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  5. AUSTIN FAMILY DENTAL CENTER, INC.

AUSTIN FAMILY DENTAL CENTER, INC.

Company Details

Entity Name: AUSTIN FAMILY DENTAL CENTER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Reinstated
Date Formed: 14 Jul 1999
Date of Dissolution: 13 Dec 2024
Company Number: CORP_60581355
File Number: 60581355
Type of Business: All Inclusive Purpose
Date Status Change: 13 Dec 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN 2023 363694404 2024-11-15 AUSTIN FAMILY DENTAL CENTER 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 7732330600
Plan sponsor’s address 1532 WEST 99TH STREET, CHICAGO, IL, 606430000

Signature of
Role Plan administrator
Date 2024-11-15
Name of individual signing MICHELLE AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN 2022 363694404 2023-10-11 AUSTIN FAMILY DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 7732330600
Plan sponsor’s address 1532 WEST 99TH STREET, CHICAGO, IL, 606430000

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing MICHELLE AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN 2021 363694404 2023-10-11 AUSTIN FAMILY DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 7732330600
Plan sponsor’s address 1532 WEST 99TH STREET, CHICAGO, IL, 606430000

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing MICHELLE AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN FAMILY DENTAL CENTER 2020 363694404 2021-10-14 AUSTIN FAMILY DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 7732330600
Plan sponsor’s address 1532 WEST 99TH STREET, CHICAGO, IL, 606430000

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing RUSSEL J AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN 2019 363694404 2020-09-29 AUSTIN FAMILY DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 7732330600
Plan sponsor’s address 1532 WEST 99TH STREET, CHICAGO, IL, 606430000

Signature of
Role Plan administrator
Date 2020-09-29
Name of individual signing RUSSEL J AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN 2018 363694404 2019-09-18 AUSTIN FAMILY DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 7732330600
Plan sponsor’s address 1532 WEST 99TH STREET, CHICAGO, IL, 60643

Signature of
Role Plan administrator
Date 2019-09-18
Name of individual signing RUSSEL J AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN 2017 363694404 2018-07-31 AUSTIN FAMILY DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 7732330600
Plan sponsor’s address 1532 WEST 99TH STREET, CHICAGO, IL, 60643

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing RUSSEL J AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN 2016 363694404 2017-07-26 AUSTIN FAMILY DENTAL CENTER 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 7732330600
Plan sponsor’s address 1532 WEST 99TH STREET, CHICAGO, IL, 60643

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing RUSSEL J AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN 2015 363694404 2016-08-26 AUSTIN FAMILY DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 7732330600
Plan sponsor’s address 1532 WEST 99TH STREET, CHICAGO, IL, 60643

Signature of
Role Plan administrator
Date 2016-08-26
Name of individual signing RUSSEL J AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN 2014 363694404 2015-09-29 AUSTIN FAMILY DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 7732330600
Plan sponsor’s address 1532 WEST 99TH STREET, CHICAGO, IL, 60643

Signature of
Role Plan administrator
Date 2015-09-29
Name of individual signing RUSSEL J AUSTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RUSSELL AUSTIN, 2411 ST ANDREWS, OLYMPIA FIELDS, 60416, COOK-NOT IN CITY OF CHICAGO Agent 2016-08-09

President

Name and Address Role
RUSSELL AUSTIN 2411 ST, ANDREWS DR, OLYMPIA FIELDS IL, 60461 President

Secretary

Name and Address Role
MICHELE AUSTIN 2411 ST, ANDREWS DR, OLYMPIA FIELDS IL, 60461 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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