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STREAMWOOD FAMILY DENTAL CENTER, P.C.

Company Details

Entity Name: STREAMWOOD FAMILY DENTAL CENTER, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 23 Mar 1984
Date of Dissolution: 11 Aug 2023
Company Number: CORP_53401341
File Number: 53401341
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 11 Aug 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STREAMWOOD FAMILY DENTAL CENTER RETIREMENT PLAN 2018 363299645 2019-07-10 STREAMWOOD FAMILY DENTAL CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6308301954
Plan sponsor’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107

Signature of

Role Plan administrator
Date 2019-07-10
Name of individual signing JANET MOTLEY
Valid signature Filed with authorized/valid electronic signature
STREAMWOOD FAMILY DENTAL CENTER RETIREMENT PLAN 2017 363299645 2018-06-18 STREAMWOOD FAMILY DENTAL CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6308301954
Plan sponsor’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107

Signature of

Role Plan administrator
Date 2018-06-18
Name of individual signing JANET MOTLEY
Valid signature Filed with authorized/valid electronic signature
STREAMWOOD FAMILY DENTAL CENTER RETIREMENT PLAN 2016 363299645 2017-06-01 STREAMWOOD FAMILY DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6308301954
Plan sponsor’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107

Signature of

Role Plan administrator
Date 2017-06-01
Name of individual signing JANET MOTLEY
Valid signature Filed with authorized/valid electronic signature
STREAMWOOD FAMILY DENTAL CENTER RETIREMENT PLAN 2015 363299645 2016-06-22 STREAMWOOD FAMILY DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6308301954
Plan sponsor’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107

Signature of

Role Plan administrator
Date 2016-06-22
Name of individual signing JANET MOTLEY
Valid signature Filed with authorized/valid electronic signature
STREAMWOOD FAMILY DENTAL CENTER RETIREMENT PLAN 2014 363299645 2015-07-07 STREAMWOOD FAMILY DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6308301954
Plan sponsor’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107

Signature of

Role Plan administrator
Date 2015-07-07
Name of individual signing JANET MOTLEY
Valid signature Filed with authorized/valid electronic signature
STREAMWOOD FAMILY DENTAL CENTER RETIREMENT PLAN 2013 363299645 2014-06-23 STREAMWOOD FAMILY DENTAL CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6308301954
Plan sponsor’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107

Signature of

Role Plan administrator
Date 2014-06-23
Name of individual signing JANET MOTLEY
Valid signature Filed with authorized/valid electronic signature
STREAMWOOD FAMILY DENTAL CENTER RETIREMENT PLAN 2012 363299645 2013-06-06 STREAMWOOD FAMILY DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6308301954
Plan sponsor’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107

Signature of

Role Plan administrator
Date 2013-06-06
Name of individual signing JANET MOTLEY
Valid signature Filed with authorized/valid electronic signature
STREAMWOOD FAMILY DENTAL CENTER RETIREMENT PLAN 2011 363299645 2012-09-17 STREAMWOOD FAMILY DENTAL CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6308301954
Plan sponsor’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107

Plan administrator’s name and address

Administrator’s EIN 363299645
Plan administrator’s name STREAMWOOD FAMILY DENTAL CENTER
Plan administrator’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107
Administrator’s telephone number 6308301954

Signature of

Role Plan administrator
Date 2012-09-17
Name of individual signing JANET MOTLEY
Valid signature Filed with authorized/valid electronic signature
STREAMWOOD FAMILY DENTAL CENTER RETIREMENT PLAN 2011 363299645 2012-08-20 STREAMWOOD FAMILY DENTAL CENTER 10
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6308301954
Plan sponsor’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107

Plan administrator’s name and address

Administrator’s EIN 363299645
Plan administrator’s name STREAMWOOD FAMILY DENTAL CENTER
Plan administrator’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107
Administrator’s telephone number 6308301954

Signature of

Role Plan administrator
Date 2012-08-20
Name of individual signing JANET MOTLEY
Valid signature Filed with authorized/valid electronic signature
STREAMWOOD FAMILY DENTAL CENTER RETIREMENT PLAN 2010 363299645 2011-06-21 STREAMWOOD FAMILY DENTAL CENTER 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 6308301954
Plan sponsor’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107

Plan administrator’s name and address

Administrator’s EIN 363299645
Plan administrator’s name STREAMWOOD FAMILY DENTAL CENTER
Plan administrator’s address 403 W IRVING PARK ROAD, STREAMWOOD, IL, 60107
Administrator’s telephone number 6308301954

Signature of

Role Plan administrator
Date 2011-06-21
Name of individual signing JANET MOTLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LIONEL A WAISMAN, 1301 W MADISON ST APT 308, CHICAGO, 60607, KANE Agent 2022-05-09

President

Name and Address Role
LIONEL A WAISMAN 1301 W, MADISON ST, #308 CHICAGO IL, 60607 President

Historical Names

Name Change Date
LIONEL A WAISMAN D.D.S., P.C. 1989-04-11

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
CLASS A No data Voting Rights 10000 100000 1

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State