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  5. WILLOW RIDGE DENTAL ASSOCIATES, P.C.

WILLOW RIDGE DENTAL ASSOCIATES, P.C.

Company Details

Entity Name: WILLOW RIDGE DENTAL ASSOCIATES, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 03 Oct 1995
Date of Dissolution: 29 Dec 2017
Company Number: CORP_58534218
File Number: 58534218
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 29 Dec 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLOW RIDGE DENTAL ASSOCIATES DEFINED BENEFIT PLAN 2010 364043134 2011-08-31 WILLOW RIDGE DENTAL ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6304202800
Plan sponsor’s address 720 SOUTH BROM DR, SUITE 105, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 364043134
Plan administrator’s name WILLOW RIDGE DENTAL ASSOCIATES
Plan administrator’s address 720 SOUTH BROM DR, SUITE 105, NAPERVILLE, IL, 60540
Administrator’s telephone number 6304202800

Signature of
Role Plan administrator
Date 2011-08-31
Name of individual signing ROBERT PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-31
Name of individual signing ROBERT PETERSON
Valid signature Filed with authorized/valid electronic signature
WILLOW RIDGE DENTAL ASSOCIATES PROFIT SHARING PLAN 2010 364043134 2010-09-01 WILLOW RIDGE DENTAL ASSOCIATES 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6304202800
Plan sponsor’s address 720 SOUTH BROM DRIVE, SUITE 105, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 364043134
Plan administrator’s name WILLOW RIDGE DENTAL ASSOCIATES
Plan administrator’s address 720 SOUTH BROM DRIVE, SUITE 105, NAPERVILLE, IL, 60540
Administrator’s telephone number 6304202800

Signature of
Role Plan administrator
Date 2010-09-01
Name of individual signing ROBERT PETERSON
Valid signature Filed with authorized/valid electronic signature
WILLOW RIDGE DENTAL ASSOCIATES DEFINED BENEFIT PLAN 2009 364043134 2011-08-31 WILLOW RIDGE DENTAL ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6304202800
Plan sponsor’s address 720 SOUTH BROM DR, SUITE 105, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 364043134
Plan administrator’s name WILLOW RIDGE DENTAL ASSOCIATES
Plan administrator’s address 720 SOUTH BROM DR, SUITE 105, NAPERVILLE, IL, 60540
Administrator’s telephone number 6304202800

Signature of
Role Plan administrator
Date 2011-08-31
Name of individual signing ROBERT PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-31
Name of individual signing ROBERT PETERSON
Valid signature Filed with authorized/valid electronic signature
WILLOW RIDGE DENTAL ASSOCIATES DEFINED BENEFIT PLAN 2009 364043134 2010-09-29 WILLOW RIDGE DENTAL ASSOCIATES 3
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6304202800
Plan sponsor’s address 720 SOUTH BROM DR, SUITE 105, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 364043134
Plan administrator’s name WILLOW RIDGE DENTAL ASSOCIATES
Plan administrator’s address 720 SOUTH BROM DR, SUITE 105, NAPERVILLE, IL, 60540
Administrator’s telephone number 6304202800

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing ROBERT PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-29
Name of individual signing ROBERT PETERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROBERT KENNETH PETERSON, 1644 BARKEI DR, BATAVIA, 60510, KANE Agent 2017-08-28

President

Name and Address Role
ROBERT K PETERSON, 1644 BARKEI DR BATAVIA IL 60510 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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