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  5. ROSELLE DENTAL CENTER, P.C.

ROSELLE DENTAL CENTER, P.C.

Company Details

Entity Name: ROSELLE DENTAL CENTER, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 08 Mar 2005
Company Number: CORP_64096516
File Number: 64096516
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
ROSELLE DENTAL CENTER, P.C. PROFIT SHARING PLAN 2023 202516107 2024-06-11 ROSELLE DENTAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6308934200
Plan sponsor’s address 603 IRVING PARK ROAD, ROSELLE, IL, 60172
ROSELLE DENTAL CENTER, P.C. PROFIT SHARING PLAN 2022 202516107 2023-04-25 ROSELLE DENTAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6308934200
Plan sponsor’s address 603 IRVING PARK ROAD, ROSELLE, IL, 60172

Signature of
Role Plan administrator
Date 2023-04-25
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
ROSELLE DENTAL CENTER, P.C. PROFIT SHARING PLAN 2021 202516107 2022-03-11 ROSELLE DENTAL CENTER, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6308934200
Plan sponsor’s address 603 IRVING PARK ROAD, ROSELLE, IL, 60172

Signature of
Role Plan administrator
Date 2022-03-11
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
ROSELLE DENTAL CENTER, P. C. PROFIT SHARING PLAN 2020 202516107 2021-05-26 ROSELLE DENTAL CENTER, P.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6308934200
Plan sponsor’s address 603 IRVING PARK ROAD, ROSELLE, IL, 601722302

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-26
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
ROSELLE DENTAL CENTER, P. C. PROFIT SHARING PLAN 2019 202516107 2020-06-19 ROSELLE DENTAL CENTER, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6308934200
Plan sponsor’s address 603 IRVING PARK ROAD, ROSELLE, IL, 601722302

Signature of
Role Plan administrator
Date 2020-06-19
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-19
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
ROSELLE DENTAL CENTER, P.C. PROFIT SHARING PLAN 2018 202516107 2019-05-14 ROSELLE DENTAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6308934200
Plan sponsor’s address 603 IRVING PARK ROAD, ROSELLE, IL, 601722302

Signature of
Role Plan administrator
Date 2019-05-14
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-14
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
ROSELLE DENTAL CENTER, P.C. PROFIT SHARING PLAN 2017 202516107 2018-04-09 ROSELLE DENTAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6308934200
Plan sponsor’s address 603 IRVING PARK ROAD, ROSELLE, IL, 601722302

Signature of
Role Plan administrator
Date 2018-04-09
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-09
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
ROSELLE DENTAL CENTER, P.C. PROFIT SHARING PLAN 2016 202516107 2017-10-25 ROSELLE DENTAL CENTER, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6308934200
Plan sponsor’s address 603 IRVING PARK ROAD, ROSELLE, IL, 601722302

Signature of
Role Plan administrator
Date 2017-10-25
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-25
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
ROSELLE DENTAL CENTER, P.C. PROFIT SHARING PLAN 2016 202516107 2017-04-19 ROSELLE DENTAL CENTER, P.C. 9
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6308934200
Plan sponsor’s address 603 IRVING PARK ROAD, ROSELLE, IL, 601722302

Signature of
Role Plan administrator
Date 2017-04-19
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-19
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
ROSELLE DENTAL CENTER, P.C. PROFIT SHARING PLAN 2015 202516107 2017-11-21 ROSELLE DENTAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6308934200
Plan sponsor’s address 603 IRVING PARK ROAD, ROSELLE, IL, 601722302

Signature of
Role Plan administrator
Date 2017-11-21
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-21
Name of individual signing HARVEY SEYBOLD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN J PCOLINSKI, JR, 310 S COUNTY FARM ROAD, STE H, WHEATON, 60187, DU PAGE Agent 2014-03-17

President

Name and Address Role
HARVEY G SEYBOLD, D D S 603 E IRVING PARK RD ROSELLE IL60172 President

Secretary

Name and Address Role
AS ABOVE Secretary

Shares

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

Related by officers

JOHN J PCOLINSKI, JR, 310 S COUNTY FARM ROAD, STE H, WHEATON, 60187, DU PAGE

JRE, LTD.

AS ABOVE

IDEAL HEATING COMPANY LEADER DEPARTMENT STORE, THE SUPERVALU INC. KPC INC. ALTORFER INDUSTRIES, INC. HOLLOWAY INVESTMENT CO. TRANSCO INC. KEN NELSON AUTO PLAZA, INC. ALPS WIRE ROPE CORPORATION REVERE MILLS INTERNATIONAL GROUP, INC.

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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