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APPLE DENTAL CENTER P.C.

Company Details

Entity Name: APPLE DENTAL CENTER P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 03 Jul 1995
Date of Dissolution: 11 Dec 2020
Company Number: CORP_58410934
File Number: 58410934
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 11 Dec 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
APPLE DENTAL CENTER, P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2019 364023321 2020-02-26 APPLE DENTAL CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7738466000
Plan sponsor’s address 1818 KELLY CT., DARIEN, IL, 605615600
APPLE DENTAL CENTER, P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2018 364023321 2019-08-26 APPLE DENTAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7738466000
Plan sponsor’s address 1818 KELLY CT., DARIEN, IL, 605615600
APPLE DENTAL CENTER, P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2017 364023321 2018-05-12 APPLE DENTAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7738466000
Plan sponsor’s address 1818 KELLY CT., DARIEN, IL, 605615600
APPLE DENTAL CENTER, P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2016 364023321 2017-03-21 APPLE DENTAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7738466000
Plan sponsor’s address 1818 KELLY CT., DARIEN, IL, 605615600
APPLE DENTAL CENTER, P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2015 364023321 2016-04-27 APPLE DENTAL CENTER, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7738466000
Plan sponsor’s address 1818 KELLY CT., DARIEN, IL, 605615600
APPLE DENTAL CENTER, P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2014 364023321 2015-05-04 APPLE DENTAL CENTER, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7738466000
Plan sponsor’s address 1818 KELLY CT., DARIEN, IL, 605615600

Signature of

Role Plan administrator
Date 2015-05-04
Name of individual signing MARK F PLOSKONKA, D.D.S., PRESIDENT
Valid signature Filed with authorized/valid electronic signature
APPLE DENTAL CENTER, P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2013 364023321 2014-03-17 APPLE DENTAL CENTER, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7738466000
Plan sponsor’s address 1818 KELLY CT., DARIEN, IL, 605615600

Signature of

Role Plan administrator
Date 2014-03-17
Name of individual signing MARK F PLOSKONKA, D.D.S., PRESIDENT
Valid signature Filed with authorized/valid electronic signature
APPLE DENTAL CENTER, P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2012 364023321 2013-06-25 APPLE DENTAL CENTER, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7738466000
Plan sponsor’s address 1818 KELLY CT., DARIEN, IL, 605615600

Plan administrator’s name and address

Administrator’s EIN 364023321
Plan administrator’s name APPLE DENTAL CENTER, P.C.
Plan administrator’s address 1818 KELLY CT., DARIEN, IL, 605615600
Administrator’s telephone number 7738466000

Signature of

Role Plan administrator
Date 2013-06-25
Name of individual signing MARK F PLOSKONKA, D.D.S., PRESIDENT
Valid signature Filed with authorized/valid electronic signature
APPLE DENTAL CENTER, P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2011 364023321 2012-04-30 APPLE DENTAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7738466000
Plan sponsor’s address 1818 KELLY CT., DARIEN, IL, 605615600

Plan administrator’s name and address

Administrator’s EIN 364023321
Plan administrator’s name APPLE DENTAL CENTER, P.C.
Plan administrator’s address 1818 KELLY CT., DARIEN, IL, 605615600
Administrator’s telephone number 7738466000

Signature of

Role Plan administrator
Date 2012-04-30
Name of individual signing MARK F PLOSKONKA, D.D.S., PRESIDENT
Valid signature Filed with authorized/valid electronic signature
APPLE DENTAL CENTER, P.C. EMPLOYEES PROFIT SHARING PLAN AND TRUST 2010 364023321 2011-03-03 APPLE DENTAL CENTER, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7738466000
Plan sponsor’s address 1818 KELLY CT., DARIEN, IL, 605615600

Plan administrator’s name and address

Administrator’s EIN 364023321
Plan administrator’s name APPLE DENTAL CENTER, P.C.
Plan administrator’s address 1818 KELLY CT., DARIEN, IL, 605615600
Administrator’s telephone number 7738466000

Signature of

Role Plan administrator
Date 2011-03-03
Name of individual signing MARK F PLOSKONKA, D.D.S., PRESIDENT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL O'DONNELL, 1127 S MANNHEIM RD STE 308, WESTCHESTER, 60154, COOK-NOT IN CITY OF CHICAGO Agent 1995-07-03

President

Name and Address Role
MARK F PLOSKONKA, 1818 KELLY COURT DARIEN 60561 President

Shares

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

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State