DANIEL J. MOFFETT, D.D.S., P.C.

Company Details

Entity Name:	DANIEL J. MOFFETT, D.D.S., P.C.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Goodstanding
Date Formed:	04 Jan 2002
Company Number:	CORP_61980296
File Number:	61980296
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

DANIEL J. MOFFETT D.D.S., P.C. PROFIT SHARING PLAN AND TRUST

2009

371416313

2010-07-28

DANIEL J. MOFFETT D.D.S., P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2174823706
Plan sponsor’s address	1100 WILLIAMS BLVD, SPRINGFIELD, IL, 62704

Plan administrator’s name and address

Administrator’s EIN	371416313
Plan administrator’s name	DANIEL J. MOFFETT D.D.S., P.C.
Plan administrator’s address	1100 WILLIAMS BLVD, SPRINGFIELD, IL, 62704
Administrator’s telephone number	2174823706

Signature of

Role	Plan administrator
Date	2010-07-28
Name of individual signing	GARLAND BRINNER
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
DANIEL J MOFFETT, 1100 WILLIAMS BLVD, SPRINGFIELD, 62704, SANGAMON	Agent	2006-12-26

Name and Address	Role
DANIEL J MOFFETT 1100 WILLIAMSBLVD SPRINGFIELD 62704	President

Name and Address	Role
DANIEL J MOFFETT	Secretary

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

Date of last update: 20 Jan 2025