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ROCKFORD OMS, P.C.

Company Details

Entity Name: ROCKFORD OMS, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 14 Feb 1996
Company Number: CORP_58719595
File Number: 58719595
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROCKFORD OMS, INC. SAFE HARBOR PLAN 2023 364070547 2024-02-28 ROCKFORD OMS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8152264700
Plan sponsor’s address 449 ROXBURY ROAD, ROCKFORD, IL, 61107

Plan administrator’s name and address

Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8444728268

Signature of

Role Plan administrator
Date 2024-02-28
Name of individual signing LYNNELL MARTIN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD OMS, INC. SAFE HARBOR PLAN 2022 364070547 2023-03-02 ROCKFORD OMS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8152264700
Plan sponsor’s address 449 ROXBURY ROAD, ROCKFORD, IL, 61107

Plan administrator’s name and address

Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8444728268

Signature of

Role Plan administrator
Date 2023-03-02
Name of individual signing LYNNELL MARTIN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD OMS, INC. SAFE HARBOR PLAN 2021 364070547 2022-02-10 ROCKFORD OMS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8152264700
Plan sponsor’s address 449 ROXBURY ROAD, ROCKFORD, IL, 61107

Plan administrator’s name and address

Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8444728268

Signature of

Role Plan administrator
Date 2022-02-10
Name of individual signing LYNNELL MARTIN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD OMS, INC. SAFE HARBOR PLAN 2020 364070547 2021-03-04 ROCKFORD OMS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8152264700
Plan sponsor’s address 449 ROXBURY ROAD, ROCKFORD, IL, 61107

Plan administrator’s name and address

Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8444728268

Signature of

Role Plan administrator
Date 2021-03-04
Name of individual signing LYNNELL MARTIN
Valid signature Filed with authorized/valid electronic signature
ROCKFORD OMS, INC. SAFE HARBOR PLAN 2019 364070547 2020-04-21 ROCKFORD OMS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8152264700
Plan sponsor’s address 449 ROXBURY ROAD, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2020-04-21
Name of individual signing EDWARD P. RENTSCHLER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD OMS, INC. SAFE HARBOR PLAN 2018 364070547 2020-04-21 ROCKFORD OMS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8152264700
Plan sponsor’s address 449 ROXBURY ROAD, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2020-04-21
Name of individual signing EDWARD P. RENTSCHLER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD OMS, INC. PENSION PLAN 2018 364070547 2019-01-22 ROCKFORD OMS, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8152264700
Plan sponsor’s address 425 ROXBURY ROAD, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2019-01-22
Name of individual signing EDWARD P. RENTSCHLER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD OMS, INC. SAFE HARBOR PLAN 2018 364070547 2019-04-26 ROCKFORD OMS, INC. 18
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8152264700
Plan sponsor’s address 449 ROXBURY ROAD, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2019-04-26
Name of individual signing EDWARD P. RENTSCHLER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD OMS, INC. PENSION PLAN 2017 364070547 2018-03-07 ROCKFORD OMS, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8152264700
Plan sponsor’s address 425 ROXBURY ROAD, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2018-03-07
Name of individual signing EDWARD P. RENTSCHLER
Valid signature Filed with authorized/valid electronic signature
ROCKFORD OMS, INC. SAFE HARBOR PLAN 2017 364070547 2018-09-17 ROCKFORD OMS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8152264700
Plan sponsor’s address 425 ROXBURY ROAD, ROCKFORD, IL, 61107

Signature of

Role Plan administrator
Date 2018-09-17
Name of individual signing EDWARD P. RENTSCHLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANTHONY PHELPS, 2902 MCFARLAND RD STE 400, ROCKFORD, 61107, WINNEBAGO Agent 2022-03-01

Secretary

Name and Address Role
AARON ALTMAN 449 ROXBURY RD ROCKFORD IL 61107 Secretary

President

Name and Address Role
MATTHEW BRUKSCH 449 ROXBURY RDROCKFORD IL 61107 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ROCKFORD OMS Assume Name 2014-07-30 No data No data No data

Historical Names

Name Change Date
EDWARD P. RENTSCHLER, D.D.S., P.C. 2017-10-25
ROCKFORD OMS, INC. 2014-07-30

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State