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  5. MARK D. ZAAYENGA, DDS, LTD.

MARK D. ZAAYENGA, DDS, LTD.

Company Details

Entity Name: MARK D. ZAAYENGA, DDS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Feb 2002
Company Number: CORP_62019565
File Number: 62019565
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
MARK D ZAAYENGA DDS LTD 2017 752990480 2018-10-10 MARK D ZAAYENGA DDS LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3093464544
Plan sponsor’s address 1413 VALLE VISTA BLVD, PEKIN, IL, 615546223

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature
MARK D ZAAYENGA DDS LTD 2016 752990480 2017-10-04 MARK D ZAAYENGA DDS LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3093464544
Plan sponsor’s address 1413 VALLE VISTA BLVD, PEKIN, IL, 615546223

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature
MARK D ZAAYENGA DDS LTD EMPLOYEES PROFIT SHARING PLAN AND TRUST 2015 752990480 2016-10-14 MARK D ZAAYENGA DDS LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3093464544
Plan sponsor’s address 1413 VALLE VISTA BLVD, PEKIN, IL, 615546223

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature
MARK D ZAAYENGA DDS LTD EMPLOYEES PROFIT SHARING PLAN AND TRUST 2014 752990480 2015-07-20 MARK D ZAAYENGA DDS LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3093464544
Plan sponsor’s address 1413 VALLEY VISTA, PEKIN, IL, 61554

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature
MARK D ZAAYENGA DDS LTD EMPLOYEES PROFIT SHARING PLAN AND TRUST 2013 752990480 2014-08-28 MARK D ZAAYENGA DDS LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3093464544
Plan sponsor’s address 1413 VALLEY VISTA, PEKIN, IL, 61554

Signature of
Role Plan administrator
Date 2014-08-28
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-28
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature
MARK D ZAAYENGA DDS LTD EMPLOYEES PROFIT SHARING PLAN AND TRUST 2012 752990480 2013-10-09 MARK D ZAAYENGA DDS LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3093464544
Plan sponsor’s address 1413 VALLEY VISTA, PEKIN, IL, 61554

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature
MARK D ZAAYENGA DDS LTD EMPLOYEES PROFIT SHARING PLAN AND TRUST 2011 752990480 2012-10-09 MARK D ZAAYENGA DDS LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3093464544
Plan sponsor’s address 1413 VALLEY VISTA, PEKIN, IL, 61554

Plan administrator’s name and address
Administrator’s EIN 752990480
Plan administrator’s name MARK D ZAAYENGA DDS LTD
Plan administrator’s address 1413 VALLEY VISTA, PEKIN, IL, 61554

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature
MARK D ZAAYENGA DDS LTD EMPLOYEES PROFIT SHARING PLAN AND TRUST 2010 752990480 2011-10-10 MARK D ZAAYENGA DDS LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3093464544
Plan sponsor’s address 1413 VALLEY VISTA, PEKIN, IL, 61554

Plan administrator’s name and address
Administrator’s EIN 752990480
Plan administrator’s name MARK D ZAAYENGA DDS LTD
Plan administrator’s address 1413 VALLEY VISTA, PEKIN, IL, 61554
Administrator’s telephone number 3093464544

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature
MARK D ZAAYENGA DDS LTD EMPLOYEES PROFIT SHARING PLAN AND TRUST 2009 752990480 2010-09-28 MARK D ZAAYENGA DDS LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3093464544
Plan sponsor’s address 1413 VALLEY VISTA, PEKIN, IL, 61554

Plan administrator’s name and address
Administrator’s EIN 752990480
Plan administrator’s name MARK D ZAAYENGA DDS LTD
Plan administrator’s address 1413 VALLEY VISTA, PEKIN, IL, 61554
Administrator’s telephone number 3093464544

Signature of
Role Plan administrator
Date 2010-09-28
Name of individual signing HENRY HEMMEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARK D ZAAYENGA, 1413 VALLE VISTA BLVD, PEKIN, 61554, TAZEWELL Agent 2003-01-27

Secretary

Name and Address Role
MARK D ZAAYENGA, 1413 VALLE VISTA BLVD PEKIN 61554 Secretary

President

Name and Address Role
MARK D ZAAYENGA, 1413 VALLE VISTA BLVD PEKIN 61554 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060008027 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2002-02-26 2021-10-29 2025-01-01

Shares

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

Related by officers

No related officers

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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