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SBA DENTAL, LTD.

Company Details

Entity Name: SBA DENTAL, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 05 Apr 1996
Company Number: CORP_58798487
File Number: 58798487
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
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN 2023 364083838 2024-05-29 SBA DENTAL, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8478558228
Plan sponsor’s address 36100 BROOKSIDE DRIVE, SUITE LL40, GURNEE, IL, 60031
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN 2022 364083838 2023-05-01 SBA DENTAL, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8478558228
Plan sponsor’s address 36100 BROOKSIDE DRIVE, SUITE LL40, GURNEE, IL, 60031

Signature of

Role Plan administrator
Date 2023-03-14
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-14
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN 2021 364083838 2022-06-13 SBA DENTAL, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8475014622
Plan sponsor’s address C/O CARNOW AND ASSOCIATES, LTD., 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693

Signature of

Role Plan administrator
Date 2022-06-13
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-13
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN 2020 364083838 2021-05-25 SBA DENTAL, LTD. 10
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8475014622
Plan sponsor’s address C/O CARNOW AND ASSOCIATES, LTD., 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693

Signature of

Role Plan administrator
Date 2021-05-24
Name of individual signing STEVEN PLUCIENNIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-24
Name of individual signing STEVEN PLUCIENNIK
Valid signature Filed with authorized/valid electronic signature
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN 2020 364083838 2021-06-01 SBA DENTAL, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8475014622
Plan sponsor’s address C/O CARNOW AND ASSOCIATES, LTD., 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693

Signature of

Role Plan administrator
Date 2021-06-01
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-01
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN 2019 364083838 2020-06-27 SBA DENTAL, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8475014622
Plan sponsor’s address C/O CARNOW AND ASSOCIATES, LTD., 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693

Signature of

Role Plan administrator
Date 2020-06-24
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-24
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN 2018 364083838 2019-04-17 SBA DENTAL, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8475014622
Plan sponsor’s address C/O CARNOW AND ASSOCIATES, LTD., 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693

Signature of

Role Plan administrator
Date 2019-04-16
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-16
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN 2017 364083838 2018-04-16 SBA DENTAL, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8475014622
Plan sponsor’s address 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693

Signature of

Role Plan administrator
Date 2018-04-09
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-09
Name of individual signing STEVEN BRUCKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HOWARD E. GILBERT, 1627 LAKE COOK RD, STE 643, DEERFIELD, 60015, COOK-NOT IN CITY OF CHICAGO Agent 2022-01-12

President

Name and Address Role
STEVEN B BRUCKI 36100 N BROOKSIDE DR GURNEE 60031 President

Historical Names

Name Change Date
SMITH, BRUCKI & ASSOCIATES OF GURNEE, D.D.S., LTD. 2015-03-26

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State