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SUREKHA SAKALA, P.C.

Company Details

Entity Name: SUREKHA SAKALA, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 31 Mar 1999
Company Number: CORP_60423601
File Number: 60423601
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
NORTHGATE DENTAL CENTER RETIREMENT TRUST 2023 364285330 2024-07-17 NORTHGATE DENTAL CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6308186258
Plan sponsor’s address 330 N LAKE STREET, AURORA, IL, 60506

Signature of

Role Plan administrator
Date 2024-07-17
Name of individual signing SRINI
Valid signature Filed with authorized/valid electronic signature
NORTHGATE DENTAL CENTER RETIREMENT TRUST 2022 364285330 2023-07-19 NORTHGATE DENTAL CENTER 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6308186258
Plan sponsor’s address 330 N LAKE STREET, AURORA, IL, 60506

Signature of

Role Plan administrator
Date 2023-07-19
Name of individual signing SRINIVASA PASUPULA
Valid signature Filed with authorized/valid electronic signature
NORTHGATE DENTAL CENTER RETIREMENT TRUST 2021 364285330 2022-07-22 NORTHGATE DENTAL CENTER 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6308186258
Plan sponsor’s address 330 N LAKE STREET, AURORA, IL, 60506

Signature of

Role Plan administrator
Date 2022-07-22
Name of individual signing SRINIVASA PASUPULA
Valid signature Filed with authorized/valid electronic signature
NORTHGATE DENTAL CENTER RETIREMENT TRUST 2020 364285330 2021-07-29 NORTHGATE DENTAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6308186258
Plan sponsor’s address 330 N LAKE STREET, AURORA, IL, 60506

Signature of

Role Plan administrator
Date 2021-07-29
Name of individual signing SRINIVASA R PASUPULA
Valid signature Filed with authorized/valid electronic signature
NORTHGATE DENTAL CENTER RETIREMENT TRUST 2019 364285330 2020-07-31 NORTHGATE DENTAL CENTER 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6308186258
Plan sponsor’s address 330 N LAKE STREET, AURORA, IL, 60506

Signature of

Role Plan administrator
Date 2020-07-31
Name of individual signing SUREKHA SAKALA
Valid signature Filed with authorized/valid electronic signature
NORTHGATE DENTAL CENTER RETIREMENT TRUST 2018 364285330 2019-07-11 NORTHGATE DENTAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6308186258
Plan sponsor’s address 330 N LAKE STREET, AURORA, IL, 60506

Signature of

Role Plan administrator
Date 2019-07-11
Name of individual signing SRINIVASA PASUPULA
Valid signature Filed with authorized/valid electronic signature
NORTHGATE DENTAL CENTER RETIREMENT TRUST 2017 364285330 2018-07-16 NORTHGATE DENTAL CENTER 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6308186258
Plan sponsor’s address 330 N LAKE STREET, AURORA, IL, 60506

Signature of

Role Plan administrator
Date 2018-07-16
Name of individual signing SRINIVASA PASUPULA
Valid signature Filed with authorized/valid electronic signature
NORTHGATE DENTAL CENTER RETIREMENT TRUST 2016 364285330 2017-07-28 NORTHGATE DENTAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6308186258
Plan sponsor’s address 330 N LAKE STREET, AURORA, IL, 60506

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing SRINIVASA PASUPULA
Valid signature Filed with authorized/valid electronic signature
NORTHGATE DENTAL CENTER RETIREMENT TRUST 2015 364285330 2016-07-14 NORTHGATE DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6304308602
Plan sponsor’s address 900 N LAKE STREET, AURORA, IL, 60506

Signature of

Role Plan administrator
Date 2016-07-14
Name of individual signing SRINI PASUPULA
Valid signature Filed with authorized/valid electronic signature
NORTHGATE DENTAL CENTER RETIREMENT TRUST 2014 364285330 2015-06-26 NORTHGATE DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6304308602
Plan sponsor’s address 900 N LAKE STREET, AURORA, IL, 60506

Signature of

Role Plan administrator
Date 2015-06-26
Name of individual signing SUREKHA SAKALA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LORI STADLER, 760 VILLAGE CENTER DR STE 240, BURR RIDGE, 60527, DU PAGE Agent 2024-02-08

President

Name and Address Role
SUREKHA SAKALA, 330 N LAKE STREET AURORA IL- 60506 President

Secretary

Name and Address Role
SUREKHA SAKALA 330 N LAKE STREET AURORA IL 60506 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
NORTHGATE DENTAL CENTER Assume Name 1999-10-25 No data No data No data

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State