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THERESA C. HAUCK, D.D.S., P.C.

Company Details

Entity Name: THERESA C. HAUCK, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 27 Jan 1998
Company Number: CORP_59779117
File Number: 59779117
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
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST 2023 364207741 2024-03-28 THERESA C. HAUCK, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8153445430
Plan sponsor’s address 4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214

Signature of

Role Plan administrator
Date 2024-03-28
Name of individual signing THERESA HAUCK
Valid signature Filed with authorized/valid electronic signature
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST 2022 364207741 2023-04-16 THERESA C. HAUCK, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8153445430
Plan sponsor’s address 4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214

Signature of

Role Plan administrator
Date 2023-04-16
Name of individual signing THERESA HAUCK
Valid signature Filed with authorized/valid electronic signature
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST 2021 364207741 2022-01-26 THERESA C. HAUCK, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8153445430
Plan sponsor’s address 4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214

Signature of

Role Plan administrator
Date 2022-01-26
Name of individual signing THERESA HAUCK
Valid signature Filed with authorized/valid electronic signature
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST 2020 364207741 2021-03-27 THERESA C. HAUCK, D.D.S., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8153445430
Plan sponsor’s address 4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214

Signature of

Role Plan administrator
Date 2021-03-27
Name of individual signing THERESA HAUCK
Valid signature Filed with authorized/valid electronic signature
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST 2019 364207741 2020-03-12 THERESA C. HAUCK, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8153445430
Plan sponsor’s address 4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214

Signature of

Role Plan administrator
Date 2020-03-12
Name of individual signing THERESA HAUCK
Valid signature Filed with authorized/valid electronic signature
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST 2018 364207741 2019-05-15 THERESA C. HAUCK, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8153445430
Plan sponsor’s address 4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214

Signature of

Role Plan administrator
Date 2019-05-15
Name of individual signing THERESA HAUCK
Valid signature Filed with authorized/valid electronic signature
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST 2017 364207741 2018-04-04 THERESA C. HAUCK, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8153445430
Plan sponsor’s address 4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214

Signature of

Role Plan administrator
Date 2018-04-04
Name of individual signing THERESA HAUCK
Valid signature Filed with authorized/valid electronic signature
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST 2016 364207741 2017-02-22 THERESA C. HAUCK, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8153445430
Plan sponsor’s address 4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214

Signature of

Role Plan administrator
Date 2017-02-22
Name of individual signing THERESA HAUCK
Valid signature Filed with authorized/valid electronic signature
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST 2015 364207741 2016-02-22 THERESA C. HAUCK, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8153445430
Plan sponsor’s address 4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214

Signature of

Role Plan administrator
Date 2016-02-22
Name of individual signing THERESA HAUCK
Valid signature Filed with authorized/valid electronic signature
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST 2014 364207741 2015-03-21 THERESA C. HAUCK, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8153445430
Plan sponsor’s address 4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214

Plan administrator’s name and address

Administrator’s EIN 364207741
Plan administrator’s name THERESA C. HAUCK, D.D.S., P.C.
Plan administrator’s address 4310 W CRYSTAL LAKE ROAD, MC HENRY, IL, 600504214
Administrator’s telephone number 8153445430

Signature of

Role Plan administrator
Date 2015-03-21
Name of individual signing THERESA HAUCK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THERESA C HAUCK, 4310 CRYSTAL LAKE RD UNIT B, MCHENRY, 60050, MC HENRY Agent 1998-01-27

President

Name and Address Role
THERESA C HAUCK 1119 JOSEPH CIRCLE JOHNSBURG, IL 60051 President

Shares

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

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State