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ROCKFORD DENTAL CARE, P.C.

Company Details

Entity Name: ROCKFORD DENTAL CARE, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 24 Mar 1988
Date of Dissolution: 14 Feb 2023
Company Number: CORP_55017875
File Number: 55017875
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 14 Feb 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN 2017 363577795 2018-04-10 ROCKFORD DENTAL CARE, P.C. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 8153974280
Plan sponsor’s address 1301 NORTH ALPINE ROAD, ROCKFORD, IL, 61107
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN 2017 363577795 2018-10-25 ROCKFORD DENTAL CARE, P.C. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 8153974280
Plan sponsor’s address 1301 NORTH ALPINE ROAD, ROCKFORD, IL, 61107
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN 2016 363577795 2017-04-26 ROCKFORD DENTAL CARE, P.C. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 8153974280
Plan sponsor’s address 1301 NORTH ALPINE ROAD, ROCKFORD, IL, 61107
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN 2015 363577795 2016-08-18 ROCKFORD DENTAL CARE, P.C. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 8153974280
Plan sponsor’s address 1301 N. ALPINE ROAD, ROCKFORD, IL, 61107
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN 2014 363577795 2015-04-21 ROCKFORD DENTAL CARE, P.C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 8153974280
Plan sponsor’s address 1301 N. ALPINE ROAD, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2015-04-21
Name of individual signing HIPOLITO LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-21
Name of individual signing HIPOLITO LOPEZ
Valid signature Filed with authorized/valid electronic signature
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN 2013 363577795 2014-04-29 ROCKFORD DENTAL CARE, P.C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 8153974280
Plan sponsor’s address 1301 N. ALPINE ROAD, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2014-04-29
Name of individual signing HIPOLITO LOPEZ
Valid signature Filed with authorized/valid electronic signature
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN 2012 363577795 2013-05-24 ROCKFORD DENTAL CARE, P.C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 8153974280
Plan sponsor’s address 1301 N. ALPINE ROAD, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2013-05-24
Name of individual signing HIPOLITO LOPEZ
Valid signature Filed with authorized/valid electronic signature
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN 2011 363577795 2012-08-27 ROCKFORD DENTAL CARE, P.C. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 8153974280
Plan sponsor’s address 1301 N. ALPINE ROAD, ROCKFORD, IL, 61107

Plan administrator’s name and address

Administrator’s EIN 363577795
Plan administrator’s name ROCKFORD DENTAL CARE, P.C.
Plan administrator’s address 1301 N. ALPINE ROAD, ROCKFORD, IL, 61107
Administrator’s telephone number 8153974280

Signature of

Role Plan administrator
Date 2012-08-27
Name of individual signing ALEX RAKOS
Valid signature Filed with authorized/valid electronic signature
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN 2010 363577795 2011-03-22 ROCKFORD DENTAL CARE, P.C. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 8153974280
Plan sponsor’s address 1301 N. ALPINE ROAD, ROCKFORD, IL, 61107

Plan administrator’s name and address

Administrator’s EIN 363577795
Plan administrator’s name ROCKFORD DENTAL CARE, P.C.
Plan administrator’s address 1301 N. ALPINE ROAD, ROCKFORD, IL, 61107
Administrator’s telephone number 8153974280

Signature of

Role Plan administrator
Date 2011-03-22
Name of individual signing ALEX RAKOS
Valid signature Filed with authorized/valid electronic signature
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN 2010 363577795 2011-03-22 ROCKFORD DENTAL CARE, P.C. 67
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 8153974280
Plan sponsor’s address 1301 N. ALPINE ROAD, ROCKFORD, IL, 61107

Plan administrator’s name and address

Administrator’s EIN 363577795
Plan administrator’s name ROCKFORD DENTAL CARE, P.C.
Plan administrator’s address 1301 N. ALPINE ROAD, ROCKFORD, IL, 61107
Administrator’s telephone number 8153974280

Signature of

Role Employer/plan sponsor
Date 2011-03-21
Name of individual signing ALEX RAKOS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CRAIG P THOMAS, 2902 MCFARLAND RD #400, ROCKFORD, 61107, WINNEBAGO Agent 2017-05-26

President

Name and Address Role
MATT MLSNA 1259 KRUPKE RD CALEDONIA IL 61011 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 5000 600000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State