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RUSSELL S. POLLINA, D.D.S., P.C.

Company Details

Entity Name: RUSSELL S. POLLINA, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 21 Feb 2001
Company Number: CORP_61492577
File Number: 61492577
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
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2023 364423165 2024-10-03 RUSSELL S. POLLINA, D.D.S., P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-03
Business code 621210
Sponsor’s telephone number 8473922457
Plan sponsor’s address 601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379

Signature of

Role Plan administrator
Date 2024-10-03
Name of individual signing RUSSELL S POLLINA
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2022 364423165 2023-07-03 RUSSELL S. POLLINA, D.D.S., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-03
Business code 621210
Sponsor’s telephone number 8473922457
Plan sponsor’s address 601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379

Signature of

Role Plan administrator
Date 2023-07-03
Name of individual signing RUSSELL S POLLINA
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2021 364423165 2022-06-28 RUSSELL S. POLLINA, D.D.S., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-03
Business code 621210
Sponsor’s telephone number 8473922457
Plan sponsor’s address 601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379

Signature of

Role Plan administrator
Date 2022-06-28
Name of individual signing RUSSELL S. POLLINA
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2020 364423165 2021-08-29 RUSSELL S. POLLINA, D.D.S., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-03
Business code 621210
Sponsor’s telephone number 8473922457
Plan sponsor’s address 601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379

Signature of

Role Plan administrator
Date 2021-08-29
Name of individual signing RUSSELL S. POLLINA
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2019 364423165 2020-10-02 RUSSELL S. POLLINA, D.D.S., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-03
Business code 621210
Sponsor’s telephone number 8473922457
Plan sponsor’s address 601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379

Signature of

Role Plan administrator
Date 2020-10-02
Name of individual signing RUSSELL S. POLLINA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing RUSSELL S. POLLINA
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. POLLINA, D.D.S., P.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2019 364423165 2020-10-02 RUSSELL S. POLLINA, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8473922457
Plan sponsor’s address 601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379

Signature of

Role Plan administrator
Date 2020-10-02
Name of individual signing RUSSELL S. POLLINA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing RUSSELL S. POLLINA
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. POLLINA, D.D.S., P.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2018 364423165 2019-10-11 RUSSELL S. POLLINA, D.D.S., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8473922457
Plan sponsor’s address 601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing RUSSELL S. POLLINA
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2018 364423165 2019-10-11 RUSSELL S. POLLINA, D.D.S., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-03
Business code 621210
Sponsor’s telephone number 8473922457
Plan sponsor’s address 601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing RUSSELL S. POLLINA
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. POLLINA, D.D.S., P.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2017 364423165 2018-09-03 RUSSELL S. POLLINA, D.D.S., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8473922457
Plan sponsor’s address 601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379

Signature of

Role Plan administrator
Date 2018-09-03
Name of individual signing RUSSELL S. POLLINA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-03
Name of individual signing RUSSELL S POLLINA
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2017 364423165 2018-09-03 RUSSELL S. POLLINA, D.D.S., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-03
Business code 621210
Sponsor’s telephone number 8473922457
Plan sponsor’s address 601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379

Signature of

Role Plan administrator
Date 2018-09-03
Name of individual signing RUSSELL S. POLLINA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-03
Name of individual signing RUSSELL S POLLINA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LINDA L YATES, 10188 BENNINGTON DR, HUNTLEY, 60142, MC HENRY Agent 2023-07-07

Secretary

Name and Address Role
RUSSELL POLLINA 601 W CENTRALROAD #4 MT PROSPECT IL 60056 Secretary

President

Name and Address Role
RUSSELL POLLINA 601 W CENTRALROAD #4 MT PROSPECT IL 60056 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 1

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State