| Entity Name: | PETERSON ORTHODONTICS LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 15 Nov 2000 |
| Company Number: | CORP_61341587 |
| File Number: | 61341587 |
| 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 | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETERSON ORTHODONTICS LTD 401K PROFIT PLAN & TRUST | 2019 | 383670084 | 2021-12-21 | PETERSON ORTHODONTICS LTD | 6 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-12-21 |
| Name of individual signing | MARY JO PETERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-12-21 |
| Name of individual signing | MARY JO PETERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 8476982200 |
| Plan sponsor’s address | 747 W DEVON AVE, PARK RIDGE, IL, 60068 |
Signature of
| Role | Plan administrator |
| Date | 2019-07-29 |
| Name of individual signing | JEFFERY ROZOVICS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 8476982200 |
| Plan sponsor’s address | 747 W DEVON AVE, PARK RIDGE, IL, 60068 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-21 |
| Name of individual signing | MARY PETERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ROBERT M PETERSON, 747 W DEVON AVE, PARK RIDGE, 60068, COOK-NOT IN CITY OF CHICAGO | Agent | 2000-11-15 |
| Name and Address | Role |
|---|---|
| ROBERT M PETERSON, 727 S CLINTON AVE, PARK RIDGE 60068 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 1000000 | No data |
Date of last update: 16 Jan 2025
