| Entity Name: | PERSONALIZED HEALTH ARTS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 14 Nov 1988 |
| Date of Dissolution: | 01 Apr 1995 |
| Company Number: | CORP_55290628 |
| File Number: | 55290628 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 01 Apr 1995 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OZMENT SIGNATURE RETIREE HEALTH BENEFIT TRUST | 2012 | 271106281 | 2013-07-15 | E. MICHAEL OZMENT DDS, LLC | 1 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-07-15 |
| Name of individual signing | NICOLE FALCO WATSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 511 |
| Effective date of plan | 2010-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2173597072 |
| Plan sponsor’s address | 801 HELLEL BLVD, CHAMPAIGN, IL, 61820 |
Plan administrator’s name and address
| Administrator’s EIN | 271106281 |
| Plan administrator’s name | E. MICHAEL OZMENT DDS, LLC |
| Plan administrator’s address | 801 HELLEL BLVD, CHAMPAIGN, IL, 61820 |
| Administrator’s telephone number | 2173597072 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-05 |
| Name of individual signing | PAUL DOUCETTE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 511 |
| Effective date of plan | 2010-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2173597072 |
| Plan sponsor’s address | 801 HELLEL BLVD., CHAMPAIGN, IL, 61820 |
Plan administrator’s name and address
| Administrator’s EIN | 271106281 |
| Plan administrator’s name | E. MICHAEL OZMENT DDS, LLC |
| Plan administrator’s address | 801 HELLEL BLVD., CHAMPAIGN, IL, 61820 |
| Administrator’s telephone number | 2173597072 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-01 |
| Name of individual signing | PAUL DOUCETTE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CYNTHIA S SPAKE, 1317 STATE ST, QUINCY, 62301, ADAMS | Agent | 1988-11-14 |
| Name and Address | Role |
|---|---|
| CURTIS W. SPAKE, 13544 AVISTA DR, TAMPA FL 33624 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| 1 | No data | Voting Rights | 10000 | 50000 | No data |
Date of last update: 27 Jan 2025
