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GENEVA FAMILY DENTAL, P.C.

Company Details

Entity Name: GENEVA FAMILY DENTAL, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 12 Oct 2004
Company Number: CORP_63831565
File Number: 63831565
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
GENEVA FAMILY DENTAL PC 401(K) PROFIT SHARING PLAN 2023 201771661 2024-06-06 GENEVA FAMILY DENTAL, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6302621055
Plan sponsor’s address 2631 WILLIAMSBURG AVE #201, GENEVA, IL, 60134

Signature of

Role Plan administrator
Date 2024-06-06
Name of individual signing MELISSA JENTZ-COTE
Valid signature Filed with authorized/valid electronic signature
GENEVA FAMILY DENTAL PC 401(K) PROFIT SHARING PLAN 2022 201771661 2023-05-25 GENEVA FAMILY DENTAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6302621055
Plan sponsor’s address 2631 WILLIAMSBURG AVE #201, GENEVA, IL, 60134

Signature of

Role Plan administrator
Date 2023-05-25
Name of individual signing MELISSA JENTZE-COTE
Valid signature Filed with authorized/valid electronic signature
GENEVA FAMILY DENTAL PC 401(K) PROFIT SHARING PLAN 2021 201771661 2022-07-17 GENEVA FAMILY DENTAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6302621055
Plan sponsor’s address 2631 WILLIAMSBURG AVE #201, GENEVA, IL, 60134

Signature of

Role Plan administrator
Date 2022-07-17
Name of individual signing MELISSA JENTZE-COTE
Valid signature Filed with authorized/valid electronic signature
GENEVA FAMILY DENTAL PC 401(K) PROFIT SHARING PLAN 2020 201771661 2021-06-22 GENEVA FAMILY DENTAL, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6302621055
Plan sponsor’s address 2631 WILLIAMSBURG AVE #201, GENEVA, IL, 60134

Signature of

Role Plan administrator
Date 2021-06-22
Name of individual signing MELISSA JENTZE-COTE
Valid signature Filed with authorized/valid electronic signature
GENEVA FAMILY DENTAL PC 401(K) PROFIT SHARING PLAN 2019 201771661 2020-10-07 GENEVA FAMILY DENTAL, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6302621055
Plan sponsor’s address 2631 WILLIAMSBURG AVE. #201, GENEVA, IL, 60134

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing MELISSA JENTZE-COTE
Valid signature Filed with authorized/valid electronic signature
GENEVA FAMILY DENTAL PC 401(K) PROFIT SHARING PLAN 2018 201771661 2019-10-10 GENEVA FAMILY DENTAL, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6302621055
Plan sponsor’s address 2631 WILLIAMSBURG AVE. #201, GENEVA, IL, 60134

Signature of

Role Plan administrator
Date 2019-10-09
Name of individual signing MELISSA JENTZ-COTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-09
Name of individual signing MELISSA JENTZ-COTE
Valid signature Filed with authorized/valid electronic signature
GENEVA FAMILY DENTAL PC 401(K) PROFIT SHARING PLAN 2017 201771661 2018-06-29 GENEVA FAMILY DENTAL, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6302621055
Plan sponsor’s address 2631 WILLIAMSBURG AVE. #201, GENEVA, IL, 60134

Signature of

Role Plan administrator
Date 2018-06-14
Name of individual signing MELISSA JENTZ-COTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-14
Name of individual signing MELISSA JENTZ-COTE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFFREY M JAROSKY, 1 TOWER LN STE #2050, OAKBROOK TERRACE, 60181, DU PAGE Agent 2019-12-06

President

Name and Address Role
MELISSA JENTZ, 39W117 EAST MALLORY DRIVE, GENEVA IL 60134 President

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State