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BLUE SKY DENTAL CARE, LTD.

Company Details

Entity Name: BLUE SKY DENTAL CARE, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Merged/Consolidated
Date Formed: 15 Apr 2004
Company Number: CORP_63491659
File Number: 63491659
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 17 Feb 2012
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUE SKY DENTAL CARE 401(K) PLAN 2010 201005944 2011-07-11 BLUE SKY DENTAL CARE, LTD. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-06-01
Business code 621210
Sponsor’s telephone number 6183462006
Plan sponsor’s address C/O BLUE SKY DENTAL MANAGEMENT, LLC, P.O. BOX 36, MARYVILLE, IL, 62062

Plan administrator’s name and address

Administrator’s EIN 201005944
Plan administrator’s name BLUE SKY DENTAL CARE, LTD.
Plan administrator’s address C/O BLUE SKY DENTAL MANAGEMENT, LLC, P.O. BOX 36, MARYVILLE, IL, 62062
Administrator’s telephone number 6183462006

Signature of

Role Plan administrator
Date 2011-07-11
Name of individual signing AMANDA HENDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-11
Name of individual signing AMANDA HENDERSON
Valid signature Filed with authorized/valid electronic signature
BLUE SKY DENTAL CARE 401(K) PLAN 2009 201005944 2010-07-12 BLUE SKY DENTAL CARE, LTD. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-06-01
Business code 621210
Sponsor’s telephone number 6183462006
Plan sponsor’s address P.O. BOX 36, MARYVILLE, IL, 62062

Plan administrator’s name and address

Administrator’s EIN 201005944
Plan administrator’s name BLUE SKY DENTAL CARE, LTD.
Plan administrator’s address P.O. BOX 36, MARYVILLE, IL, 62062
Administrator’s telephone number 6183462006

Signature of

Role Plan administrator
Date 2010-07-12
Name of individual signing RONALD D WEEMS JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-12
Name of individual signing RONALD D WEEMS JR
Valid signature Filed with authorized/valid electronic signature
BLUE SKY DENTAL CARE 401(K) PLAN 2009 201005944 2010-07-12 BLUE SKY DENTAL CARE, LTD. 29
Three-digit plan number (PN) 001
Effective date of plan 2007-06-01
Business code 621210
Sponsor’s telephone number 6183462006
Plan sponsor’s address P.O. BOX 36, MARYVILLE, IL, 62062

Plan administrator’s name and address

Administrator’s EIN 201005944
Plan administrator’s name BLUE SKY DENTAL CARE, LTD.
Plan administrator’s address P.O. BOX 36, MARYVILLE, IL, 62062
Administrator’s telephone number 6183462006

Signature of

Role Plan administrator
Date 2010-07-12
Name of individual signing RONALD D WEEMS JR
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-12
Name of individual signing RONALD D WEEMS JR
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
ANDREW C SPECIALE, 130 NORTH MAIN ST, EDWARDSVILLE, 62025, MADISON Agent 2011-03-17

President

Name and Address Role
RONALD, WEEMS JR 3005 SUNSET HILLS BLVD S EDWARDSVILLE 62025 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 500000 No data

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State