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  5. MEADOWVIEW DENTAL GROUP, LTD.

MEADOWVIEW DENTAL GROUP, LTD.

Company Details

Entity Name: MEADOWVIEW DENTAL GROUP, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 14 Dec 2004
Company Number: CORP_63915009
File Number: 63915009
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
MEADOWVIEW DENTAL GROUP RETIREMENT PLAN 2023 202020183 2024-08-26 MEADOWVIEW DENTAL GROUP, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6183922811
Plan sponsor’s address 1104 N. EAST STREET, OLNEY, IL, 62450

Signature of
Role Plan administrator
Date 2024-08-26
Name of individual signing KEVIN BOOKHOUT
Valid signature Filed with authorized/valid electronic signature
MEADOWVIEW DENTAL GROUP RETIREMENT PLAN 2019 202020183 2020-10-15 MEADOWVIEW DENTAL GROUP, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6183922811
Plan sponsor’s address 1104 N. EAST STREET, OLNEY, IL, 62450

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing KEVIN BOOKHOUT
Valid signature Filed with authorized/valid electronic signature
MEADOWVIEW DENTAL GROUP RETIREMENT PLAN 2018 202020183 2019-07-23 MEADOWVIEW DENTAL GROUP, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6183922811
Plan sponsor’s address 1104 N. EAST STREET, OLNEY, IL, 62450

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing PATRICIA KESSLER-BOOKHOUT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-23
Name of individual signing PATRICIA KESSLER-BOOKHOUT
Valid signature Filed with authorized/valid electronic signature
MEADOWVIEW DENTAL GROUP RETIREMENT PLAN 2017 202020183 2018-08-29 MEADOWVIEW DENTAL GROUP, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6183922811
Plan sponsor’s address 1104 N. EAST STREET, OLNEY, IL, 62450

Signature of
Role Plan administrator
Date 2018-08-29
Name of individual signing PATRICIA L. KESSLER-BOOKHOUT,DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-29
Name of individual signing PATRICIA L. KESSLER-BOOKHOUT,DMD
Valid signature Filed with authorized/valid electronic signature
MEADOWVIEW DENTAL GROUP RETIREMENT PLAN 2016 202020183 2017-07-24 MEADOWVIEW DENTAL GROUP, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6183922811
Plan sponsor’s address 1104 N. EAST STREET, OLNEY, IL, 62450

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing PATRICIA L. KESSLER-BOOKHOUT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-24
Name of individual signing PATRICIA L. KESSLER-BOOKHOUT
Valid signature Filed with authorized/valid electronic signature
MEADOWVIEW DENTAL GROUP RETIREMENT PLAN 2015 202020183 2016-10-06 MEADOWVIEW DENTAL GROUP, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6183922811
Plan sponsor’s address 1104 N. EAST STREET, OLNEY, IL, 62450

Signature of
Role Plan administrator
Date 2016-10-06
Name of individual signing PATRICIA L. KESSLER-BOOKHOUT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-06
Name of individual signing PATRICIA L. KESSLER-BOOKHOUT
Valid signature Filed with authorized/valid electronic signature
MEADOWVIEW DENTAL GROUP RETIREMENT PLAN 2014 202020183 2015-07-27 MEADOWVIEW DENTAL GROUP, LTD 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6183922811
Plan sponsor’s address 1104 N. EAST STREET, OLNEY, IL, 62450

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing DR. PATRICIA KESSLER-BOOKHOUT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KEVIN B BOOKHOUT, 1104 N EAST ST, OLNEY, 62450, RICHLAND Agent 2004-12-14

President

Name and Address Role
PATRICIA KESSLER-BOOKHOUT, 1104 N EAST ST, OLNEY 62450 President

Secretary

Name and Address Role
NONE Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060009844 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2008-05-02 2023-01-30 2025-01-01

Shares

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

Related by officers

NONE

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Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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