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  5. SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD.

SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD.

Company Details

Entity Name: SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Apr 1990
Company Number: CORP_55910774
File Number: 55910774
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
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2022 371262887 2023-06-27 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address
Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2022 371262887 2023-12-28 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address
Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of
Role Plan administrator
Date 2023-12-28
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2021 371262887 2022-06-08 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address
Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of
Role Plan administrator
Date 2022-06-08
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2020 371262887 2021-07-01 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address
Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of
Role Plan administrator
Date 2021-07-01
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2019 371262887 2020-06-23 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address
Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2018 371262887 2019-07-10 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address
Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2017 371262887 2018-07-20 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address
Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2016 371262887 2017-06-30 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address
Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of
Role Plan administrator
Date 2017-06-30
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2015 371262887 2016-05-10 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address
Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of
Role Plan administrator
Date 2016-05-10
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2014 371262887 2015-05-15 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address
Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of
Role Plan administrator
Date 2015-05-15
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MATHIS, MARIFIAN & RICHTER, LT, 23 PUBLIC SQ STE 300, BELLEVILLE, 62220, ST. CLAIR Agent 2021-08-16

President

Name and Address Role
MICHAEL R HESTERBERG, 155 CARONDOLET PLZ #706 ST LOUIS MO President

Secretary

Name and Address Role
AS ABOVE Secretary

Historical Names

Name Change Date
MICHAEL R. HESTERBERG, D.M.D., LTD. 2001-04-26

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 25000 1833330 No data

Related by officers

AS ABOVE

IDEAL HEATING COMPANY LEADER DEPARTMENT STORE, THE SUPERVALU INC. KPC INC. ALTORFER INDUSTRIES, INC. HOLLOWAY INVESTMENT CO. TRANSCO INC. KEN NELSON AUTO PLAZA, INC. ALPS WIRE ROPE CORPORATION REVERE MILLS INTERNATIONAL GROUP, INC.

MATHIS, MARIFIAN & RICHTER, LT, 23 PUBLIC SQ STE 300, BELLEVILLE, 62220, ST. CLAIR

NATION-WIDE GLOVE CO., INC. SKYPARK AIRPORT PARKING, LLC MIMOSA PROPERTIES, LLC LINDERS LIMITED, LLC JAMCO L.L.C. NEUWIRTH PROPERTIES, LLC BEL-CLAIR ELECTRIC, INC. DON ANDERSON CO. JACK'S PREMIUM CAR WASH AND QUICK LUBE, LLC C. V. KASIAR, LTD.

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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