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ORLAND PARK DENTAL SERVICES, LTD.

Company Details

Entity Name: ORLAND PARK DENTAL SERVICES, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 25 Oct 1994
Company Number: CORP_58038482
File Number: 58038482
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN 2022 363981466 2023-12-20 ORLAND PARK DENTAL SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7082260091
Plan sponsor’s address 8120 KATY LANE, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2023-12-20
Name of individual signing CHAD CARROLL
Valid signature Filed with authorized/valid electronic signature
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN 2022 363981466 2023-05-08 ORLAND PARK DENTAL SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7082260091
Plan sponsor’s address 8120 KATY LANE, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2023-05-08
Name of individual signing CHAD CARROLL
Valid signature Filed with authorized/valid electronic signature
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN 2021 363981466 2022-07-19 ORLAND PARK DENTAL SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7082260091
Plan sponsor’s address 8120 KATY LANE, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2022-07-19
Name of individual signing AREL ONDOY
Valid signature Filed with authorized/valid electronic signature
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN 2020 363981466 2021-07-23 ORLAND PARK DENTAL SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7082260091
Plan sponsor’s address 8120 KATY LANE, ORLAND PARK, IL, 60462
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN 2019 363981466 2020-09-30 ORLAND PARK DENTAL SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7082260091
Plan sponsor’s address 8120 KATY LANE, ORLAND PARK, IL, 60462
ORLAND PARK DENTAL SERVICES, LTD. DEFINED BENEFIT PLAN 2019 363981466 2020-02-19 ORLAND PARK DENTAL SERVICES LTD. 2
File View Page
Three-digit plan number (PN) 101
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7082260091
Plan sponsor’s address 8120 KATY LANE, ORLAND PARK, IL, 60462
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN 2018 363981466 2019-10-03 ORLAND PARK DENTAL SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7082260091
Plan sponsor’s address 8120 KATY LANE, ORLAND PARK, IL, 60462
ORLAND PARK DENTAL SERVICES, LTD. DEFINED BENEFIT PLAN 2018 363981466 2019-10-03 ORLAND PARK DENTAL SERVICES LTD. 2
File View Page
Three-digit plan number (PN) 101
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7082260091
Plan sponsor’s address 8120 KATY LANE, ORLAND PARK, IL, 60462

Plan administrator’s name and address

Administrator’s EIN 363981466
Plan administrator’s name ORLAND PARK DENTAL SERVICES LTD.
Plan administrator’s address 8120 KATY LANE, ORLAND PARK, IL, 60462
Administrator’s telephone number 7082260091
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN 2017 363981466 2018-08-23 ORLAND PARK DENTAL SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7082260091
Plan sponsor’s address 8120 KATY LANE, ORLAND PARK, IL, 60462
ORLAND PARK DENTAL SERVICES, LTD. DEFINED BENEFIT PLAN 2017 363981466 2018-08-23 ORLAND PARK DENTAL SERVICES LTD. 2
File View Page
Three-digit plan number (PN) 101
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7082260091
Plan sponsor’s address 8120 KATY LANE, ORLAND PARK, IL, 60462

Plan administrator’s name and address

Administrator’s EIN 363981466
Plan administrator’s name ORLAND PARK DENTAL SERVICES LTD.
Plan administrator’s address 8120 KATY LANE, ORLAND PARK, IL, 60462
Administrator’s telephone number 7082260091

Agent

Name and Address Role Appointment Date
TIMOTHY G LAWLER, 9501 W 144TH PLACE 205, ORLAND PARK, 60462, COOK-NOT IN CITY OF CHICAGO Agent 2012-05-15

President

Name and Address Role
ERIC C ONDOY, 8120 KATY LANE ORLAND PARK 60462 President

Secretary

Name and Address Role
ERIC C ONDOY, 8120 KATY LANE ORLAND PARK 60462 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060009544 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2007-04-09 2021-10-29 2025-01-01

Historical Names

Name Change Date
ORLAND PARK DENTAL SERVICES, INC. 2006-12-06
MIDWEST DENTAL SERVICES, INC. 1997-03-13

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 10

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State