| Entity Name: | ALAN J. KOSSMAN, D.D.S., P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 29 Dec 1995 |
| Company Number: | CORP_58651303 |
| File Number: | 58651303 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEARL AUTOMOTIVE ENTERPRISES, INC. RETIREMENT SAVINGS PLAN | 2009 | 371285714 | 2010-10-15 | PEARL AUTOMOTIVE ENTERPRISES, INC. | 111 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 371285714 |
| Plan administrator’s name | PEARL AUTOMOTIVE ENTERPRISES, INC. |
| Plan administrator’s address | 1500 W PIONEER PKWY, PEORIA, IL, 61615 |
| Administrator’s telephone number | 3096932300 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | DENNIS DIETRICH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| HENRY REPAY, 908 UNION AVE., BELVIDERE, 61008, BOONE | Agent | 2024-12-12 |
| Name and Address | Role |
|---|---|
| ALAN J KOSSMAN 916 BELVIDERE RD BELVIDERE IL 61008 | President |
| Name and Address | Role |
|---|---|
| ALAN J KOSSMAN | Secretary |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| NORTHERN ILLINOIS IMPLANT DENTISTRY | Assume Name | 2013-11-12 | No data | No data | No data |
| MIDWEST IMPLANT DENTISTRY | Assume Name | 2013-11-12 | No data | No data | No data |
| NORTHWEST DENTAL IMPLANT CENTER | Assume Name | 2013-11-12 | No data | No data | No data |
| NORTHERN ILLINOIS DENTAL IMPLANT CENTER | Assume Name | 2013-11-12 | No data | No data | No data |
| BELVIDERE DENTAL | Assume Name | 2012-02-16 | No data | No data | No data |
| BELVIDERE DENTAL ASSOCIATES | Assume Name | 2006-12-19 | 2006-05-01 | No data | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 27 Jan 2025
