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ALBERTSON'S AUTOBODY, INC.

Company Details

Entity Name: ALBERTSON'S AUTOBODY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 04 Feb 1987
Date of Dissolution: 12 Jul 2024
Company Number: CORP_54541112
File Number: 54541112
Type of Business: Automobile and other repair shops
Date Status Change: 12 Jul 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC DENTAL ASSOCIATES, P.C., 401(K) PLAN 2012 363336666 2013-07-09 PEDIATRIC DENTAL ASSOCIATES, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8475377695
Plan sponsor’s address 195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089

Plan administrator’s name and address

Administrator’s EIN 363336666
Plan administrator’s name PEDIATRIC DENTAL ASSOCIATES, P.C.
Plan administrator’s address 195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089
Administrator’s telephone number 8475377695

Signature of

Role Plan administrator
Date 2013-07-09
Name of individual signing GEORGE LIN, D.D.S.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P.C., 401(K) PLAN 2011 363336666 2012-07-23 PEDIATRIC DENTAL ASSOCIATES, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8475377695
Plan sponsor’s address 195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089

Plan administrator’s name and address

Administrator’s EIN 363336666
Plan administrator’s name PEDIATRIC DENTAL ASSOCIATES, P.C.
Plan administrator’s address 195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089
Administrator’s telephone number 8475377695

Signature of

Role Plan administrator
Date 2012-07-23
Name of individual signing GEORGE LIN, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-29
Name of individual signing ANJALI TALATI, D.M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P.C., 401(K) PLAN 2010 363336666 2011-04-22 PEDIATRIC DENTAL ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8475377695
Plan sponsor’s address 195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089

Plan administrator’s name and address

Administrator’s EIN 363336666
Plan administrator’s name PEDIATRIC DENTAL ASSOCIATES, P.C.
Plan administrator’s address 195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089
Administrator’s telephone number 8475377695

Signature of

Role Plan administrator
Date 2011-04-22
Name of individual signing FRED MARGOLIS
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P.C., 401(K) PLAN 2010 363336666 2011-04-22 PEDIATRIC DENTAL ASSOCIATES, P.C. 19
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8475377695
Plan sponsor’s address 195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089

Plan administrator’s name and address

Administrator’s EIN 363336666
Plan administrator’s name PEDIATRIC DENTAL ASSOCIATES, P.C.
Plan administrator’s address 195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089
Administrator’s telephone number 8475377695

Signature of

Role Plan administrator
Date 2011-04-22
Name of individual signing FRED MARGOLIS
Valid signature Filed with incorrect/unrecognized electronic signature
PEDIATRIC DENTAL ASSOCIATES, P.C., 401(K) PLAN 2009 363336666 2010-07-27 PEDIATRIC DENTAL ASSOCIATES, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8475377695
Plan sponsor’s address 195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089

Plan administrator’s name and address

Administrator’s EIN 363336666
Plan administrator’s name PEDIATRIC DENTAL ASSOCIATES, P.C.
Plan administrator’s address 195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089
Administrator’s telephone number 8475377695

Signature of

Role Plan administrator
Date 2010-07-27
Name of individual signing FRED MARGOLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-27
Name of individual signing FRED MARGOLIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEVEN ALBERTSON, 115 S 9TH, QUINCY, 62301, ADAMS Agent 1987-02-04

President

Name and Address Role
STEVE ALBERTSON, 1017 S 17TH QUINCY 62301 President

Historical Names

Name Change Date
ALBERTSON & CHILDS, INC. 1989-11-30

Shares

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

Sources: Illinois Office of the Secretary of State