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ARTISTIC DENTAL CENTRE, INC.

Company Details

Entity Name: ARTISTIC DENTAL CENTRE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 10 Jul 1997
Date of Dissolution: 08 Dec 2017
Company Number: CORP_59497391
File Number: 59497391
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 08 Dec 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ARTISTIC DENTAL CENTRE, INC. 401(K) PLAN 2015 364178551 2016-10-03 ARTISTIC DENTAL CENTRE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7083396800
Plan sponsor’s address 15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473

Signature of

Role Plan administrator
Date 2016-10-03
Name of individual signing ALBERT GRUBER
Valid signature Filed with authorized/valid electronic signature
ARTISTIC DENTAL CENTRE, INC. 401(K) PLAN 2014 364178551 2015-10-09 ARTISTIC DENTAL CENTRE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7083396800
Plan sponsor’s address 15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473

Signature of

Role Plan administrator
Date 2015-10-09
Name of individual signing ALBERT GRUBER
Valid signature Filed with authorized/valid electronic signature
ARTISTIC DENTAL CENTRE, INC. 401(K) PLAN 2013 364178551 2014-06-17 ARTISTIC DENTAL CENTRE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7083396800
Plan sponsor’s address 15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473

Signature of

Role Plan administrator
Date 2014-06-17
Name of individual signing ALBERT GRUBER
Valid signature Filed with authorized/valid electronic signature
ARTISTIC DENTAL CENTRE, INC. 401(K) PLAN 2012 364178551 2013-05-16 ARTISTIC DENTAL CENTRE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7083396800
Plan sponsor’s address 15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473

Signature of

Role Plan administrator
Date 2013-05-16
Name of individual signing ALBERT GRUBER
Valid signature Filed with authorized/valid electronic signature
ARTISTIC DENTAL CENTRE, INC. 401(K) PLAN 2011 364178551 2012-08-01 ARTISTIC DENTAL CENTRE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7083396800
Plan sponsor’s address 15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473

Plan administrator’s name and address

Administrator’s EIN 364178551
Plan administrator’s name ARTISTIC DENTAL CENTRE, INC.
Plan administrator’s address 15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473
Administrator’s telephone number 7083396800

Signature of

Role Plan administrator
Date 2012-08-01
Name of individual signing ALBERT GRUBER
Valid signature Filed with authorized/valid electronic signature
ARTISTIC DENTAL CENTRE, INC. 401K PLAN 2010 364178551 2011-10-12 ARTISTIC DENTAL CENTRE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7083396800
Plan sponsor’s address 15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473

Plan administrator’s name and address

Administrator’s EIN 364178551
Plan administrator’s name ARTISTIC DENTAL CENTRE, INC.
Plan administrator’s address 15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473
Administrator’s telephone number 7083396800

Signature of

Role Plan administrator
Date 2011-10-12
Name of individual signing ALBERT GRUBER
Valid signature Filed with authorized/valid electronic signature
ARTISTIC DENTAL CENTRE, INC. 401K PLAN 2009 364178551 2010-09-13 ARTISTIC DENTAL CENTRE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7083396800
Plan sponsor’s address 15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473

Plan administrator’s name and address

Administrator’s EIN 364178551
Plan administrator’s name ARTISTIC DENTAL CENTRE, INC.
Plan administrator’s address 15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473
Administrator’s telephone number 7083396800

Signature of

Role Plan administrator
Date 2010-09-13
Name of individual signing ALBERT GRUBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-13
Name of individual signing ALBERT GRUBER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ALBERT F GRUBER, 15445 S PARK AVE, SOUTH HOLLAND, 60473, COOK-NOT IN CITY OF CHICAGO Agent 2003-10-02

President

Name and Address Role
ALBERT F GRUBER 15445 SO PARK SOUTH HOLLAND 60473 President

Historical Names

Name Change Date
97 DENTAL CENTRE, P.C. 2004-02-19

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