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  5. RICHARD R. HERZFELDT, D.D.S., LTD.

RICHARD R. HERZFELDT, D.D.S., LTD.

Company Details

Entity Name: RICHARD R. HERZFELDT, D.D.S., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Oct 1981
Date of Dissolution: 11 Mar 2016
Company Number: CORP_52543215
File Number: 52543215
Date Status Change: 11 Mar 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN 2015 363141429 2016-06-16 RICHARD R. HERZFELDT, D.D.S., LTD. 5
Three-digit plan number (PN) 003
Effective date of plan 2004-10-01
Business code 621210
Sponsor’s telephone number 3097622871
Plan sponsor’s address 3511 33RD AVENUE, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-15
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN 2015 363141429 2016-09-06 RICHARD R. HERZFELDT, D.D.S., LTD. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-10-01
Business code 621210
Sponsor’s telephone number 3097622871
Plan sponsor’s address 3511 33RD AVENUE, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2016-09-06
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-06
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
RICHARD R. HERZFELDT, D.D.S., LTD. EMPLOYEES PROFIT SHARING PLAN 2015 363141429 2016-02-29 RICHARD R. HERZFELDT, D.D.S., LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-01
Business code 621210
Sponsor’s telephone number 3097622871
Plan sponsor’s address 3511 33RD AVENUE, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2016-02-27
Name of individual signing RICHARD R HERZFELDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-27
Name of individual signing RICHARD R HERZFELDT
Valid signature Filed with authorized/valid electronic signature
RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN 2014 363141429 2016-01-20 RICHARD R. HERZFELDT, D.D.S., LTD. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-10-01
Business code 621210
Sponsor’s telephone number 3097975789
Plan sponsor’s address 1825 AVENUE OF THE CITIES, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2016-01-19
Name of individual signing RICHARD R HERZFELDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-01-19
Name of individual signing RICHARD R HERZFELDT
Valid signature Filed with authorized/valid electronic signature
RICHARD R. HERZFELDT, D.D.S., LTD. EMPLOYEES PROFIT SHARING PLAN 2014 363141429 2015-12-10 RICHARD R. HERZFELDT, D.D.S., LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-01
Business code 621210
Sponsor’s telephone number 3097622871
Plan sponsor’s address 3511 33RD AVENUE, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2015-12-10
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-12-10
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
RICHARD R. HERZFELDT, D.D.S., LTD. EMPLOYEES PROFIT SHARING PLAN 2013 363141429 2014-12-11 RICHARD R. HERZFELDT, D.D.S., LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-01
Business code 621210
Sponsor’s telephone number 3097975789
Plan sponsor’s address 1825 AVENUE OF THE CITIES, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2014-12-11
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-12-11
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN 2013 363141429 2014-12-11 RICHARD R. HERZFELDT, D.D.S., LTD. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-10-01
Business code 621210
Sponsor’s telephone number 3097975789
Plan sponsor’s address 1825 AVENUE OF THE CITIES, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2014-12-11
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-12-11
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN 2013 363141429 2014-12-11 RICHARD R. HERZFELDT, D.D.S., LTD. 5
Three-digit plan number (PN) 003
Effective date of plan 2004-10-01
Business code 621210
Sponsor’s telephone number 3097975789
Plan sponsor’s address 1825 AVENUE OF THE CITIES, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2014-12-10
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-12-10
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
RICHARD R. HERZFELDT, D.D.S., LTD. EMPLOYEES PROFIT SHARING PLAN 2012 363141429 2014-07-01 RICHARD R. HERZFELDT, D.D.S., LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-01
Business code 621210
Sponsor’s telephone number 3097975789
Plan sponsor’s address 1825 AVENUE OF THE CITIES, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing RICHARD R HERZFELDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-01
Name of individual signing RICHARD R HERZFELDT
Valid signature Filed with authorized/valid electronic signature
RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN 2012 363141429 2014-07-01 RICHARD R. HERZFELDT, D.D.S., LTD. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-10-01
Business code 621210
Sponsor’s telephone number 3097975789
Plan sponsor’s address 1825 AVENUE OF THE CITIES, MOLINE, IL, 61265

Signature of
Role Plan administrator
Date 2014-04-10
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-10
Name of individual signing RICHARD HERZFELDT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RICHARD R HERZFELDT, 1825 23 AVE, MOLINE, 61265, ROCK ISLAND Agent 1989-08-31

President

Name and Address Role
RICHARD HERZFELDT, 3511 33 AVEMOLINE 61265 President

Shares

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

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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