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DAVID F. STERN, D.D.S., P.C.

Company Details

Entity Name: DAVID F. STERN, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 20 Aug 1981
Date of Dissolution: 10 Jan 2015
Company Number: CORP_52482542
File Number: 52482542
Date Status Change: 10 Jan 2015
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
PFQ9B1TM7CH5 2024-01-03 4950 W THOMAS ST, CHICAGO, IL, 60651, 3118, USA 1140 N. LAMON AVE, CHICAGO, IL, 60651, 3118, USA

Business Information

URL http://www.bethelnewlife.org
Congressional District 07
State/Country of Incorporation IL, USA
Activation Date 2023-01-05
Initial Registration Date 2005-06-29
Entity Start Date 1979-04-03
Fiscal Year End Close Date Jun 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name LOLITA SLAUGHTER
Address 4950 W THOMAS, CHICAGO, IL, 60651, 3119, USA
Title ALTERNATE POC
Name MIKE ALLEN
Address 4950 WEST THOMAS, CHICAGO, IL, 60651, USA
Government Business
Title PRIMARY POC
Name LOLITA SLAUGHTER
Address 4950 W THOMAS, CHICAGO, IL, 60651, 3119, USA
Title ALTERNATE POC
Name MIKE ALLEN
Address 4950 WEST THOMAS, CHICAGO, IL, 60651, USA
Past Performance
Title PRIMARY POC
Name VAUNA HERNANDEZ
Role CEO
Address 4950 W THOMAS, CHICAGO, IL, 60651, USA
Title ALTERNATE POC
Name JAMES HUTSON
Address 4950 W. TOMAS ST., CHICAGO, IL, 60651, 3118, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SECTION 403 (B) RETIREMENT PLAN 2011 363013241 2012-10-15 BETHEL NEW LIFE, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 624200
Sponsor’s telephone number 7734737870
Plan sponsor’s address 4950 W THOMAS AVE., CHICAGO, IL, 60651

Plan administrator’s name and address

Administrator’s EIN 363013241
Plan administrator’s name BETHEL NEW LIFE, INC.
Plan administrator’s address 4950 W THOMAS AVE., CHICAGO, IL, 60651
Administrator’s telephone number 7734737870

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing PAUL WATFORD
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR BETHEL NEW LIFE, INC. 2010 363013241 2011-10-17 BETHEL NEW LIFE, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 624200
Sponsor’s telephone number 7734737870
Plan sponsor’s address 4952 W. THOMAS ST, CHICAGO, IL, 60651

Plan administrator’s name and address

Administrator’s EIN 363013241
Plan administrator’s name BETHEL NEW LIFE, INC.
Plan administrator’s address 4952 W. THOMAS ST, CHICAGO, IL, 60651
Administrator’s telephone number 7734737870

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing ANDRE BRADLEY
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR BETHEL NEW LIFE, INC. 2009 363013241 2010-10-14 BETHEL NEW LIFE, INC. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 624200
Sponsor’s telephone number 7734737870
Plan sponsor’s address 4952 W. THOMAS STREET, CHICAGO, IL, 60651

Plan administrator’s name and address

Administrator’s EIN 363013241
Plan administrator’s name BETHEL NEW LIFE, INC.
Plan administrator’s address 4952 W. THOMAS STREET, CHICAGO, IL, 60651
Administrator’s telephone number 7734737870

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing GLORIA TAYLOR-DAVENPORT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID L DAVITT, 4023 CHARLES STREET, ROCKFORD, 61108, WINNEBAGO Agent 2012-07-16

President

Name and Address Role
DAVID F STERN 3213 YOUNGFIELD DRIVE ROCKFORD IL 61114 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 1

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State