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PERIODONTICS OF SOUTHERN ILLINOIS, LTD.

Company Details

Entity Name: PERIODONTICS OF SOUTHERN ILLINOIS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Jul 1986
Company Number: CORP_54300158
File Number: 54300158
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 401K PROFIT SHARING PLAN 2023 371201763 2024-10-15 PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 23
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6182337300
Plan sponsor’s address 11 PARK PLACE DR, BELLEVILLE, IL, 622693648
PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 401K PROFIT SHARING PLAN 2023 371201763 2024-10-16 PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6182337300
Plan sponsor’s address 11 PARK PLACE DR, BELLEVILLE, IL, 622693648
PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 401K PROFIT SHARING PLAN 2022 371201763 2023-10-11 PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6182337300
Plan sponsor’s address 11 PARK PLACE DR, BELLEVILLE, IL, 622693648
PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 401K PROFIT SHARING PLAN 2021 371201763 2022-10-12 PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6182337300
Plan sponsor’s address 11 PARK PLACE DR, BELLEVILLE, IL, 622693648
PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 401K PROFIT SHARING PLAN 2020 371201763 2021-07-29 PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6182337300
Plan sponsor’s address 11 PARK PLACE DR, BELLEVILLE, IL, 622693648
PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 401K PROFIT SHARING PLAN 2019 371201763 2020-10-15 PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6182337300
Plan sponsor’s address 11 PARK PLACE DR, BELLEVILLE, IL, 622693648
PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 401K PROFIT SHARING PLAN 2018 371201763 2019-10-15 PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6182337300
Plan sponsor’s address 11 PARK PLACE DR, BELLEVILLE, IL, 622693648
PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 401K PROFIT SHARING PLAN 2017 371201763 2018-08-05 PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6182337300
Plan sponsor’s address 11 PARK PLACE DR, BELLEVILLE, IL, 622693648
PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 401K PROFIT SHARING PLAN 2016 371201763 2017-10-14 PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6182337300
Plan sponsor’s address 11 PARK PLACE DR, BELLEVILLE, IL, 622693648
PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 401K PROFIT SHARING PLAN 2015 371201763 2016-10-06 PERIODONTICS OF SOUTHERN ILLINOIS, LTD. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6182337300
Plan sponsor’s address 11 PARK PLACE DR, BELLEVILLE, IL, 622693648

Agent

Name and Address Role Appointment Date
R SCOTT MOORE, 1116 FRANKLIN AVE, EDWARDSVILLE, 62025, MADISON Agent 2018-06-22

President

Name and Address Role
JOSEPH A RENNER 11 PARK PLACEPROFESSIONAL CENTRE STE A President

Secretary

Name and Address Role
JASON L STANCZYK Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060008963 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2005-06-21 2021-10-29 2025-01-01
PROF SERVICE CORP 060004457 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 1986-09-25 2021-10-29 2025-01-01
PROF SERVICE CORP 060001755 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 1977-10-31 1977-10-31 1987-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 66670 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State