THOMAS T CHUNG DDS P.C.

Company Details

Entity Name:	THOMAS T CHUNG DDS P.C.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Goodstanding
Date Formed:	21 Dec 2001
Company Number:	CORP_61962271
File Number:	61962271
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

VADIM EDELSTEIN, M.D., LTD. 401(K) PROFIT SHARING PLAN

2012

364094373

2013-10-10

VADIM EDELSTEIN, M.D., LTD.

Signature of

Role	Plan administrator
Date	2013-10-10
Name of individual signing	VADIM EDELSTEIN
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-10-10
Name of individual signing	VADIM EDELSTEIN
Valid signature	Filed with authorized/valid electronic signature

VADIM EDELSTEIN, M.D., LTD. 401(K) PROFIT SHARING PLAN

2009

364094373

2010-09-09

VADIM EDELSTEIN, M.D., LTD.

Plan administrator’s name and address

Administrator’s EIN	364094373
Plan administrator’s name	VADIM EDELSTEIN, M.D., LTD.
Plan administrator’s address	155 ENID LANE, NORTHFIELD, IL, 600933128
Administrator’s telephone number	8478757741

Signature of

Role	Plan administrator
Date	2010-09-09
Name of individual signing	VADIM EDELSTEIN
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-09-09
Name of individual signing	VADIM EDELSTEIN
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
BARBARA L GROVES, 704 W SOUTH ST, FREEPORT, 61032, STEPHENSON	Agent	2017-09-12

Name and Address	Role
THOMAS T CHUNG, 4817 INSSBRUCKDR ROCKFORD IL 61107	President

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	500	100000	No data

Date of last update: 16 Jan 2025