| Entity Name: | DANIEL R. DIESKA, D.D.S., P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 24 Feb 1986 |
| Date of Dissolution: | 13 Jul 2012 |
| Company Number: | CORP_54155042 |
| File Number: | 54155042 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 13 Jul 2012 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL R. DIESKA, D.D.S., P.C. CASH BALANCE PLAN | 2010 | 363422718 | 2011-10-04 | DANIEL R. DIESKA, D.D.S., P.C. | 7 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 363422718 |
| Plan administrator’s name | DANIEL R. DIESKA, D.D.S., P.C. |
| Plan administrator’s address | 17726 OAK PARK AVE., TINLEY PARK, IL, 604773917 |
| Administrator’s telephone number | 7084294700 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-04 |
| Name of individual signing | DANIEL R. DIESKA, D.D.S. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2008-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 7084294700 |
| Plan sponsor’s address | 17726 OAK PARK AVE., TINLEY PARK, IL, 604773917 |
Plan administrator’s name and address
| Administrator’s EIN | 363422718 |
| Plan administrator’s name | DANIEL R. DIESKA, D.D.S., P.C. |
| Plan administrator’s address | 17726 OAK PARK AVE., TINLEY PARK, IL, 604773917 |
| Administrator’s telephone number | 7084294700 |
Signature of
| Role | Plan administrator |
| Date | 2011-12-13 |
| Name of individual signing | DANIEL R. DIESKA, D.D.S. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2008-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 7084294700 |
| Plan sponsor’s address | 17726 OAK PARK AVE., TINLEY PARK, IL, 604773917 |
Plan administrator’s name and address
| Administrator’s EIN | 363422718 |
| Plan administrator’s name | DANIEL R. DIESKA, D.D.S., P.C. |
| Plan administrator’s address | 17726 OAK PARK AVE., TINLEY PARK, IL, 604773917 |
| Administrator’s telephone number | 7084294700 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-02 |
| Name of individual signing | DANIEL R DIESKA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-02 |
| Name of individual signing | DANIEL R DIESKA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DANIEL R DIESKA, 17726A OAK PARK AVENUE, TINLEY PARK, 60477, COOK-NOT IN CITY OF CHICAGO | Agent | 1986-02-24 |
| Name and Address | Role |
|---|---|
| DANIEL R DIESKA, 17726-A OAK PARK AVE TINLEY 66477 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 100000 | No data |
Date of last update: 13 Jan 2025
