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  5. GLEN ELLYN PEDIATRIC DENTISTRY, P.C.

GLEN ELLYN PEDIATRIC DENTISTRY, P.C.

Company Details

Entity Name: GLEN ELLYN PEDIATRIC DENTISTRY, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 15 Jun 1993
Date of Dissolution: 31 May 2022
Company Number: CORP_57352892
File Number: 57352892
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 31 May 2022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GLEN ELLYN PEDIATRIC DENTISTRY, P.C. PROFIT SHARING 401(K) PLAN 2020 363907360 2021-10-06 GLEN ELLYN PEDIATRIC DENTISTRY, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6308588755
Plan sponsor’s address 45 S. PARK BLVD., SUITE 105, GLEN ELLYN, IL, 60137

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing MARTHA LAMBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-06
Name of individual signing MARTHA LAMBERT
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN PEDIATRIC DENTISTRY, P.C. PROFIT SHARING 401(K) PLAN 2020 363907360 2021-04-08 GLEN ELLYN PEDIATRIC DENTISTRY, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6308588755
Plan sponsor’s address 45 S. PARK BLVD., SUITE 105, GLEN ELLYN, IL, 60137

Signature of
Role Plan administrator
Date 2021-04-08
Name of individual signing MARTHA LAMBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-08
Name of individual signing MARTHA LAMBERT
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN PEDIATRIC DENTISTRY, P.C. PROFIT SHARING 401(K) PLAN 2019 363907360 2020-03-16 GLEN ELLYN PEDIATRIC DENTISTRY, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6308588755
Plan sponsor’s address 45 S. PARK BLVD., SUITE 105, GLEN ELLYN, IL, 60137

Signature of
Role Plan administrator
Date 2020-03-16
Name of individual signing MARTHA LAMBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-16
Name of individual signing MARTHA LAMBERT
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN PEDIATRIC DENTISTRY, P.C. PROFIT SHARING 401(K) PLAN 2018 363907360 2019-02-20 GLEN ELLYN PEDIATRIC DENTISTRY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6308588755
Plan sponsor’s address 45 S. PARK BLVD., SUITE 105, GLEN ELLYN, IL, 60137

Signature of
Role Plan administrator
Date 2019-02-20
Name of individual signing MARTHA LAMBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-20
Name of individual signing MARTHA LAMBERT
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN PEDIATRIC DENTISTRY, P.C. PROFIT SHARING 401(K) PLAN 2017 363907360 2018-10-01 GLEN ELLYN PEDIATRIC DENTISTRY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6308588755
Plan sponsor’s address 45 S. PARK BLVD., SUITE 105, GLEN ELLYN, IL, 60137

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing MARTHA LAMBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-01
Name of individual signing MARTHA LAMBERT
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN PEDIATRIC DENTISTRY, P.C. PROFIT SHARING 401(K) PLAN 2016 363907360 2017-10-12 GLEN ELLYN PEDIATRIC DENTISTRY, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6308588755
Plan sponsor’s address 45 S. PARK BLVD., SUITE 105, GLEN ELLYN, IL, 60137

Agent

Name and Address Role Appointment Date
MARTHA ANNE LAMBERT, 864 BEMIS ROAD, GLEN ELLYN, 60137, DU PAGE Agent 2017-06-13

President

Name and Address Role
LANCE LAMBERT, 864 BEMIS RD, GLEN ELLYN, IL, 60137 President

Historical Names

Name Change Date
LANCE LAMBERT, D.D.S., P.C. 2006-08-07

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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