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MICHAEL A. CZARKOWSKI, DDS, LTD.

Company Details

Entity Name: MICHAEL A. CZARKOWSKI, DDS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 09 Jun 1988
Company Number: CORP_55114528
File Number: 55114528
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
WINNETKA DENTAL GROUP, LTD 401(K) PLAN 2023 363591186 2024-10-03 WINNETKA DENTAL GROUP, LTD. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 8474415939
Plan sponsor’s address 715 ELM STREET, WINNETKA, IL, 60093
WINNETKA DENTAL GROUP, LTD. DEFINED BENEFIT PLAN 2022 363591186 2023-09-17 WINNETKA DENTAL GROUP, LTD. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8474415939
Plan sponsor’s address 715 ELM STREET, WINNETKA, IL, 60093

Signature of

Role Plan administrator
Date 2023-09-17
Name of individual signing MICHAEL A CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-17
Name of individual signing MICHAEL A CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
WINNETKA DENTAL GROUP, LTD. DEFINED BENEFIT PLAN 2021 363591186 2022-10-10 WINNETKA DENTAL GROUP, LTD. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8474415939
Plan sponsor’s address 715 ELM STREET, WINNETKA, IL, 60093

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing MICHAEL A CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-10
Name of individual signing MICHAEL A CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
WINNETKA DENTAL GROUP, LTD. DEFINED BENEFIT PLAN 2020 363591186 2021-08-30 WINNETKA DENTAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8474415939
Plan sponsor’s address 715 ELM STREET, WINNETKA, IL, 60093

Signature of

Role Plan administrator
Date 2021-08-30
Name of individual signing MICHAEL A CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-30
Name of individual signing MICHAEL A CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
WINNETKA DENTAL GROUP, LTD. DEFINED BENEFIT PLAN 2019 363591186 2020-10-14 WINNETKA DENTAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8474415939
Plan sponsor’s address 716 ELM STREET, WINNETKA, IL, 60022

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing MICHAEL A CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing MICHAEL A CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
WINNETKA DENTAL GROUP, LTD. DEFINED BENEFIT PLAN 2018 363591186 2019-09-29 WINNETKA DENTAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8474415939
Plan sponsor’s address 716 ELM STREET, WINNETKA, IL, 60022

Signature of

Role Plan administrator
Date 2019-09-29
Name of individual signing MICHAEL CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-29
Name of individual signing MICHAEL CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
WINNETKA DENTAL GROUP, LTD. DEFINED BENEFIT PLAN 2017 363591186 2018-10-11 WINNETKA DENTAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8474415939
Plan sponsor’s address 716 ELM STREET, WINNETKA, IL, 60022

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing MICHAEL CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing MICHAEL CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
WINNETKA DENTAL GROUP, LTD. DEFINED BENEFIT PLAN 2016 363591186 2017-10-14 WINNETKA DENTAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8474415939
Plan sponsor’s address 716 ELM STREET, WINNETKA, IL, 60022

Signature of

Role Plan administrator
Date 2017-10-14
Name of individual signing MICHAEL CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-14
Name of individual signing MICHAEL CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
WINNETKA DENTAL GROUP, LTD. DEFINED BENEFIT PLAN 2015 363591186 2016-10-03 WINNETKA DENTAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8474415939
Plan sponsor’s address 716 ELM STREET, WINNETKA, IL, 60022

Signature of

Role Plan administrator
Date 2016-10-03
Name of individual signing MICHAEL CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-03
Name of individual signing MICHAEL CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
WINNETKA DENTAL GROUP, LTD. DEFINED BENEFIT PLAN 2014 363591186 2015-10-09 WINNETKA DENTAL GROUP, LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8474415939
Plan sponsor’s address 716 ELM STREET, WINNETKA, IL, 60022

Signature of

Role Plan administrator
Date 2015-10-08
Name of individual signing MICHAEL CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing MICHAEL CZARKOWSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS P. CONLEY, 161 N CLARK ST STE 4200, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2023-06-07

President

Name and Address Role
MICHAEL CZARKOWSKI 715 ELM STWINNETKA IL 60093 President

Secretary

Name and Address Role
MICHAEL CZARKOWSKI, 715 ELM STWINNETKA IL 60093 Secretary

Historical Names

Name Change Date
WINNETKA DENTAL GROUP, LTD. 2024-02-26
WINNETKA DENTAL ASSOCIATES, LTD. 1988-07-22

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5 1000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State