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  5. TODD C. MARTIN, D.D.S., P.C.

TODD C. MARTIN, D.D.S., P.C.

Company Details

Entity Name: TODD C. MARTIN, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 22 Mar 1999
Company Number: CORP_60403023
File Number: 60403023
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
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN 2013 371385562 2014-08-13 TODD C. MARTIN, D.D.S., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 7084850016
Plan sponsor’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN 2012 371385562 2013-10-02 TODD C. MARTIN, D.D.S., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 7084850016
Plan sponsor’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-02
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN 2011 371385562 2012-07-05 TODD C. MARTIN, D.D.S., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 7084850016
Plan sponsor’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513

Plan administrator’s name and address
Administrator’s EIN 371385562
Plan administrator’s name TODD C. MARTIN, D.D.S., P.C.
Plan administrator’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
Administrator’s telephone number 7084850016

Signature of
Role Plan administrator
Date 2012-07-05
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-05
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN 2010 371385562 2011-09-22 TODD C. MARTIN, D.D.S., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 7084850016
Plan sponsor’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513

Plan administrator’s name and address
Administrator’s EIN 371385562
Plan administrator’s name TODD C. MARTIN, D.D.S., P.C.
Plan administrator’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
Administrator’s telephone number 7084850016

Signature of
Role Plan administrator
Date 2011-09-22
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-22
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN 2009 371385562 2010-06-30 TODD C. MARTIN, D.D.S., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 7084850016
Plan sponsor’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513

Plan administrator’s name and address
Administrator’s EIN 371385562
Plan administrator’s name TODD C. MARTIN, D.D.S., P.C.
Plan administrator’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
Administrator’s telephone number 7084850016

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-30
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MATHIS, MARIFIAN & RICHTER, LT, 23 PUBLIC SQ STE 300, BELLEVILLE, 62220, ST. CLAIR Agent 2021-10-01

President

Name and Address Role
TODD MARTIN 613 SOUTHWIND DR.UNIT 102 LAKE GENEVA, WI 53147 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BURLINGTON DENTAL No data 2016-08-24 2020-08-14 Involuntary Cancellation No data
ESPLANADE DENTAL CARE No data 1999-11-18 2008-02-14 Voluntary Cancellation No data

Historical Names

Name Change Date
TODD C. MARTIN, D.D.S., P.C. 2008-02-20
OAKBROOK COSMETIC AND GENERAL DENTAL AFFILIATES, LTD. 2008-02-19

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

MATHIS, MARIFIAN & RICHTER, LT, 23 PUBLIC SQ STE 300, BELLEVILLE, 62220, ST. CLAIR

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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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