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  5. RICHARD VAN BURK, DMD, P.C.

RICHARD VAN BURK, DMD, P.C.

Company Details

Entity Name: RICHARD VAN BURK, DMD, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 06 Jan 2005
Date of Dissolution: 14 Jun 2024
Company Number: CORP_63989568
File Number: 63989568
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 14 Jun 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD VAN BURK DMD, P.C. 401(K) PLAN 2022 202137317 2023-11-22 RICHARD VAN BURK DMD P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2174423385
Plan sponsor’s address 610 N. LOGAN, DANVILLE, IL, 61832

Signature of
Role Plan administrator
Date 2023-11-22
Name of individual signing CHAD CARROLL
Valid signature Filed with authorized/valid electronic signature
RICHARD VAN BURK DMD, P.C. 401(K) PLAN 2022 202137317 2023-07-12 RICHARD VAN BURK DMD P.C. 4
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2174423385
Plan sponsor’s address 610 N. LOGAN, DANVILLE, IL, 61832

Signature of
Role Plan administrator
Date 2023-07-12
Name of individual signing RICHARD VAN BURK DMD
Valid signature Filed with authorized/valid electronic signature
RICHARD VAN BURK DMD, P.C. 401(K) PLAN 2021 202137317 2022-09-12 RICHARD VAN BURK DMD P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2174423385
Plan sponsor’s address 610 N. LOGAN, DANVILLE, IL, 61832

Signature of
Role Plan administrator
Date 2022-09-12
Name of individual signing RICHARD VAN BURK DMD
Valid signature Filed with authorized/valid electronic signature
RICHARD VAN BURK DMD, P.C. 401(K) PLAN 2020 202137317 2021-10-13 RICHARD VAN BURK DMD P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2174423385
Plan sponsor’s address 610 N. LOGAN, DANVILLE, IL, 61832
RICHARD VAN BURK DMD, P.C. 401(K) PLAN 2019 202137317 2020-10-13 RICHARD VAN BURK DMD P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2174423385
Plan sponsor’s address 610 N. LOGAN, DANVILLE, IL, 61832

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing RICHARD VAN BURK DMD
Valid signature Filed with authorized/valid electronic signature
RICHARD VAN BURK DMD, P.C. 401(K) PLAN 2018 202137317 2019-10-11 RICHARD VAN BURK DMD P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2174423385
Plan sponsor’s address 610 N. LOGAN, DANVILLE, IL, 61832

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing RICHARD VAN BURK DMD
Valid signature Filed with authorized/valid electronic signature
RICHARD VAN BURK DMD, P.C. 401(K) PLAN 2017 202137317 2018-07-18 RICHARD VAN BURK DMD P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2174423385
Plan sponsor’s address 610 N. LOGAN, DANVILLE, IL, 61832

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing RICHARD VAN BURK DMD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RICHARD M VAN BURK, 610 N LOGAN AVE, DANVILLE, 61832, VERMILION Agent 2005-01-06

President

Name and Address Role
RICHARD M VAN BURK 610 N LOGAN AVE DANVILLE 61832 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 400 200000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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