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  5. BELNIAK & BRINK D.D.S., LTD.

BELNIAK & BRINK D.D.S., LTD.

Company Details

Entity Name: BELNIAK & BRINK D.D.S., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 28 Jan 2004
Company Number: CORP_63323187
File Number: 63323187
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
BELNIAK & BRINK, DDS LTD 401(K) SAVINGS PLAN 2018 371483446 2019-09-19 BELNIAK & BRINK D.D.S., LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6306657474
Plan sponsor’s address 10 DANADA SQUARE WEST, WHEATON, IL, 601892000

Signature of
Role Plan administrator
Date 2019-09-19
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-19
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
BELNIAK & BRINK, DDS LTD 401(K) SAVINGS PLAN 2017 371483446 2018-07-11 BELNIAK & BRINK D.D.S., LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6306657474
Plan sponsor’s address 10 DANADA SQUARE WEST, WHEATON, IL, 601892000

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing DONALD SUJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-11
Name of individual signing DONALD SUJACK
Valid signature Filed with authorized/valid electronic signature
BELNIAK & BRINK, DDS LTD 401(K) SAVINGS PLAN 2016 371483446 2017-06-08 BELNIAK & BRINK D.D.S., LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6306657474
Plan sponsor’s address 10 DANADA SQUARE WEST, WHEATON, IL, 601892000

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-08
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
BELNIAK & BRINK, DDS LTD 401(K) SAVINGS PLAN 2015 371483446 2016-07-09 BELNIAK & BRINK D.D.S., LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6306657474
Plan sponsor’s address 10 DANADA SQUARE WEST, WHEATON, IL, 601892000

Signature of
Role Plan administrator
Date 2016-07-09
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-09
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
BELNIAK & BRINK, DDS LTD 401(K) SAVINGS PLAN 2014 371483446 2015-07-16 BELNIAK & BRINK D.D.S., LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6306657474
Plan sponsor’s address 10 DANADA SQUARE WEST, WHEATON, IL, 601892000

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-16
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
BELNIAK & BRINK, DDS LTD 401(K) SAVINGS PLAN 2013 371483446 2014-07-16 BELNIAK & BRINK D.D.S., LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6306657474
Plan sponsor’s address 10 DANADA SQUARE WEST, WHEATON, IL, 601892000

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
BELNIAK & BRINK, DDS LTD 401(K) SAVINGS PLAN 2012 371483446 2013-06-26 BELNIAK & BRINK D.D.S., LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6306657474
Plan sponsor’s address 10 DANADA SQUARE WEST, WHEATON, IL, 601892000

Signature of
Role Plan administrator
Date 2013-06-26
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-26
Name of individual signing DONALD E SUJACK
Valid signature Filed with authorized/valid electronic signature
BELNIAK & BRINK, DDS LTD 401(K) SAVINGS PLAN 2011 371483446 2012-07-18 BELNIAK & BRINK D.D.S., LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6306657474
Plan sponsor’s address 10 DANADA SQUARE WEST, WHEATON, IL, 601892000

Plan administrator’s name and address
Administrator’s EIN 371483446
Plan administrator’s name BELNIAK & BRINK D.D.S., LTD.
Plan administrator’s address 10 DANADA SQUARE WEST, WHEATON, IL, 601892000
Administrator’s telephone number 6306657474

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing DONALD SUJACK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID J WINTHERS, 1N141 COUNTY FARM RD STE 230, WINFIELD, 60190, DU PAGE Agent 2016-10-17

President

Name and Address Role
MATTHEW C BRINK 10 DANADA SQUARE WEST WHEATON IL 60187 President

Secretary

Name and Address Role
MATTHEW C BRINK 10 DANADA SQUARE WEST WHEATON IL 60187 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 1

Related by officers

MATTHEW C BRINK 10 DANADA SQUARE WEST WHEATON IL 60187

MATTHEW C. BRINK D.D.S., LTD.

DAVID J WINTHERS, 1N141 COUNTY FARM RD STE 230, WINFIELD, 60190, DU PAGE

H. H. BORLAND, INC. KACEY ENTERPRISES, INC. B C G GRAPHICS, LTD. KOSLOW BICYCLE SHOP, INC. SUNRISE LANDSCAPING SERVICE INC. NOTLIM, INC. MAIN STREET AUTO PARTS, INC. CORMANY AND ASSOCIATES, INC. MCHONE ENTERPRISES INC. J & M PERFORMANCE, LTD.

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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