| Entity Name: | PIP FIDDLER'S GREEN, INCORPORATED |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 30 Apr 1993 |
| Date of Dissolution: | 09 Sep 2016 |
| Company Number: | CORP_57297425 |
| File Number: | 57297425 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 09 Sep 2016 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COSMEDENT, INC. EMPLOYEES' PROFIT SHARING PLAN & TRUST | 2011 | 363669023 | 2013-03-20 | COSMEDENT, INC. | 23 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 363669023 |
| Plan administrator’s name | COSMEDENT, INC. |
| Plan administrator’s address | 401 N. MICHIGAN AVENUE, SUITE 2500, CHICAGO, IL, 606114243 |
| Administrator’s telephone number | 3126449586 |
Signature of
| Role | Plan administrator |
| Date | 2013-03-20 |
| Name of individual signing | MICHAEL O'MALLEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1995-09-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 3126449586 |
| Plan sponsor’s address | 401 N. MICHIGAN AVENUE, SUITE 2500, CHICAGO, IL, 606114243 |
Plan administrator’s name and address
| Administrator’s EIN | 363669023 |
| Plan administrator’s name | COSMEDENT, INC. |
| Plan administrator’s address | 401 N. MICHIGAN AVENUE, SUITE 2500, CHICAGO, IL, 606114243 |
| Administrator’s telephone number | 3126449586 |
Signature of
| Role | Plan administrator |
| Date | 2011-11-15 |
| Name of individual signing | MICHAEL O'MALLEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1995-09-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 3126449586 |
| Plan sponsor’s address | 401 N. MICHIGAN AVENUE, SUITE 2500, CHICAGO, IL, 606114243 |
Plan administrator’s name and address
| Administrator’s EIN | 363669023 |
| Plan administrator’s name | COSMEDENT, INC. |
| Plan administrator’s address | 401 N. MICHIGAN AVENUE, SUITE 2500, CHICAGO, IL, 606114243 |
| Administrator’s telephone number | 3126449586 |
Signature of
| Role | Plan administrator |
| Date | 2011-03-28 |
| Name of individual signing | MICHAEL O'MALLEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JERRY LEE PIPPINS, 307 BOYTON ST, MARION, 62959, WILLIAMSON | Agent | 2012-09-28 |
| Name and Address | Role |
|---|---|
| JERRY L PIPPINS 902 HILLCREST DR MARION IL 62959 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 200 | 100000 | No data |
Date of last update: 20 Jan 2025
