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BRIAN W. DOSSETT, M.D., LTD.

Company Details

Entity Name: BRIAN W. DOSSETT, M.D., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 09 May 1990
Company Number: CORP_55955565
File Number: 55955565
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
BRIAN W. DOSSETT, M.D., LTD. PROFIT SHARING PLAN 2023 371264470 2024-09-20 BRIAN W. DOSSETT, M.D., LTD. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 6182832894
Plan sponsor’s address 1029 NORTH EIGHTH ST, VANDALIA, IL, 62471

Signature of

Role Plan administrator
Date 2024-09-20
Name of individual signing BRIAN W. DOSSETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-20
Name of individual signing BRIAN W. DOSSETT
Valid signature Filed with authorized/valid electronic signature
BRIAN W. DOSSETT M.D., LTD. CASH BALANCE PENSION PLAN 2023 371264470 2024-07-25 BRIAN W. DOSSETT, M.D., LTD. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6182832894
Plan sponsor’s address 1029 NORTH EIGHTH ST, VANDALIA, IL, 62471
BRIAN W. DOSSETT, M.D., LTD. PROFIT SHARING PLAN 2022 371264470 2023-06-30 BRIAN W. DOSSETT, M.D., LTD. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 6182832894
Plan sponsor’s address 1029 NORTH EIGHTH ST, VANDALIA, IL, 62471

Signature of

Role Plan administrator
Date 2023-06-30
Name of individual signing BRIAN W. DOSSETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-30
Name of individual signing BRIAN W. DOSSETT
Valid signature Filed with authorized/valid electronic signature
BRIAN W. DOSSETT M.D., LTD. CASH BALANCE PENSION PLAN 2022 371264470 2023-09-26 BRIAN W. DOSSETT, M.D., LTD. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6182832894
Plan sponsor’s address 1029 NORTH EIGHTH ST, VANDALIA, IL, 62471
BRIAN W. DOSSETT M.D., LTD. CASH BALANCE PENSION PLAN 2021 371264470 2022-09-29 BRIAN W. DOSSETT, M.D., LTD. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6182832894
Plan sponsor’s address 1029 NORTH EIGHTH ST, VANDALIA, IL, 62471
BRIAN W. DOSSETT, M.D., LTD. PROFIT SHARING PLAN 2021 371264470 2022-06-30 BRIAN W. DOSSETT, M.D., LTD. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 6182832894
Plan sponsor’s address 1029 NORTH EIGHTH ST, VANDALIA, IL, 62471

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing BRIAN W. DOSSETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-30
Name of individual signing BRIAN W. DOSSETT
Valid signature Filed with authorized/valid electronic signature
BRIAN W. DOSSETT, M.D., LTD. PROFIT SHARING PLAN 2020 371264470 2021-06-01 BRIAN W. DOSSETT, M.D., LTD. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 6182832894
Plan sponsor’s address 1029 NORTH EIGHTH ST, VANDALIA, IL, 62471

Signature of

Role Plan administrator
Date 2021-05-19
Name of individual signing BRIAN DOSSETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-19
Name of individual signing BRIAN DOSSETT
Valid signature Filed with authorized/valid electronic signature
BRIAN W. DOSSETT M.D., LTD. CASH BALANCE PENSION PLAN 2020 371264470 2021-08-09 BRIAN W. DOSSETT, M.D., LTD. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6182832894
Plan sponsor’s address 1029 NORTH EIGHTH ST, VANDALIA, IL, 62471
BRIAN W. DOSSETT M.D., LTD. CASH BALANCE PENSION PLAN 2019 371264470 2021-06-24 BRIAN W. DOSSETT, M.D., LTD. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6182832894
Plan sponsor’s address 1029 NORTH EIGHTH ST, VANDALIA, IL, 62471
BRIAN W. DOSSETT, M.D., LTD. PROFIT SHARING PLAN 2019 371264470 2020-05-26 BRIAN W. DOSSETT, M.D., LTD. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 6182832894
Plan sponsor’s address 1029 NORTH EIGHTH ST, VANDALIA, IL, 62471

Signature of

Role Plan administrator
Date 2020-05-26
Name of individual signing BRIAN DOSSETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-26
Name of individual signing BRIAN DOSSETT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LAW GROUP REGISTERED AGENTS LLC, 2202 W RANDOLPH ST, VANDALIA, 62471, FAYETTE Agent 2024-04-18

President

Name and Address Role
BRIAN W DOSSETT, 1029 N 8TH STVANDALIA 62471 President

Secretary

Name and Address Role
LAURA DOSSETT 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: 13 Jan 2025

Sources: Illinois Office of the Secretary of State