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  5. TODD A. MOLIS, D.D.S., P.C.

TODD A. MOLIS, D.D.S., P.C.

Company Details

Entity Name: TODD A. MOLIS, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Jan 2001
Company Number: CORP_61466967
File Number: 61466967
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOLIS DENTAL 401K PROFIT SHARING PLAN 2023 364414933 2024-10-07 MOLIS DENTAL 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6309201990
Plan sponsor’s address 263 WALKER AVENUE, CLARENDON HILLS, IL, 60514

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing RYAN MOLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-04
Name of individual signing RYAN MOLIS
Valid signature Filed with authorized/valid electronic signature
MOLIS DENTAL 401K PROFIT SHARING PLAN 2022 364414933 2023-10-12 MOLIS DENTAL 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6309201990
Plan sponsor’s address 263 WALKER AVENUE, CLARENDON HILLS, IL, 60514

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing RYAN MOLIS
Valid signature Filed with authorized/valid electronic signature
MOLIS DENTAL 401K PROFIT SHARING PLAN 2021 364414933 2023-05-17 MOLIS DENTAL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6309201990
Plan sponsor’s address 16W375 83RD STREET, SUITE 1, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2023-05-17
Name of individual signing RYAN MOLIS
Valid signature Filed with authorized/valid electronic signature
MOLIS DENTAL 401K PROFIT SHARING PLAN 2021 364414933 2022-10-17 MOLIS DENTAL 15
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6309201990
Plan sponsor’s address 16W375 83RD STREET, SUITE 1, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing RYAN MOLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing RYAN MOLIS
Valid signature Filed with authorized/valid electronic signature
MOLIS DENTAL 401K PROFIT SHARING PLAN 2020 364414933 2021-08-20 MOLIS DENTAL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6309201990
Plan sponsor’s address 16W375 83RD STREET, SUITE 1, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2021-08-20
Name of individual signing RYAN MOLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-20
Name of individual signing RYAN MOLIS
Valid signature Filed with authorized/valid electronic signature
MOLIS DENTAL 401K PROFIT SHARING PLAN 2019 364414933 2020-07-19 MOLIS DENTAL 15
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6309201990
Plan sponsor’s address 16W375 83RD STREET, SUITE 1, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2020-07-19
Name of individual signing RYAN J. MOLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-19
Name of individual signing RYAN J. MOLIS
Valid signature Filed with authorized/valid electronic signature
MOLIS DENTAL 401K PROFIT SHARING PLAN 2019 364414933 2020-07-19 MOLIS DENTAL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6309201990
Plan sponsor’s address 16W375 83RD STREET, SUITE 1, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2020-07-19
Name of individual signing BENETECH, INC.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-19
Name of individual signing RYAN J. MOLIS
Valid signature Filed with authorized/valid electronic signature
MOLIS DENTAL 401K PROFIT SHARING PLAN 2018 364414933 2019-06-11 MOLIS DENTAL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6309201990
Plan sponsor’s address 16W375 83RD STREET, SUITE 1, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2019-06-11
Name of individual signing JILL MOLIS
Valid signature Filed with authorized/valid electronic signature
MOLIS DENTAL 401K PROFIT SHARING PLAN 2017 364414933 2018-05-22 MOLIS DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6309201990
Plan sponsor’s address 16W375 83RD STREET, SUITE 1, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2018-05-22
Name of individual signing RYAN MOLIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MRJENOVICH & BERTUCCI, LTD, 7055 VETERANS BLVD STE D, BURR RIDGE, 60527, DU PAGE Agent 2023-02-24

President

Name and Address Role
RYAN MOLIS 263 WALKER AVE CLARENDON HILLS IL 60521 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
MOLIS DENTAL 1, P.C. No data 2013-06-07 2020-06-12 Involuntary Cancellation No data
MOLIS DENTAL Assume Name 2005-07-08 No data No data No data
BURR RIDGE DENTAL ASSOCIATES No data 2001-05-11 2020-06-12 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 2500 1000000 No data

Related by officers

MRJENOVICH & BERTUCCI, LTD, 7055 VETERANS BLVD STE D, BURR RIDGE, 60527, DU PAGE

STAFFING INC. LAKESHORE LEGACY, LTD.

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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