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KEVEN P. ARNOLD D.D.S., P.C.

Company Details

Entity Name: KEVEN P. ARNOLD D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 20 Mar 1990
Company Number: CORP_55887063
File Number: 55887063
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
KEVEN P. ARNOLD, D.D.S., P.C. 401(K) PLAN 2015 363701631 2016-11-30 KEVEN P. ARNOLD, D.D.S., P.C 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6302512245
Plan sponsor’s address 3202 GREENWOOD LN, ST CHARLES, IL, 60175

Signature of

Role Plan administrator
Date 2016-11-30
Name of individual signing KEVEN ARNOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-11-30
Name of individual signing KEVEN ARNOLD
Valid signature Filed with authorized/valid electronic signature
KEVEN P. ARNOLD, D.D.S., P.C. 401(K) PLAN 2015 363701631 2016-06-21 KEVEN P. ARNOLD, D.D.S., P.C 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6302512245
Plan sponsor’s address 3202 GREENWOOD LN, ST CHARLES, IL, 60175

Signature of

Role Plan administrator
Date 2016-06-21
Name of individual signing KEVEN ARNOLD
Valid signature Filed with authorized/valid electronic signature
KEVEN P. ARNOLD, D.D.S., P.C. 401(K) PLAN 2014 363701631 2015-09-30 KEVEN P. ARNOLD, D.D.S., P.C 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6302512245
Plan sponsor’s address 3202 GREENWOOD LN, ST CHARLES, IL, 60175

Signature of

Role Plan administrator
Date 2015-09-30
Name of individual signing KEVEN ARNOLD
Valid signature Filed with authorized/valid electronic signature
KEVEN P. ARNOLD, D.D.S., P.C. 401(K) PLAN 2013 363701631 2015-10-08 KEVEN P. ARNOLD, D.D.S., P.C 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6302512245
Plan sponsor’s address 3202 GREENWOOD LN, ST CHARLES, IL, 60175

Signature of

Role Plan administrator
Date 2015-10-08
Name of individual signing KEVEN ARNOLD
Valid signature Filed with authorized/valid electronic signature
KEVEN P. ARNOLD, D.D.S., P.C. 401(K) PLAN 2012 363701631 2013-07-25 KEVEN P. ARNOLD, D.D.S., P.C 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6302512245
Plan sponsor’s address 3202 GREENWOOD LN, ST CHARLES, IL, 60175

Signature of

Role Plan administrator
Date 2013-07-25
Name of individual signing KEVEN ARNOLD
Valid signature Filed with authorized/valid electronic signature
KEVEN P. ARNOLD, D.D.S. P.C. 401(K) PLAN 2011 363701631 2012-09-27 KEVEN P. ARNOLD, D.D.S. P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6304434545
Plan sponsor’s address 2020 DEAN ST., SUITE C, ST. CHARLES, IL, 60174

Plan administrator’s name and address

Administrator’s EIN 363701631
Plan administrator’s name KEVEN P. ARNOLD, D.D.S. P.C.
Plan administrator’s address 2020 DEAN ST., SUITE C, ST. CHARLES, IL, 60174
Administrator’s telephone number 6304434545

Signature of

Role Plan administrator
Date 2012-09-27
Name of individual signing KEVEN P ARNOLD DDS PC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-27
Name of individual signing KEVEN P ARNOLD DDS PC
Valid signature Filed with authorized/valid electronic signature
KEVEN P. ARNOLD, D.D.S. P.C. 401(K) PLAN 2010 363701631 2011-09-07 KEVEN P. ARNOLD, D.D.S. P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6304434545
Plan sponsor’s address 2020 DEAN ST., SUITE C, ST. CHARLES, IL, 60174

Plan administrator’s name and address

Administrator’s EIN 363701631
Plan administrator’s name KEVEN P. ARNOLD, D.D.S. P.C.
Plan administrator’s address 2020 DEAN ST., SUITE C, ST. CHARLES, IL, 60174
Administrator’s telephone number 6304434545

Signature of

Role Plan administrator
Date 2011-09-07
Name of individual signing KEVEN ARNOLD DDS
Valid signature Filed with authorized/valid electronic signature
KEVEN P. ARNOLD, D.D.S. P.C. 401(K) PLAN 2009 363701631 2010-10-04 KEVEN P. ARNOLD, D.D.S. P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6304434545
Plan sponsor’s address 2020 DEAN ST., SUITE C, ST. CHARLES, IL, 60174

Plan administrator’s name and address

Administrator’s EIN 363701631
Plan administrator’s name KEVEN P. ARNOLD, D.D.S. P.C.
Plan administrator’s address 2020 DEAN ST., SUITE C, ST. CHARLES, IL, 60174
Administrator’s telephone number 6304434545

Signature of

Role Plan administrator
Date 2010-10-04
Name of individual signing KEVEN ARNOLD DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS F. FEZZEY, 4N645 SCHOOL ROAD, SAINT CHARLES, 60175, KANE Agent 2022-01-20

President

Name and Address Role
KEVEN P ARNOLD, 2020 DEAN ST STE #C, ST CHARLES 60174 President

Secretary

Name and Address Role
KEVEN P ARNOLD, 2020 DEAN ST STE #C, ST CHARLES 60174 Secretary

Shares

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

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State