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JACK EDGAR DENTAL CARE, P.C.

Company Details

Entity Name: JACK EDGAR DENTAL CARE, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 14 Feb 1996
Date of Dissolution: 09 Jul 2010
Company Number: CORP_58720232
File Number: 58720232
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 09 Jul 2010
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN 2020 320378328 2021-09-25 HAWTHORN WOODS FAMILY DENTAL CARE 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621210
Sponsor’s telephone number 8475505000
Plan sponsor’s address 60 LANDOVER, HAWTHORN WOODS, IL, 60047

Signature of

Role Plan administrator
Date 2021-09-25
Name of individual signing DR. JEFFREY COPELAND
Valid signature Filed with authorized/valid electronic signature
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN 2019 320378328 2020-09-15 HAWTHORN WOODS FAMILY DENTAL CARE 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621210
Sponsor’s telephone number 8475505000
Plan sponsor’s address 60 LANDOVER, HAWTHORN WOODS, IL, 60047

Signature of

Role Plan administrator
Date 2020-09-15
Name of individual signing DR. JEFFREY COPELAND
Valid signature Filed with authorized/valid electronic signature
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN 2018 320378328 2019-05-24 HAWTHORN WOODS FAMILY DENTAL CARE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621210
Sponsor’s telephone number 8475505000
Plan sponsor’s address 60 LANDOVER, HAWTHORN WOODS, IL, 60047

Signature of

Role Plan administrator
Date 2019-05-24
Name of individual signing DR. JEFFREY COPELAND
Valid signature Filed with authorized/valid electronic signature
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN 2017 320378328 2018-06-20 HAWTHORN WOODS FAMILY DENTAL CARE 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621210
Sponsor’s telephone number 8475505000
Plan sponsor’s address 60 LANDOVER, HAWTHORN WOODS, IL, 60047

Signature of

Role Plan administrator
Date 2018-06-20
Name of individual signing DR. JEFFREY COPELAND
Valid signature Filed with authorized/valid electronic signature
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN 2016 320378328 2017-08-15 HAWTHORN WOODS FAMILY DENTAL CARE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621210
Sponsor’s telephone number 8475505000
Plan sponsor’s address 60 LANDOVER, HAWTHORN WOODS, IL, 60047

Signature of

Role Plan administrator
Date 2017-08-15
Name of individual signing DR. JEFFREY COPELAND
Valid signature Filed with authorized/valid electronic signature
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN 2015 320378328 2016-06-29 HAWTHORN WOODS FAMILY DENTAL CARE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621210
Sponsor’s telephone number 8475505000
Plan sponsor’s address 60 LANDOVER, HAWTHORN WOODS, IL, 60047

Signature of

Role Plan administrator
Date 2016-06-29
Name of individual signing DR. JEFFREY COPELAND
Valid signature Filed with authorized/valid electronic signature
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN 2014 320378328 2015-07-23 HAWTHORN WOODS FAMILY DENTAL CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621210
Sponsor’s telephone number 8475505000
Plan sponsor’s address 60 LANDOVER, HAWTHORN WOODS, IL, 60047

Signature of

Role Plan administrator
Date 2015-07-23
Name of individual signing DR. JEFFREY COPELAND
Valid signature Filed with authorized/valid electronic signature
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN 2013 320378328 2014-09-16 HAWTHORN WOODS FAMILY DENTAL CARE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621210
Sponsor’s telephone number 8475505000
Plan sponsor’s address 60 LANDOVER, HAWTHORN WOODS, IL, 60047

Signature of

Role Plan administrator
Date 2014-09-16
Name of individual signing DR. JEFFREY COPELAND
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARC W SARGIS, 7366 N LINCOLN AVE STE 206, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO Agent 2004-01-30

President

Name and Address Role
JOHN C EDGAR, 60 LANDOVER PKWY HAWTHORN WOODS 60047 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
HAWTHORN WOODS FAMILY DENTAL CARE No data 2007-01-16 2008-11-12 Voluntary Cancellation No data

Historical Names

Name Change Date
ASSOCIATES FOR DENTAL CARE P.C. 2009-01-15

Shares

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

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State