HEAD ORTHODONTICS, P.C.

Company Details

Entity Name:	HEAD ORTHODONTICS, P.C.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Goodstanding
Date Formed:	23 Jan 2003
Company Number:	CORP_62642661
File Number:	62642661
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

HEAD ORTHODONTICS, P.C. 401(K) PLAN

2010

383672572

2011-10-12

HEAD ORTHODONTICS, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621210
Sponsor’s telephone number	6308584020
Plan sponsor’s address	420 PENNSYLVANIA AVE., GLEN ELLYN, IL, 601374437

Plan administrator’s name and address

Administrator’s EIN	383672572
Plan administrator’s name	HEAD ORTHODONTICS, P.C.
Plan administrator’s address	420 PENNSYLVANIA AVE., GLEN ELLYN, IL, 601374437
Administrator’s telephone number	6308584020

Signature of

Role	Plan administrator
Date	2011-10-12
Name of individual signing	DOUGLAS HEAD, D.D.S.
Valid signature	Filed with authorized/valid electronic signature

HEAD ORTHODONTICS, P.C. 401(K) PLAN

2009

383672572

2010-09-30

HEAD ORTHODONTICS, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621210
Sponsor’s telephone number	6308584020
Plan sponsor’s address	420 PENNSYLVANIA AVE., GLEN ELLYN, IL, 601374437

Plan administrator’s name and address

Administrator’s EIN	383672572
Plan administrator’s name	HEAD ORTHODONTICS, P.C.
Plan administrator’s address	420 PENNSYLVANIA AVE., GLEN ELLYN, IL, 601374437
Administrator’s telephone number	6308584020

Signature of

Role	Plan administrator
Date	2010-09-30
Name of individual signing	DOUGLAS HEAD, D.D.S.
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
DOUGLAS W. HEAD, 420 PENNSYLVANIA AVE, GLEN ELLYN, 60137, DU PAGE	Agent	2003-01-23

Name and Address	Role
DOUGLAS W HEAD 420 PENNSYLVINAAVE GLEN ELLYN 60137	President

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	1000	100000	No data

Date of last update: 16 Jan 2025