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  5. RANDALL OLIVA D.D.S., P.C.

RANDALL OLIVA D.D.S., P.C.

Company Details

Entity Name: RANDALL OLIVA D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 26 Dec 2001
Date of Dissolution: 01 Oct 2021
Company Number: CORP_61945954
File Number: 61945954
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 01 Oct 2021
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RANDALL OLIVA, D.D.S., P.C. 401(K) P/S PLAN 2020 260004082 2021-03-23 RANDALL OLIVA, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472922700
Plan sponsor’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554

Signature of
Role Plan administrator
Date 2021-03-23
Name of individual signing RANDALL OLIVA
Valid signature Filed with authorized/valid electronic signature
RANDALL OLIVA, D.D.S., P.C. 401(K) P/S PLAN 2019 260004082 2020-03-25 RANDALL OLIVA, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472922700
Plan sponsor’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554

Signature of
Role Plan administrator
Date 2020-03-25
Name of individual signing RANDALL OLIVA
Valid signature Filed with authorized/valid electronic signature
RANDALL OLIVA, D.D.S., P.C. 401(K) P/S PLAN 2018 260004082 2019-07-18 RANDALL OLIVA, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472922700
Plan sponsor’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing RANDALL OLIVA
Valid signature Filed with authorized/valid electronic signature
RANDALL OLIVA, D.D.S., P.C. 401(K) P/S PLAN 2017 260004082 2018-06-15 RANDALL OLIVA, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472922700
Plan sponsor’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554

Signature of
Role Plan administrator
Date 2018-06-15
Name of individual signing RANDALL OLIVA
Valid signature Filed with authorized/valid electronic signature
RANDALL OLIVA, D.D.S., P.C. 401(K) P/S PLAN 2016 260004082 2017-04-15 RANDALL OLIVA, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472922700
Plan sponsor’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554

Signature of
Role Plan administrator
Date 2017-04-15
Name of individual signing RANDALL OLIVA
Valid signature Filed with authorized/valid electronic signature
RANDALL OLIVA, D.D.S., P.C. 401(K) P/S PLAN 2015 260004082 2016-09-16 RANDALL OLIVA, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472922700
Plan sponsor’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554

Signature of
Role Plan administrator
Date 2016-09-16
Name of individual signing RANDALL OLIVA
Valid signature Filed with authorized/valid electronic signature
RANDALL OLIVA, D.D.S., P.C. 401(K) P/S PLAN 2014 260004082 2015-09-13 RANDALL OLIVA, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472922700
Plan sponsor’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554

Signature of
Role Plan administrator
Date 2015-09-13
Name of individual signing RANDALL OLIVA
Valid signature Filed with authorized/valid electronic signature
RANDALL OLIVA, D.D.S., P.C. 401(K) P/S PLAN 2013 260004082 2014-10-15 RANDALL OLIVA, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472922700
Plan sponsor’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing RANDALL OLIVA
Valid signature Filed with authorized/valid electronic signature
RANDALL OLIVA, D.D.S., P.C. 401(K) P/S PLAN 2012 260004082 2013-06-25 RANDALL OLIVA, D.D.S., P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472922700
Plan sponsor’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing RANDALL OLIVA
Valid signature Filed with authorized/valid electronic signature
RANDALL OLIVA, D.D.S., P.C. 401(K) P/S PLAN 2011 260004082 2012-09-21 RANDALL OLIVA, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8472922700
Plan sponsor’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554

Plan administrator’s name and address
Administrator’s EIN 260004082
Plan administrator’s name RANDALL OLIVA, D.D.S., P.C.
Plan administrator’s address 650 N. NORTHWEST HIGHWAY, PARK RIDGE, IL, 600682554
Administrator’s telephone number 8472922700

Signature of
Role Plan administrator
Date 2012-09-21
Name of individual signing RANDALL OLIVA, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-21
Name of individual signing RANDALL OLIVA, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KIM R DENKEWALTER, 1835 ROHLWING RD STE D, ROLLING MEADOWS, 60008, COOK-NOT IN CITY OF CHICAGO Agent 2015-11-23

President

Name and Address Role
RANDALL OLIVA 1338 S CHESTER AVE, PARK RIDGE, IL 60068 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

Related by officers

KIM R DENKEWALTER, 1835 ROHLWING RD STE D, ROLLING MEADOWS, 60008, COOK-NOT IN CITY OF CHICAGO

2124 W. EVERGREEN CONDO ASSOCIATION MANUFACTURERSLINK, INC.

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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