| Entity Name: | NORTHWEST CHICAGO DENTAL, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 05 Aug 1999 |
| Company Number: | CORP_60613516 |
| File Number: | 60613516 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INSERTS USA, INC. 401(K) PLAN AND TRUST | 2010 | 362073560 | 2011-10-15 | INSERTS USA, INC. | 83 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 362073560 |
| Plan administrator’s name | INSERTS USA, INC. |
| Plan administrator’s address | 4546 W 47TH STREET, CHICAGO, IL, 60632 |
| Administrator’s telephone number | 7735235510 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-15 |
| Name of individual signing | MARTHA RAMIREZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-15 |
| Name of individual signing | MARTHA RAMIREZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1993-01-01 |
| Business code | 323100 |
| Sponsor’s telephone number | 7735235510 |
| Plan sponsor’s address | 4546 W 47TH STREET, CHICAGO, IL, 60632 |
Plan administrator’s name and address
| Administrator’s EIN | 362073560 |
| Plan administrator’s name | INSERTS USA, INC. |
| Plan administrator’s address | 4546 W 47TH STREET, CHICAGO, IL, 60632 |
| Administrator’s telephone number | 7735235510 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-12 |
| Name of individual signing | MARTHA RAMIREZ |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-09-12 |
| Name of individual signing | MARTHA RAMIREZ |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1993-01-01 |
| Business code | 323100 |
| Sponsor’s telephone number | 7735235510 |
| Plan sponsor’s address | 4546 W 47TH STREET, CHICAGO, IL, 60632 |
Plan administrator’s name and address
| Administrator’s EIN | 362073560 |
| Plan administrator’s name | INSERTS USA, INC. |
| Plan administrator’s address | 4546 W 47TH STREET, CHICAGO, IL, 60632 |
| Administrator’s telephone number | 7735235510 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-15 |
| Name of individual signing | MARTHA RAMIREZ |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-15 |
| Name of individual signing | MARTHA RAMIREZ |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1993-01-01 |
| Business code | 323100 |
| Sponsor’s telephone number | 7735235510 |
| Plan sponsor’s address | 4546 W 47TH STREET, CHICAGO, IL, 60632 |
Plan administrator’s name and address
| Administrator’s EIN | 362073560 |
| Plan administrator’s name | INSERTS USA, INC. |
| Plan administrator’s address | 4546 W 47TH STREET, CHICAGO, IL, 60632 |
| Administrator’s telephone number | 7735235510 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-27 |
| Name of individual signing | FRANK PUISIS |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-27 |
| Name of individual signing | FRANK PUISIS |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ANDREW CHOLOWICZ, 8028 N MILWAUKEE AVE STE B, NILES, 60714, COOK-NOT IN CITY OF CHICAGO | Agent | 2012-10-12 |
| Name and Address | Role |
|---|---|
| MARIUS ROG, 5408 N MILWAUKEE AVE CHICAGO IL 60630 | President |
| Name | Change Date |
|---|---|
| MARIUS ROG,D.D.S.,LTD. | 2003-11-13 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 1000000 | 1 |
Date of last update: 13 Jan 2025
