| Entity Name: | GOLDEN DENTAL PLAN OF ILLINOIS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 01 Feb 1994 |
| Date of Dissolution: | 25 Apr 2002 |
| Company Number: | CORP_57662565 |
| File Number: | 57662565 |
| Type of Business: | Business Corporations |
| Date Status Change: | 25 Apr 2002 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NATIONAL BENEFIT BROKERS, INC. PROFIT SHARING PLAN AND TRUST | 2009 | 363733856 | 2010-10-15 | NATIONAL BENEFIT BROKERS, INC. | 11 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 363733856 |
| Plan administrator’s name | NATIONAL BENEFIT BROKERS, INC. |
| Plan administrator’s address | 2001 TOWER DRIVE, GLENVIEW, IL, 60026 |
| Administrator’s telephone number | 8475599488 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | MICHAEL KAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 333 |
| Effective date of plan | 1998-04-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 8475599488 |
| Plan sponsor’s address | 2001 TOWER DRIVE, GLENVIEW, IL, 60026 |
Plan administrator’s name and address
| Administrator’s EIN | 363733856 |
| Plan administrator’s name | NATIONAL BENEFIT BROKERS, INC. |
| Plan administrator’s address | 2001 TOWER DRIVE, GLENVIEW, IL, 60026 |
| Administrator’s telephone number | 8475599488 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | MICHAEL KAN |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| VACANT, VACANT, VACANT, 60604, COOK-NOT IN CITY OF CHICAGO | Agent | 2004-05-18 |
| Name and Address | Role |
|---|---|
| EDWARD J PETERSMARCK, 560 SEDGEFIELD, BLOOMFIELD HILLS MI | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 50000 | 1000000 | 0.1 |
Date of last update: 27 Jan 2025
