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  5. FOX RIVER PERIODONTICS, P.C.

FOX RIVER PERIODONTICS, P.C.

Company Details

Entity Name: FOX RIVER PERIODONTICS, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Jan 1994
Company Number: CORP_57624787
File Number: 57624787
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
FOX RIVER PERIODONTICS, P. C. 401(K) PROFIT SHARING PLAN 2023 363928372 2024-10-08 FOX RIVER PERIODONTICS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6302327400
Plan sponsor’s address 2075 BLACKBERRY DRIVE, GENEVA, IL, 60134
FOX RIVER PERIODONTICS, P. C. CASH BALANCE PENSION PLAN 2023 363928372 2024-10-08 FOX RIVER PERIODONTICS, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 6302327400
Plan sponsor’s address 2075 BLACKBERRY DRIVE, GENEVA, IL, 60134
FOX RIVER PERIODONTICS, P. C. 401(K) PROFIT SHARING PLAN 2022 363928372 2023-09-05 FOX RIVER PERIODONTICS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6302327400
Plan sponsor’s address 2075 BLACKBERRY DRIVE, GENEVA, IL, 60134
FOX RIVER PERIODONTICS, P. C. CASH BALANCE PENSION PLAN 2022 363928372 2023-09-25 FOX RIVER PERIODONTICS, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 6302327400
Plan sponsor’s address 2075 BLACKBERRY DRIVE, GENEVA, IL, 60134
FOX RIVER PERIODONTICS, P. C. 401(K) PROFIT SHARING PLAN 2021 363928372 2022-08-30 FOX RIVER PERIODONTICS, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6302327400
Plan sponsor’s address 2075 BLACKBERRY DRIVE, GENEVA, IL, 60134

Signature of
Role Plan administrator
Date 2022-08-30
Name of individual signing KAMBIZ NORUZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-30
Name of individual signing KAMY NORUZI
Valid signature Filed with authorized/valid electronic signature
FOX RIVER PERIODONTICS, P. C. CASH BALANCE PLAN 2021 363928372 2022-10-05 FOX RIVER PERIODONTICS, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 6302327400
Plan sponsor’s address 2075 BLACKBERRY DRIVE, GENEVA, IL, 60134

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing KAMY NORUZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-05
Name of individual signing KAMBIZ NORUZI
Valid signature Filed with authorized/valid electronic signature
FOX RIVER PERIODONTICS, P. C. 401(K) PROFIT SHARING PLAN 2020 363928372 2021-07-27 FOX RIVER PERIODONTICS, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6302327400
Plan sponsor’s address 2075 BLACKBERRY DRIVE, GENEVA, IL, 60134

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing KAMBIZ NORUZI
Valid signature Filed with authorized/valid electronic signature
FOX RIVER PERIODONTICS, P.C. CASH BALANCE PENSION PLAN 2020 363928372 2021-06-07 FOX RIVER PERIODONTICS, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 6302327400
Plan sponsor’s address 2075 BLACKBERRY DRIVE, GENEVA, IL, 60134
FOX RIVER PERIODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2019 363928372 2020-07-06 FOX RIVER PERIODONTICS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6302327400
Plan sponsor’s address 2075 BLACKBERRY DRIVE, GENEVA, IL, 60134

Signature of
Role Plan administrator
Date 2020-07-06
Name of individual signing KAMBIZ NORUZI
Valid signature Filed with authorized/valid electronic signature
FOX RIVER PERIODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2018 363928372 2019-05-28 FOX RIVER PERIODONTICS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6302327400
Plan sponsor’s address 2075 BLACKBERRY DRIVE, GENEVA, IL, 60134

Signature of
Role Plan administrator
Date 2019-05-28
Name of individual signing KAMBIZ NORUZI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KAMI NORUZI, 2075 BLACKBERRY DR, GENEVA, 60134, KANE Agent 2011-03-28

President

Name and Address Role
KAMBIZ NORUZI 2075 BLACKBERRYDRIVE GENEVA IL, 60134 President

Secretary

Name and Address Role
KAMBIZ NORUZI 2075 BLACKBERRYDRIVE GENEVA IL, 60134 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000000 1000000 1

Related by officers

No related officers

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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