Search icon

CRESTLINE FARM INC.

Company Details

Entity Name: CRESTLINE FARM INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 10 Feb 1994
Date of Dissolution: 06 Aug 2024
Company Number: CORP_57679077
File Number: 57679077
Type of Business: All Inclusive Purpose
Date Status Change: 06 Aug 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2012 371262887 2013-04-18 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address

Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of

Role Plan administrator
Date 2013-04-18
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2011 371262887 2012-05-30 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address

Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of

Role Plan administrator
Date 2012-05-30
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2010 371262887 2011-07-05 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address

Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of

Role Plan administrator
Date 2011-07-05
Name of individual signing MICHAEL HESTERBERG
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN 2009 371262887 2010-09-24 SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 6182338080
Plan sponsor’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010

Plan administrator’s name and address

Administrator’s EIN 371262887
Plan administrator’s name SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
Administrator’s telephone number 6182338080

Signature of

Role Plan administrator
Date 2010-09-24
Name of individual signing MICHAEL R. HESTERBERG, DMD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SUSAN K LOCKE, 19 PORTWINE ROAD, CLARENDON HILLS, 60514, DU PAGE Agent 1994-02-10

President

Name and Address Role
SUSAN LOCKE 30158 N 148TH ST SCOTTSDALE AZ, 85262 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 750000 No data

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State