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  5. BURCH DENTAL, P.C.

BURCH DENTAL, P.C.

Company Details

Entity Name: BURCH DENTAL, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 17 Apr 2006
Company Number: CORP_64803603
File Number: 64803603
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
BURCH DENTAL P.C. PROFIT SHARING PLAN 2023 204714561 2024-02-01 BURCH DENTAL P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8156339864
Plan sponsor’s address 8100 FOREST HILLS RD, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2024-02-01
Name of individual signing LEANN BURCH
Valid signature Filed with authorized/valid electronic signature
BURCH DENTAL P.C. PROFIT SHARING PLAN 2022 204714561 2023-05-22 BURCH DENTAL P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8156339864
Plan sponsor’s address 8100 FOREST HILLS RD, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2023-05-22
Name of individual signing LEANN BURCH
Valid signature Filed with authorized/valid electronic signature
BURCH DENTAL P.C. PROFIT SHARING PLAN 2021 204714561 2022-07-15 BURCH DENTAL P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8156339864
Plan sponsor’s address 8100 FOREST HILLS RD, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing LEANN BURCH
Valid signature Filed with authorized/valid electronic signature
BURCH DENTAL P.C. PROFIT SHARING PLAN 2020 204714561 2021-06-10 BURCH DENTAL P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8156339864
Plan sponsor’s address 8100 FOREST HILLS RD, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing LEANN BURCH
Valid signature Filed with authorized/valid electronic signature
BURCH DENTAL P.C. PROFIT SHARING PLAN 2019 204714561 2020-09-10 BURCH DENTAL P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8156339864
Plan sponsor’s address 8100 FOREST HILLS RD, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2020-09-10
Name of individual signing LEANN BURCH
Valid signature Filed with authorized/valid electronic signature
BURCH DENTAL P.C. PROFIT SHARING PLAN 2018 204714561 2019-08-26 BURCH DENTAL P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8156339864
Plan sponsor’s address 8100 FOREST HILLS RD, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2019-08-26
Name of individual signing LEANN BURCH
Valid signature Filed with authorized/valid electronic signature
BURCH DENTAL P.C. PROFIT SHARING PLAN 2017 204714561 2018-06-26 BURCH DENTAL P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8156339864
Plan sponsor’s address 8100 FOREST HILLS RD, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing LEANN BURCH
Valid signature Filed with authorized/valid electronic signature
BURCH DENTAL P.C. PROFIT SHARING PLAN 2016 204714561 2017-05-10 BURCH DENTAL P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8156339864
Plan sponsor’s address 8100 FOREST HILLS RD, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing LEANN BURCH
Valid signature Filed with authorized/valid electronic signature
BURCH DENTAL P.C. PROFIT SHARING PLAN 2015 204714561 2016-07-20 BURCH DENTAL P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8156339864
Plan sponsor’s address 8100 FOREST HILLS RD, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2016-07-20
Name of individual signing LEANN BURCH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TIMOTHY J. LEAKE, 839 N PERRYVILLE RD STE 200, ROCKFORD, 61107, WINNEBAGO Agent 2022-12-16

President

Name and Address Role
JEFFREY BURCH 8100 FOREST HILLS RD LOVES PARK IL 61111 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060012529 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2020-03-06 2021-10-29 2025-01-01
PROF SERVICE CORP 060012528 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2020-03-06 2021-10-29 2025-01-01
PROF SERVICE CORP 060012530 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2020-03-06 2021-10-29 2025-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 100000 No data

Related by officers

TIMOTHY J. LEAKE, 839 N PERRYVILLE RD STE 200, ROCKFORD, 61107, WINNEBAGO

GALLANO FARMS, LTD. ROCKFORD TOOLCRAFT, INC. NORTH ALPINE ACRES DEVELOPMENT CO. SCREWS INDUSTRIES, INC. OUR SAVIORS LUTHERAN CHURCH OF ROCKFORD, INC. FIN SOM SNUS, INC. MILLER EYE CENTER LTD. SSN,LLC R. B. HAYES, INC. SEROLA BIOMECHANICS, INC.

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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