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  5. QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C.

QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C.

Company Details

Entity Name: QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 11 Dec 1997
Date of Dissolution: 26 Nov 2019
Company Number: CORP_59687506
File Number: 59687506
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 26 Nov 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2019 431799717 2020-10-11 QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2172229434
Plan sponsor’s address 3915 MAINE ST, STE 3, QUINCY, IL, 62305
QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2018 431799717 2019-06-11 QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2172229434
Plan sponsor’s address 3915 MAINE ST, STE 3, QUINCY, IL, 62305
QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2017 431799717 2018-07-13 QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2172229434
Plan sponsor’s address 3915 MAINE ST, STE 3, QUINCY, IL, 62305
QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2016 431799717 2017-10-14 QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2172229434
Plan sponsor’s address 3915 MAINE ST, STE 3, QUINCY, IL, 62305
QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2015 431799717 2016-10-10 QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2172229434
Plan sponsor’s address 3915 MAINE ST, STE 3, QUINCY, IL, 62305
QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2014 431799717 2015-10-15 QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2172229434
Plan sponsor’s address 3915 MAINE ST, STE 3, QUINCY, IL, 62305

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing DR. DANIEL RIGGS
Valid signature Filed with authorized/valid electronic signature
QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2013 431799717 2014-10-13 QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2172229434
Plan sponsor’s address 3915 MAINE ST, STE 3, QUINCY, IL, 62305

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing DR. DANIEL RIGGS
Valid signature Filed with authorized/valid electronic signature
QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 401K PROFIT SHARING PLAN 2012 431799717 2013-07-22 QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2172229434
Plan sponsor’s address 3915 MAINE ST, STE 3, QUINCY, IL, 62305

Plan administrator’s name and address
Administrator’s EIN 431799717
Plan administrator’s name QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C.
Plan administrator’s address 3915 MAINE ST STE 3, QUINCY, IL, 62305
Administrator’s telephone number 2172229434

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing DR. DANIEL RIGGS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KENNETH L ABBOTT, 238 S 3RD ST PO BOX 1106, QUINCY, 62306, ADAMS Agent 2017-12-01

President

Name and Address Role
DANIEL E RIGGS, 3915 MAINE ST#3, QUINCY 62301 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 160 160000 100

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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