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  5. KYLE E. PEDERSEN, D.D.S., P.C.

KYLE E. PEDERSEN, D.D.S., P.C.

Company Details

Entity Name: KYLE E. PEDERSEN, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 24 Sep 1998
Date of Dissolution: 13 Aug 2015
Company Number: CORP_60142637
File Number: 60142637
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 13 Aug 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2014 364255701 2015-03-03 KYLE E. PEDERSEN, D.D.S., P.C. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2015-03-02
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-02
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2014 364255701 2015-03-03 KYLE E. PEDERSEN, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2015-03-03
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-03
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2013 364255701 2014-07-28 KYLE E. PEDERSEN, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2014-07-26
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-26
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2012 364255701 2013-07-29 KYLE E. PEDERSEN, D.D.S., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2011 364255701 2012-06-12 KYLE E. PEDERSEN, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Plan administrator’s name and address
Administrator’s EIN 364255701
Plan administrator’s name KYLE E. PEDERSEN, D.D.S., P.C.
Plan administrator’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174
Administrator’s telephone number 6305874444

Signature of
Role Plan administrator
Date 2012-06-11
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-11
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2010 364255701 2011-06-14 KYLE E. PEDERSEN, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Plan administrator’s name and address
Administrator’s EIN 364255701
Plan administrator’s name KYLE E. PEDERSEN, D.D.S., P.C.
Plan administrator’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174
Administrator’s telephone number 6305874444

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-13
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2009 364255701 2010-08-05 KYLE E. PEDERSEN, D.D.S., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Plan administrator’s name and address
Administrator’s EIN 364255701
Plan administrator’s name KYLE E. PEDERSEN, D.D.S., P.C.
Plan administrator’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174
Administrator’s telephone number 6305874444

Signature of
Role Plan administrator
Date 2010-08-05
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-05
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN J HOSCHEIT, 1001 E MAIN ST STE G, ST CHARLES, 60174, KANE Agent 2006-09-13

President

Name and Address Role
KYLE PEDERSEN, 26W125 MARION AVE., WHEATON IL 60187 President

Shares

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

Related by officers

JOHN J HOSCHEIT, 1001 E MAIN ST STE G, ST CHARLES, 60174, KANE

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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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