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  5. ADAM S. FRITZGERALD, D.M.D., P.C.

ADAM S. FRITZGERALD, D.M.D., P.C.

Company Details

Entity Name: ADAM S. FRITZGERALD, D.M.D., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 02 Nov 1995
Company Number: CORP_58575801
File Number: 58575801
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADAM S. FRITZGERALD, D.M.D., P.C. PROFIT SHARING PLAN 2023 371349520 2024-07-09 ADAM S. FRITZGERALD, D.M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2178755020
Plan sponsor’s address 1080 EAST MOUND RD, DECATUR, IL, 62526

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing ADAM S. FRITZGERALD
Valid signature Filed with authorized/valid electronic signature
ADAM S. FRITZGERALD, D.M.D., P.C. PROFIT SHARING PLAN 2023 371349520 2024-07-03 ADAM S. FRITZGERALD, D.M.D., P.C. 9
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2178755020
Plan sponsor’s address 1080 EAST MOUND RD, DECATUR, IL, 62526

Signature of
Role Plan administrator
Date 2024-07-03
Name of individual signing ADAM S. FRITZGERALD
Valid signature Filed with authorized/valid electronic signature
ADAM S. FRITZGERALD, D.M.D., P.C. PROFIT SHARING PLAN 2022 371349520 2023-06-26 ADAM S. FRITZGERALD, D.M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2178755020
Plan sponsor’s address 1080 EAST MOUND RD, DECATUR, IL, 62526

Signature of
Role Plan administrator
Date 2023-06-26
Name of individual signing ADAM S. FRITZGERALD
Valid signature Filed with authorized/valid electronic signature
ADAM S. FRITZGERALD, D.M.D., P.C. PROFIT SHARING PLAN 2021 371349520 2022-08-11 ADAM S. FRITZGERALD, D.M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2178755020
Plan sponsor’s address 1080 EAST MOUND RD, DECATUR, IL, 62526

Signature of
Role Plan administrator
Date 2022-08-11
Name of individual signing ADAM S. FRITZGERALD
Valid signature Filed with authorized/valid electronic signature
ADAM S. FRITZGERALD, D.M.D., P.C. PROFIT SHARING PLAN 2020 371349520 2021-03-05 ADAM S. FRITZGERALD, D.M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2178755020
Plan sponsor’s address 1080 EAST MOUND RD, DECATUR, IL, 62526

Signature of
Role Plan administrator
Date 2021-03-05
Name of individual signing ADAM S. FRITZGERALD
Valid signature Filed with authorized/valid electronic signature
ADAM S. FRITZGERALD, D.M.D., P.C. PROFIT SHARING PLAN 2019 371349520 2020-03-05 ADAM S. FRITZGERALD, D.M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2178755020
Plan sponsor’s address 1080 EAST MOUND RD, DECATUR, IL, 62526

Signature of
Role Plan administrator
Date 2020-03-05
Name of individual signing ADAM S. FRITZGERALD
Valid signature Filed with authorized/valid electronic signature
ADAM S. FRITZGERALD, D.M.D., P.C. PROFIT SHARING PLAN 2018 371349520 2019-04-04 ADAM S. FRITZGERALD, D.M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2178755020
Plan sponsor’s address 1080 EAST MOUND RD, DECATUR, IL, 62526

Signature of
Role Plan administrator
Date 2019-04-04
Name of individual signing ADAM S. FRITZGERALD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ADAM S. FRITZGERALD, 1080 E MOUND RD, DECATUR, 62526, MACON Agent 2018-08-02

President

Name and Address Role
ADAM S FRITZGERALD 2727 SOUTHLAND RD DECATUR IL 62521 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PREMIER DENTAL CARE OF DECATUR Assume Name 2021-12-06 No data No data No data
GAITROS DENTAL CENTER No data 2018-08-02 2021-12-06 Voluntary Cancellation No data

Historical Names

Name Change Date
SCOTT T. GAITROS, D. M. D., P.C. 2018-08-02

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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