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  5. LISA KONZ, D.D.S., P.C.

LISA KONZ, D.D.S., P.C.

Company Details

Entity Name: LISA KONZ, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 29 Dec 2005
Company Number: CORP_64638696
File Number: 64638696
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LISA KONZ, D.D.S., P.C. SALARY SAVINGS PLAN 2015 204023349 2016-07-15 LISA KONZ, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8473673050
Plan sponsor’s address 747 MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-15
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
LISA KONZ, D.D.S., P.C. SALARY SAVINGS PLAN 2014 204023349 2015-03-09 LISA KONZ, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8473673050
Plan sponsor’s address 747 MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2015-03-09
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-09
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
LISA KONZ, D.D.S., P.C. SALARY SAVINGS PLAN 2013 204023349 2014-09-12 LISA KONZ, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8473673050
Plan sponsor’s address 747 MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2014-09-10
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-10
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
LISA KONZ, D.D.S., P.C. SALARY SAVINGS PLAN 2012 204023349 2013-10-09 LISA KONZ, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8473673050
Plan sponsor’s address 747 MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
LISA KONZ, D.D.S., P.C. SALARY SAVINGS PLAN 2011 204023349 2012-10-10 LISA KONZ, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8473673050
Plan sponsor’s address 747 MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 204023349
Plan administrator’s name LISA KONZ, D.D.S., P.C.
Plan administrator’s address 747 MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8473673050

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
LISA KONZ, D.D.S., P.C. SALARY SAVINGS PLAN 2010 204023349 2011-07-19 LISA KONZ, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8473673050
Plan sponsor’s address 747 MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 204023349
Plan administrator’s name LISA KONZ, D.D.S., P.C.
Plan administrator’s address 747 MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8473673050

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
LISA KONZ, D.D.S., P.C. SALARY SAVINGS PLAN 2009 204023349 2010-09-28 LISA KONZ, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8473673050
Plan sponsor’s address 747 MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 204023349
Plan administrator’s name LISA KONZ, D.D.S., P.C.
Plan administrator’s address 747 MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8473673050

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-27
Name of individual signing LISA KONZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN P SULLIVAN, 4320 WINFIELD RD STE 200, WARRENVILLE, 60555, DU PAGE Agent 2008-03-10

President

Name and Address Role
LISA KONZ DDS, 747 N MILWAUKEE#103, LIBERTYVILLE IL 60048 President

Secretary

Name and Address Role
LISA KONZ DDS, 747 N MILWAUKEE#103, LIBERTYVILLE IL 60048 Secretary

Shares

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

Related by officers

JOHN P SULLIVAN, 4320 WINFIELD RD STE 200, WARRENVILLE, 60555, DU PAGE

RICHARD A STEFFENS, DDS, P.C. LUMENANCE, LLC TF-ID, LLC GERI - DENTAL, P.C. SULLIVAN LAW FIRM, P.C. DOUGLAS SHINDOLLAR, D.D.S., LTD. DR Y-T, INC. MEADOWS DENTAL ASSOCIATES, P.C. DONALD C. KELLNER, DDS - WOOD DALE, P.C. DONALD C. KELLNER, DDS - AURORA, P.C.

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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