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  5. KELLERMAN DENTAL GROUP, P.C.

KELLERMAN DENTAL GROUP, P.C.

Company Details

Entity Name: KELLERMAN DENTAL GROUP, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 31 Oct 2005
Company Number: CORP_64551965
File Number: 64551965
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
KELLERMAN DENTAL GROUP RETIREMENT PLAN & TRUST 2023 203719326 2024-05-20 KELLERMAN DENTAL GROUP, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 6182883535
Plan sponsor’s address 16 JUNCTION DRIVE WEST, SUITE 101, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2024-05-20
Name of individual signing KEVIN KELLERMAN
Valid signature Filed with authorized/valid electronic signature
KELLERMAN DENTAL GROUP RETIREMENT PLAN & TRUST 2022 203719326 2023-05-02 KELLERMAN DENTAL GROUP, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 6182883535
Plan sponsor’s address 16 JUNCTION DRIVE WEST, SUITE 101, CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2023-05-02
Name of individual signing KEVIN KELLERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-02
Name of individual signing KEVIN KELLERMAN
Valid signature Filed with authorized/valid electronic signature
KELLERMAN DENTAL GROUP RETIREMENT PLAN & TRUST 2021 203719326 2022-09-23 KELLERMAN DENTAL GROUP, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 6182883535
Plan sponsor’s address 16 JUNCTION DRIVE WEST, SUITE 101, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing KEVIN J. KELLERMAN, D.M.D.
Valid signature Filed with authorized/valid electronic signature
KELLERMAN DENTAL GROUP RETIREMENT PLAN & TRUST 2020 203719326 2021-07-13 KELLERMAN DENTAL GROUP, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 6182883535
Plan sponsor’s address 16 JUNCTION DRIVE WEST, SUITE 101, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing KEVIN J. KELLERMAN, D.M.D.
Valid signature Filed with authorized/valid electronic signature
KELLERMAN DENTAL GROUP RETIREMENT PLAN & TRUST 2019 203719326 2020-07-27 KELLERMAN DENTAL GROUP, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 6182883535
Plan sponsor’s address 16 JUNCTION DRIVE WEST, SUITE 101, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing KEVIN J. KELLERMAN, D.M.D.
Valid signature Filed with authorized/valid electronic signature
KELLERMAN DENTAL GROUP RETIREMENT PLAN & TRUST 2018 203719326 2019-07-30 KELLERMAN DENTAL GROUP, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 6182883535
Plan sponsor’s address 16 JUNCTION DRIVE WEST, SUITE 101, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing KEVIN J. KELLERMAN, D.M.D.
Valid signature Filed with authorized/valid electronic signature
KELLERMAN DENTAL GROUP RETIREMENT PLAN & TRUST 2017 203719326 2018-10-10 KELLERMAN DENTAL GROUP, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 6182883535
Plan sponsor’s address 16 JUNCTION DRIVE WEST, SUITE 101, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing KEVIN J. KELLERMAN, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CHRISTOPHER W. BYRON, 411 SAINT LOUIS ST, EDWARDSVILLE, 62025, MADISON Agent 2021-08-04

President

Name and Address Role
KEVIN KELLERMAN 16 JUNCTION DR STE 101 GLEN CARBON IL 62034 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
KELLERMAN COSMETIC AND FAMILY DENTISTRY Assume Name 2005-11-28 No data No data No data

Shares

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

Related by officers

CHRISTOPHER W. BYRON, 411 SAINT LOUIS ST, EDWARDSVILLE, 62025, MADISON

MECHANICS PLANING MILL, INC. HUELLINGHOFF BROS., INC. HANSELMAN PROPERTIES L.L.C. HOOCH & SIXTEEN'S BAR, INC. EIDMAN'S SHADY LAWN FARM, INC. ATRADIUS COLLECTIONS, INC. CHERRY CREEK, LTD. GMHN PROPERTIES, LLC C.W. BYRON WAREHOUSE PROPERTIES, LLC BPK, LLC

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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