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  5. MILL STREET DENTAL ASSOCIATES, P.C.

MILL STREET DENTAL ASSOCIATES, P.C.

Company Details

Entity Name: MILL STREET DENTAL ASSOCIATES, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 28 Jun 1983
Date of Dissolution: 02 Nov 1987
Company Number: CORP_53131786
File Number: 53131786
Date Status Change: 02 Nov 1987
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MILL STREET DENTAL ASSOCIATES PROFIT SHARING PLAN 2016 363480882 2017-06-16 MILL STREET DENTAL ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 6303557400
Plan sponsor’s address 1250 N. MILL STREET, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2017-06-16
Name of individual signing KENNETH COLLEN
Valid signature Filed with authorized/valid electronic signature
MILL STREET DENTAL ASSOCIATES PROFIT SHARING PLAN 2015 363480882 2016-07-11 MILL STREET DENTAL ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 6303557400
Plan sponsor’s address 1250 N. MILL STREET, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing KENNETH COLLEN
Valid signature Filed with authorized/valid electronic signature
MILL STREET DENTAL ASSOCIATES PROFIT SHARING PLAN 2014 363480882 2015-04-13 MILL STREET DENTAL ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 6303557400
Plan sponsor’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2015-04-13
Name of individual signing KENNETH COLLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-13
Name of individual signing KENNETH COLLEN
Valid signature Filed with authorized/valid electronic signature
MILL STREET DENTAL ASSOCIATES PROFIT SHARING PLAN 2013 363480882 2014-06-02 MILL STREET DENTAL ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 6303557400
Plan sponsor’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2014-06-02
Name of individual signing KENNETH J. COLLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-02
Name of individual signing KENNETH J. COLLEN
Valid signature Filed with authorized/valid electronic signature
MILL STREET DENTAL ASSOCIATES PROFIT SHARING PLAN 2012 363480882 2013-04-25 MILL STREET DENTAL ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 6303557400
Plan sponsor’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2013-04-25
Name of individual signing KENNETH COLLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-25
Name of individual signing KENNETH COLLEN
Valid signature Filed with authorized/valid electronic signature
MILL STREET DENTAL ASSOCIATES PROFIT SHARING PLAN 2011 363480882 2012-06-21 MILL STREET DENTAL ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 6303557400
Plan sponsor’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363480882
Plan administrator’s name SAME
Plan administrator’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563
Administrator’s telephone number 6303557400

Signature of
Role Plan administrator
Date 2012-06-21
Name of individual signing KENNETH COLLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-21
Name of individual signing KENNETH COLLEN
Valid signature Filed with authorized/valid electronic signature
MILL STREET DENTAL ASSOCIATES PROFIT SHARING PLAN 2010 363480882 2011-06-21 MILL STREET DENTAL ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 6303557400
Plan sponsor’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363480882
Plan administrator’s name SAME
Plan administrator’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563
Administrator’s telephone number 6303557400

Signature of
Role Plan administrator
Date 2011-06-21
Name of individual signing KENNETH J COLLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-21
Name of individual signing KENNETH J COLLEN
Valid signature Filed with authorized/valid electronic signature
MILL STREET DENTAL ASSOCIATES PROFIT SHARING PLAN 2009 363480882 2010-10-04 MILL STREET DENTAL ASSOCIATES 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 6303557400
Plan sponsor’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363480882
Plan administrator’s name SAME
Plan administrator’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563
Administrator’s telephone number 6303557400

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing KENNETH J COLLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-04
Name of individual signing KENNETH J COLLEN
Valid signature Filed with authorized/valid electronic signature
MILL STREET DENTAL ASSOCIATES PROFIT SHARING PLAN 2009 363480882 2010-09-22 MILL STREET DENTAL ASSOCIATES 5
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 6303557400
Plan sponsor’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363480882
Plan administrator’s name SAME
Plan administrator’s address 1250 N MILL STREET, NAPERVILLE, IL, 60563
Administrator’s telephone number 6303557400

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing KENNETH J COLLEN
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing KENNETH J COLLEN
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
KENNETH J COLLEN, 5512 E LAKE DR #E, LISLE, 60532, DU PAGE Agent 1983-06-28

President

Name and Address Role
KENNETH J COLLEN, 5512 E LAKE DR #E LISLE 60532 President

Related by officers

No related officers

Related by address

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Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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