Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Kane
    4. ›
  4. 60134
    5. ›
  5. SANDPIPER DENTAL, P.C.

SANDPIPER DENTAL, P.C.

Company Details

Entity Name: SANDPIPER DENTAL, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 20 Jan 1994
Date of Dissolution: 10 Jun 2016
Company Number: CORP_57647191
File Number: 57647191
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 10 Jun 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SANDPIPER DENTAL PROFIT SHARING PLAN 2014 363933301 2015-05-26 SANDPIPER DENTAL, P.C. 2
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305881700
Plan sponsor’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2015-05-26
Name of individual signing ELLEN CHAMPION
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-26
Name of individual signing ELLEN CHAMPION
Valid signature Filed with authorized/valid electronic signature
SANDPIPER DENTAL PROFIT SHARING PLAN 2014 363933301 2015-07-15 SANDPIPER DENTAL, P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305881700
Plan sponsor’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190
SANDPIPER DENTAL PROFIT SHARING PLAN 2014 363933301 2015-07-15 SANDPIPER DENTAL, P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305881700
Plan sponsor’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190
SANDPIPER DENTAL PROFIT SHARING PLAN 2014 363933301 2015-05-26 SANDPIPER DENTAL, P.C. 2
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305881700
Plan sponsor’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2015-05-26
Name of individual signing ELLEN CHAMPION
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-26
Name of individual signing ELLEN CHAMPION
Valid signature Filed with authorized/valid electronic signature
SANDPIPER DENTAL PROFIT SHARING PLAN 2013 363933301 2014-06-06 SANDPIPER DENTAL, P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305881700
Plan sponsor’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190
SANDPIPER DENTAL PROFIT SHARING PLAN 2012 363933301 2013-03-27 SANDPIPER DENTAL P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305881700
Plan sponsor’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2013-03-27
Name of individual signing THERESA LAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-27
Name of individual signing THERESA LAO
Valid signature Filed with authorized/valid electronic signature
SANDPIPER DENTAL PROFIT SHARING PLAN 2011 363933301 2012-05-30 SANDPIPER DENTAL P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305881700
Plan sponsor’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190

Plan administrator’s name and address
Administrator’s EIN 363933301
Plan administrator’s name SANDPIPER DENTAL P.C.
Plan administrator’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190
Administrator’s telephone number 6305881700

Signature of
Role Plan administrator
Date 2012-05-30
Name of individual signing THERESA LAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-30
Name of individual signing THERESA LAO
Valid signature Filed with authorized/valid electronic signature
SANDPIPER DENTAL PROFIT SHARING PLAN 2010 363933301 2011-03-29 SANDPIPER DENTAL P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305881700
Plan sponsor’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190

Plan administrator’s name and address
Administrator’s EIN 363933301
Plan administrator’s name SANDPIPER DENTAL P.C.
Plan administrator’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190
Administrator’s telephone number 6305881700

Signature of
Role Plan administrator
Date 2011-03-29
Name of individual signing THERESA LAO ADAMOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-29
Name of individual signing THERESA LAO ADAMOWSKI
Valid signature Filed with authorized/valid electronic signature
SANDPIPER DENTAL PROFIT SHARING PLAN 2009 363933301 2010-06-22 SANDPIPER DENTAL P.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305881700
Plan sponsor’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190

Plan administrator’s name and address
Administrator’s EIN 363933301
Plan administrator’s name SANDPIPER DENTAL P.C.
Plan administrator’s address 1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190
Administrator’s telephone number 6305881700

Signature of
Role Plan administrator
Date 2010-06-22
Name of individual signing THERESA LAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-22
Name of individual signing THERESA LAO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RICHARD D SKELTON, 115 CAMPBELL ST, GENEVA, 60134, KANE Agent 2006-12-29

President

Name and Address Role
THERESA LAO 1N141 COUNTY FARMRD. #150, WINFIELD, IL, 60190 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 1000000 No data

Related by officers

RICHARD D SKELTON, 115 CAMPBELL ST, GENEVA, 60134, KANE

ECO FOODS INVESTMENTS, LLC

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 ilorg.com, Part of Big Data Integrated