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JAMES KENT GUEBERT, D.D.S., P.C.

Company Details

Entity Name: JAMES KENT GUEBERT, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 06 Apr 1987
Date of Dissolution: 15 Dec 2020
Company Number: CORP_54616627
File Number: 54616627
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 15 Dec 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMES KENT GUEBERT, D.D.S., P.C. 401(K) PROFIT SHARING PLAN 2014 363504200 2015-04-13 JAMES KENT GUEBERT, D.D.S., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8159392520
Plan sponsor’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324

Plan administrator’s name and address

Administrator’s EIN 363504200
Plan administrator’s name JAMES KENT GUEBERT, D.D.S., P.C.
Plan administrator’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324
Administrator’s telephone number 8159392520

Signature of

Role Plan administrator
Date 2015-04-13
Name of individual signing JAMES KENT GUEBERT
Valid signature Filed with authorized/valid electronic signature
JAMES KENT GUEBERT, D.D.S., P.C. 401(K) PROFIT SHARING PLAN 2013 363504200 2014-03-21 JAMES KENT GUEBERT, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8159392520
Plan sponsor’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324

Plan administrator’s name and address

Administrator’s EIN 363504200
Plan administrator’s name JAMES KENT GUEBERT, D.D.S., P.C.
Plan administrator’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324
Administrator’s telephone number 8159392520

Signature of

Role Plan administrator
Date 2014-03-21
Name of individual signing JAMES KENT GUEBERT
Valid signature Filed with authorized/valid electronic signature
JAMES KENT GUEBERT, D.D.S., P.C. 401(K) PROFIT SHARING PLAN 2012 363504200 2013-04-12 JAMES KENT GUEBERT, D.D.S., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8159392520
Plan sponsor’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324

Plan administrator’s name and address

Administrator’s EIN 363504200
Plan administrator’s name JAMES KENT GUEBERT, D.D.S., P.C.
Plan administrator’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324
Administrator’s telephone number 8159392520

Signature of

Role Plan administrator
Date 2013-04-12
Name of individual signing JAMES KENT GUEBERT
Valid signature Filed with authorized/valid electronic signature
JAMES KENT GUEBERT, D.D.S., P.C. 401(K) PROFIT SHARING PLAN 2011 363504200 2012-07-04 JAMES KENT GUEBERT, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8159392520
Plan sponsor’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324

Plan administrator’s name and address

Administrator’s EIN 363504200
Plan administrator’s name JAMES KENT GUEBERT, D.D.S., P.C.
Plan administrator’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324
Administrator’s telephone number 8159392520

Signature of

Role Plan administrator
Date 2012-07-04
Name of individual signing JAMES KENT GUEBERT
Valid signature Filed with authorized/valid electronic signature
JAMES KENT GUEBERT, D.D.S., P.C. 401(K) PROFIT SHARING PLAN 2010 363504200 2011-05-02 JAMES KENT GUEBERT, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8159392520
Plan sponsor’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324

Plan administrator’s name and address

Administrator’s EIN 363504200
Plan administrator’s name JAMES KENT GUEBERT, D.D.S., P.C.
Plan administrator’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324
Administrator’s telephone number 8159392520

Signature of

Role Plan administrator
Date 2011-05-02
Name of individual signing JAMES KENT GUEBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-02
Name of individual signing JAMES KENT GUEBERT DDS PC
Valid signature Filed with authorized/valid electronic signature
JAMES KENT GUEBERT, D.D.S., P.C. 401(K) PROFIT SHARING PLAN 2009 363504200 2010-06-15 JAMES KENT GUEBERT, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8159392520
Plan sponsor’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324

Plan administrator’s name and address

Administrator’s EIN 363504200
Plan administrator’s name JAMES KENT GUEBERT, D.D.S., P.C.
Plan administrator’s address 498 BROWN BLVD, BOURBONNAIS, IL, 609142324
Administrator’s telephone number 8159392520

Signature of

Role Plan administrator
Date 2010-06-15
Name of individual signing JAMES KENT GUEBERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES F DUNNEBACK, 14475 JOHN HUMPHREY DR STE 200, ORLAND PARK, 60462, COOK-NOT IN CITY OF CHICAGO Agent 2011-03-15

President

Name and Address Role
JAMES KENT GUEBERT, 1459 MIDDLEBURY CT BOURBONNAIS 60914 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State