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GREGORY P. MARTIN, D.D.S., P.C.

Company Details

Entity Name: GREGORY P. MARTIN, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 12 Nov 2004
Company Number: CORP_63896616
File Number: 63896616
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
GREGORY P MARTIN DDS PC 401(K) PLAN 2022 201989536 2023-05-24 GREGORY P MARTIN 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2173593925
Plan sponsor’s address 2502 GALEN DR, STE. 101, CHAMPAIGN, IL, 61821

Signature of

Role Plan administrator
Date 2023-05-24
Name of individual signing KAREN MARTIN
Valid signature Filed with authorized/valid electronic signature
GREGORY P MARTIN DDS PC 401(K) PLAN 2021 201989536 2022-05-18 GREGORY P MARTIN 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2173593925
Plan sponsor’s address 2502 GALEN DR, STE. 101, CHAMPAIGN, IL, 61821

Signature of

Role Plan administrator
Date 2022-05-18
Name of individual signing KAREN MARTIN
Valid signature Filed with authorized/valid electronic signature
GREGORY P MARTIN DDS PC 401(K) PLAN 2020 201989536 2021-03-12 GREGORY P MARTIN 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2173593925
Plan sponsor’s address 2502 GALEN DR, STE. 101, CHAMPAIGN, IL, 61821

Signature of

Role Plan administrator
Date 2021-03-12
Name of individual signing KAREN MARTIN
Valid signature Filed with authorized/valid electronic signature
GREGORY P MARTIN DDS PC 401(K) PLAN 2019 201989536 2020-02-10 GREGORY P MARTIN 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2173593925
Plan sponsor’s address 2502 GALEN DR, STE. 101, CHAMPAIGN, IL, 61821

Signature of

Role Plan administrator
Date 2020-02-10
Name of individual signing KAREN MARTIN
Valid signature Filed with authorized/valid electronic signature
GREGORY P MARTIN DDS PC 401(K) PLAN 2018 201989536 2019-03-13 GREGORY P MARTIN 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2173593925
Plan sponsor’s address 2502 GALEN DR, STE. 101, CHAMPAIGN, IL, 61821

Signature of

Role Plan administrator
Date 2019-03-13
Name of individual signing KAREN MARTIN
Valid signature Filed with authorized/valid electronic signature
GREGORY P MARTIN DDS PC 401(K) PLAN 2017 201989536 2018-01-30 GREGORY P MARTIN 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2173593925
Plan sponsor’s address 2502 GALEN DR, STE. 101, CHAMPAIGN, IL, 61821

Signature of

Role Plan administrator
Date 2018-01-30
Name of individual signing KAREN MARTIN
Valid signature Filed with authorized/valid electronic signature
GREGORY P MARTIN DDS PC 401(K) PLAN 2016 201989536 2017-01-19 GREGORY P MARTIN 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2173593925
Plan sponsor’s address 1210 LANCASTER DR, CHAMPAIGN, IL, 61821

Signature of

Role Plan administrator
Date 2017-01-19
Name of individual signing KAREN MARTIN
Valid signature Filed with authorized/valid electronic signature
GREGORY P MARTIN DDS PC 401(K) PLAN 2015 201989536 2016-01-27 GREGORY P MARTIN 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2173593925
Plan sponsor’s address 1210 LANCASTER DR, CHAMPAIGN, IL, 61821

Signature of

Role Plan administrator
Date 2016-01-27
Name of individual signing KAREN MARTIN
Valid signature Filed with authorized/valid electronic signature
GREGORY P MARTIN DDS PC 401(K) PLAN 2014 201989536 2015-01-14 GREGORY P MARTIN 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2173593925
Plan sponsor’s address 1210 LANCASTER DR, CHAMPAIGN, IL, 61821

Signature of

Role Plan administrator
Date 2015-01-14
Name of individual signing KAREN MARTIN
Valid signature Filed with authorized/valid electronic signature
GREGORY P MARTIN DDS PC 401(K) PLAN 2013 201989536 2014-01-15 GREGORY P MARTIN 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2173593925
Plan sponsor’s address 1210 LANCASTER DR, CHAMPAIGN, IL, 61821

Signature of

Role Plan administrator
Date 2014-01-15
Name of individual signing KAREN MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GREGORY P MARTIN, 2607 PINE VALLEY DR, CHAMPAIGN, 61822, CHAMPAIGN Agent 2024-01-09

President

Name and Address Role
GREGORY P, MARTIN 2607 PINE VALLEY DRIVE CHAMPAIGN IL, 61822 President

Secretary

Name and Address Role
KAREN L, MARTIN 2607 PINE VALLEY DRIVE CHAMPAIGN IL, 61822 Secretary

Shares

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

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State