CUSACK, D.D.S., LTD. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3096932220
Plan sponsor’s address 5013 N UNIVERSITY, PEORIA, IL, 616144777

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing KIM CUSACK
Valid signature Filed with authorized/valid electronic signature
WILLIAM E. CUSACK, D. D. S. , LTD. CASH BALANCE PLAN 2022 371091681 2023-10-03 WILLIAM E. CUSACK, D.D.S., LTD. 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3096932220
Plan sponsor’s address 5013 N UNIVERSITY, PEORIA, IL, 61614
WILLIAM E. CUSACK, D.D.S., LTD. 401(K) PLAN 2022 371091681 2023-08-29 WILLIAM E. CUSACK, D.D.S., LTD. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3096932220
Plan sponsor’s address 5013 N UNIVERSITY, PEORIA, IL, 616144777

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing WILLIAM E. CUSACK, DDS
Valid signature Filed with authorized/valid electronic signature
WILLIAM E. CUSACK, D. D. S. , LTD. CASH BALANCE PLAN 2021 371091681 2022-09-19 WILLIAM E. CUSACK, D.D.S., LTD. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3096932220
Plan sponsor’s address 5013 N UNIVERSITY, PEORIA, IL, 61614
WILLIAM E. CUSACK, D.D.S., LTD. 401(K) PLAN 2021 371091681 2022-07-21 WILLIAM E. CUSACK, D.D.S., LTD. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3096932220
Plan sponsor’s address 5013 N UNIVERSITY, PEORIA, IL, 616144777

Signature of
Role Plan administrator
Date 2022-07-21
Name of individual signing WILLIAM E. CUSACK, DDS
Valid signature Filed with authorized/valid electronic signature
WILLIAM E. CUSACK, D. D. S. , LTD. CASH BALANCE PLAN 2020 371091681 2021-10-13 WILLIAM E. CUSACK, D.D.S., LTD. 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3096932220
Plan sponsor’s address 5013 N UNIVERSITY, PEORIA, IL, 61614
WILLIAM E. CUSACK, D.D.S., LTD. 401(K) PLAN 2020 371091681 2021-10-07 WILLIAM E. CUSACK, D.D.S., LTD. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3096932220
Plan sponsor’s address 5013 N UNIVERSITY, PEORIA, IL, 616144777

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing WILLIAM E. CUSACK, DDS
Valid signature Filed with authorized/valid electronic signature
WILLIAM E. CUSACK, D.D.S., LTD. 401(K) PLAN 2019 371091681 2020-07-02 WILLIAM E. CUSACK, D.D.S., LTD. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3096932220
Plan sponsor’s address 5013 N UNIVERSITY, PEORIA, IL, 616144777
WILLIAM E. CUSACK, D. D. S. , LTD. CASH BALANCE PLAN 2019 371091681 2020-10-13 WILLIAM E. CUSACK, D.D.S., LTD. 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3096932220
Plan sponsor’s address 5013 N UNIVERSITY, PEORIA, IL, 61614

Agent

Name and Address Role Appointment Date
DANIEL P CUSACK, 411 HAMILTON BLVD #1510, PEORIA, 61614, PEORIA Agent 2021-07-01

President

Name and Address Role
KIMBERLY S CUSACK 5013 N UNIVERSITY PEORIA 61614 President

Secretary

Name and Address Role
KIMBERLY S CUSACK 5013 N UNIVERSITY PEORIA 61614 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 No data

Related by officers

DANIEL P CUSACK, 411 HAMILTON BLVD #1510, PEORIA, 61614, PEORIA

DRAGOO PAINTING, INC. D. BROOKS EXCAVATING, INC.

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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