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  5. FEATHERSTONE PERIODONTICS AND IMPLANT DENTISTRY, LTD.

FEATHERSTONE PERIODONTICS AND IMPLANT DENTISTRY, LTD.

Company Details

Entity Name: FEATHERSTONE PERIODONTICS AND IMPLANT DENTISTRY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 10 Dec 1996
Company Number: CORP_59153358
File Number: 59153358
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
RETIREMENT INCOME SECURITY PLAN-PERIODONTICS OF ROCKFORD, LTD. 2023 371364954 2024-08-02 PERIODONTICS OF ROCKFORD, LTD. 53
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8152275858
Plan sponsor’s address 1055 FEATHERSTONE RD, SUITE B, ROCKFORD, IL, 61107

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2024-08-02
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-PERIODONTICS OF ROCKFORD, LTD. 2023 371364954 2024-08-20 PERIODONTICS OF ROCKFORD, LTD. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8152275858
Plan sponsor’s address 1055 FEATHERSTONE RD, SUITE B, ROCKFORD, IL, 61107

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2024-08-20
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-PERIODONTICS OF ROCKFORD, LTD. 2022 371364954 2023-07-24 PERIODONTICS OF ROCKFORD, LTD. 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8152275858
Plan sponsor’s address 1055 FEATHERSTONE RD, SUITE B, ROCKFORD, IL, 61107

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-PERIODONTICS OF ROCKFORD, LTD. 2021 371364954 2022-07-26 PERIODONTICS OF ROCKFORD, LTD. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8152275858
Plan sponsor’s address 1055 FEATHERSTONE RD, SUITE B, ROCKFORD, IL, 61107

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-PERIODONTICS OF ROCKFORD, LTD. 2020 371364954 2021-07-22 PERIODONTICS OF ROCKFORD, LTD. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8152275858
Plan sponsor’s address 1055 FEATHERSTONE RD, SUITE B, ROCKFORD, IL, 61107

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-PERIODONTICS OF ROCKFORD, LTD. 2019 371364954 2020-07-03 PERIODONTICS OF ROCKFORD, LTD. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8152275858
Plan sponsor’s address 1055 FEATHERSTONE RD, SUITE B, ROCKFORD, IL, 61107

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2020-07-03
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-PERIODONTICS OF ROCKFORD, LTD. 2018 371364954 2019-10-04 PERIODONTICS OF ROCKFORD, LTD 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8152275858
Plan sponsor’s address 1055 FEATHERSTONE ROAD, SUITE B, ROCKFORD, IL, 61107

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS OF ROCKFORD, LTD PROFIT SHARING PLAN 2017 371364954 2018-06-13 PERIODONTICS OF ROCKFORD, LTD 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-07-01
Business code 621210
Sponsor’s telephone number 8152275858
Plan sponsor’s address 1055 FEATHERSTONE ROAD, SUITE B, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing R MARK LINDMAN DDS MS
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS OF ROCKFORD, LTD PROFIT SHARING PLAN 2016 371364954 2017-06-20 PERIODONTICS OF ROCKFORD, LTD 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-07-01
Business code 621210
Sponsor’s telephone number 8152275858
Plan sponsor’s address 1055 FEATHERSTONE ROAD, SUITE B, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing R MARK LINDMAN DDS MS
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS OF ROCKFORD, LTD PROFIT SHARING PLAN 2015 371364954 2016-07-06 PERIODONTICS OF ROCKFORD, LTD 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-07-01
Business code 621210
Sponsor’s telephone number 8152275858
Plan sponsor’s address 1055 FEATHERSTONE ROAD, SUITE B, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing R MARK LINDMAN DDS MS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL J SCHAPPERT, 800 N CHURCH ST, ROCKFORD, 61103, WINNEBAGO Agent 1996-12-10

Secretary

Name and Address Role
JEFFREY BURCH, 2202 CHURCHVIEW DRIVE UNIT N ROCKFORD 61107 Secretary

President

Name and Address Role
R MARK LINDMAN, 1574 SUMMERWOOD LANE BELVIDERE 61008 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PERIODONTICS OF ROCKFORD, LTD. Assume Name 2020-05-04 No data No data No data

Historical Names

Name Change Date
PERIODONTICS OF ROCKFORD, LTD. 2020-05-04

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 1

Related by officers

MICHAEL J SCHAPPERT, 800 N CHURCH ST, ROCKFORD, 61103, WINNEBAGO

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Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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