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  5. SMILES PLUS DENTAL CARE OF GILLESPIE, P.C.

SMILES PLUS DENTAL CARE OF GILLESPIE, P.C.

Company Details

Entity Name: SMILES PLUS DENTAL CARE OF GILLESPIE, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 21 May 2001
Date of Dissolution: 29 Apr 2022
Company Number: CORP_61627898
File Number: 61627898
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 29 Apr 2022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMILES PLUS DENTAL CARE 401K PLAN 2013 371410727 2014-01-21 SMILES PLUS DENTAL CARE OF GILLESPIE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2178392135
Plan sponsor’s address 709 STAUNTON RD, GILLESPIE, IL, 620331756

Plan administrator’s name and address
Administrator’s EIN 371410727
Plan administrator’s name SMILES PLUS DENTAL CARE OF GILLESPIE, P.C.
Plan administrator’s address 709 STAUNTON RD, GILLESPIE, IL, 620331756
Administrator’s telephone number 2178392135

Signature of
Role Plan administrator
Date 2014-01-21
Name of individual signing ROY NORTHCUTT
Valid signature Filed with authorized/valid electronic signature
SMILES PLUS DENTAL CARE 401K PLAN 2012 371410727 2013-05-23 SMILES PLUS DENTAL CARE OF GILLESPIE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2178392135
Plan sponsor’s address 709 STAUNTON RD, GILLESPIE, IL, 620331756

Plan administrator’s name and address
Administrator’s EIN 371410727
Plan administrator’s name SMILES PLUS DENTAL CARE OF GILLESPIE, P.C.
Plan administrator’s address 709 STAUNTON RD, GILLESPIE, IL, 620331756
Administrator’s telephone number 2178392135

Signature of
Role Plan administrator
Date 2013-05-23
Name of individual signing ROY NORTHCUTT
Valid signature Filed with authorized/valid electronic signature
SMILES PLUS DENTAL CARE 401K PLAN 2011 371410727 2012-10-08 SMILES PLUS DENTAL CARE OF GILLESPIE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2178392135
Plan sponsor’s address 709 STAUNTON RD, GILLESPIE, IL, 620331756

Plan administrator’s name and address
Administrator’s EIN 371410727
Plan administrator’s name SMILES PLUS DENTAL CARE OF GILLESPIE, P.C.
Plan administrator’s address 709 STAUNTON RD, GILLESPIE, IL, 620331756
Administrator’s telephone number 2178392135

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing ROY NORTHCUTT
Valid signature Filed with authorized/valid electronic signature
SMILES PLUS DENTAL CARE 401K PLAN 2010 371410727 2011-07-06 SMILES PLUS DENTAL CARE OF GILLESPIE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2178392135
Plan sponsor’s address 709 STAUNTON RD, GILLESPIE, IL, 620331756

Plan administrator’s name and address
Administrator’s EIN 371410727
Plan administrator’s name SMILES PLUS DENTAL CARE OF GILLESPIE, P.C.
Plan administrator’s address 709 STAUNTON RD, GILLESPIE, IL, 620331756
Administrator’s telephone number 2178392135

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing ROY NORTHCUTT
Valid signature Filed with authorized/valid electronic signature
SMILES PLUS DENTAL CARE 401K PLAN 2009 371410727 2010-07-27 SMILES PLUS DENTAL CARE OF GILLESPIE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2178392135
Plan sponsor’s address 709 STAUNTON RD, GILLESPIE, IL, 620331756

Plan administrator’s name and address
Administrator’s EIN 371410727
Plan administrator’s name SMILES PLUS DENTAL CARE OF GILLESPIE, P.C.
Plan administrator’s address 709 STAUNTON RD, GILLESPIE, IL, 620331756
Administrator’s telephone number 2178392135

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing ROY NORTHCUTT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARK C GOLDENBERG, 2227 S STATE RT 157, EDWARDSVILLE, 62025, MADISON Agent 2001-05-21

President

Name and Address Role
ROY G NORTHCUTT, 109 EMERALD HILL DR EDWARDSVILLE 62025 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 2000 1000000 10

Related by officers

MARK C GOLDENBERG, 2227 S STATE RT 157, EDWARDSVILLE, 62025, MADISON

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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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