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  5. KEVIN K. SCHULTZ, D.D.S., P.C.

KEVIN K. SCHULTZ, D.D.S., P.C.

Company Details

Entity Name: KEVIN K. SCHULTZ, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 07 Oct 1993
Date of Dissolution: 10 Mar 2023
Company Number: CORP_57505427
File Number: 57505427
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 10 Mar 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KEVIN K. SCHULTZ, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2021 371316500 2022-06-22 KEVIN K. SCHULTZ, D.D.S., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3096631721
Plan sponsor’s address 8973 TAM-O-SHANTER DRIVE, BLOOMINGTON, IL, 61705

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing KEVIN K. SCHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing KEVIN K. SCHULTZ
Valid signature Filed with authorized/valid electronic signature
KEVIN K. SCHULTZ, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2020 371316500 2021-06-10 KEVIN K. SCHULTZ, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3096631721
Plan sponsor’s address 10 HEARTLAND DRIVE, SUITE C, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-10
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
KEVIN K. SCHULTZ, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2019 371316500 2020-05-08 KEVIN K. SCHULTZ, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3096631721
Plan sponsor’s address 10 HEARTLAND DRIVE, SUITE C, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-08
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
KEVIN K. SCHULTZ, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2018 371316500 2019-06-05 KEVIN K. SCHULTZ, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3096631721
Plan sponsor’s address 10 HEARTLAND DRIVE, SUITE C, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-05
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
KEVIN K. SCHULTZ, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2017 371316500 2018-05-31 KEVIN K. SCHULTZ, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3096631721
Plan sponsor’s address 10 HEARTLAND DRIVE, SUITE C, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
KEVIN K. SCHULTZ, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2016 371316500 2017-05-23 KEVIN K. SCHULTZ, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3096631721
Plan sponsor’s address 10 HEARTLAND DRIVE, SUITE C, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2017-05-23
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-23
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
KEVIN K. SCHULTZ, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2015 371316500 2016-05-24 KEVIN K. SCHULTZ, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3096631721
Plan sponsor’s address 10 HEARTLAND DRIVE, SUITE C, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2016-05-24
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-24
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
KEVIN K. SCHULTZ, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2014 371316500 2015-06-02 KEVIN K. SCHULTZ, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3096631721
Plan sponsor’s address 10 HEARTLAND DRIVE, SUITE C, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2015-06-02
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-02
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
KEVIN K. SCHULTZ, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2013 371316500 2014-05-27 KEVIN K. SCHULTZ, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3096631721
Plan sponsor’s address 10 HEARTLAND DRIVE, SUITE C, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-27
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
KEVIN K. SCHULTZ, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2012 371316500 2013-05-29 KEVIN K. SCHULTZ, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3096631721
Plan sponsor’s address 10 HEARTLAND DRIVE, SUITE C, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2013-05-29
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-29
Name of individual signing KEVIN SCHULTZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KEVIN KELSO SCHULTZ, 10 HEARTLAND DR STE C, BLOOMINGTON, 61704, MC LEAN Agent 2003-09-02

President

Name and Address Role
KEVIN K SCHULTZ, 8973 TAM-O-SHANTER DR BLOOMINGTON 61704 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 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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