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  5. KIDS PLUS PEDIATRIC DENTISTRY, P.C.

KIDS PLUS PEDIATRIC DENTISTRY, P.C.

Company Details

Entity Name: KIDS PLUS PEDIATRIC DENTISTRY, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 25 Oct 2006
Company Number: CORP_65186608
File Number: 65186608
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIDS PLUS PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN 2023 205804104 2024-04-12 KIDS PLUS PEDIATRIC DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6302436200
Plan sponsor’s address 15900 W. 187TH. STREET, SUITE 101, LEMONT, IL, 60439

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-04-12
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
KIDS PLUS PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN 2022 205804104 2023-08-04 KIDS PLUS PEDIATRIC DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6302436200
Plan sponsor’s address 15900 W. 187TH. STREET, SUITE 101, LEMONT, IL, 60439

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-08-04
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
KIDS PLUS PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN 2021 205804104 2022-05-19 KIDS PLUS PEDIATRIC DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6302436200
Plan sponsor’s address 15900 W. 187TH. STREET, SUITE 101, LEMONT, IL, 60439

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
KIDS PLUS PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN 2020 205804104 2021-09-17 KIDS PLUS PEDIATRIC DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6302436200
Plan sponsor’s address 15900 W. 187TH. STREET, SUITE 101, LEMONT, IL, 60439

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-09-17
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
KIDS PLUS PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN 2019 205804104 2020-10-13 KIDS PLUS PEDIATRIC DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6302436200
Plan sponsor’s address 15900 W. 127TH ST., SUITE 101, LEMONT, IL, 60439

Plan administrator’s name and address
Administrator’s EIN 205804104
Plan administrator’s name KIDS PLUS PEDIATRIC DENTISTRY, P.C.
Plan administrator’s address 15900 W. 127TH ST., SUITE 101, LEMONT, IL, 60439
Administrator’s telephone number 6302436200
KIDS PLUS PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN 2018 205804104 2019-09-16 KIDS PLUS PEDIATRIC DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6302436200
Plan sponsor’s address 15900 W. 127TH ST., SUITE 101, LEMONT, IL, 60439

Plan administrator’s name and address
Administrator’s EIN 205804104
Plan administrator’s name KIDS PLUS PEDIATRIC DENTISTRY, P.C.
Plan administrator’s address 15900 W. 127TH ST., SUITE 101, LEMONT, IL, 60439
Administrator’s telephone number 6302436200
KIDS PLUS PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN 2017 205804104 2018-10-11 KIDS PLUS PEDIATRIC DENTISTRY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6302436200
Plan sponsor’s address 15900 W. 127TH ST., SUITE 101, LEMONT, IL, 60439

Plan administrator’s name and address
Administrator’s EIN 205804104
Plan administrator’s name KIDS PLUS PEDIATRIC DENTISTRY, P.C.
Plan administrator’s address 15900 W. 127TH ST., SUITE 101, LEMONT, IL, 60439
Administrator’s telephone number 6302436200
KIDS PLUS PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN 2016 205804104 2017-10-15 KIDS PLUS PEDIATRIC DENTISTRY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8478822555
Plan sponsor’s address 1786 MOONLAKE BLVD, SUITE 216, HOFFMAN ESTATES, IL, 601691734

Plan administrator’s name and address
Administrator’s EIN 205804104
Plan administrator’s name KIDS PLUS PEDIATRIC DENTISTRY, P.C.
Plan administrator’s address 1786 MOONLAKE BLVD, SUITE 216, HOFFMAN ESTATES, IL, 601691734
Administrator’s telephone number 8478822555
KIDS PLUS PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN 2015 205804104 2016-10-13 KIDS PLUS PEDIATRIC DENTISTRY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8478822555
Plan sponsor’s address 1786 MOONLAKE BLVD, SUITE 216, HOFFMAN ESTATES, IL, 601691734

Plan administrator’s name and address
Administrator’s EIN 205804104
Plan administrator’s name KIDS PLUS PEDIATRIC DENTISTRY, P.C.
Plan administrator’s address 1786 MOONLAKE BLVD, SUITE 216, HOFFMAN ESTATES, IL, 601691734
Administrator’s telephone number 8478822555
KIDS PLUS PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN 2014 205804104 2015-10-07 KIDS PLUS PEDIATRIC DENTISTRY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8478822555
Plan sponsor’s address 1786 MOONLAKE BLVD, SUITE 216, HOFFMAN ESTATES, IL, 601691734

Plan administrator’s name and address
Administrator’s EIN 205804104
Plan administrator’s name KIDS PLUS PEDIATRIC DENTISTRY, P.C.
Plan administrator’s address 1786 MOONLAKE BLVD, SUITE 216, HOFFMAN ESTATES, IL, 601691734
Administrator’s telephone number 8478822555

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing DENISE E. FISHER, DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DENISE E FISHER, 15900 W 127TH ST #101, LEMONT, 60439, COOK-NOT IN CITY OF CHICAGO Agent 2016-06-06

President

Name and Address Role
DENISE FISHER, 13108 KINSALE CT, LEMONT IL 60439 President

Shares

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