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  5. JESSICA BRITTEN-FAZZIO D.D.S. P.C.

JESSICA BRITTEN-FAZZIO D.D.S. P.C.

Company Details

Entity Name: JESSICA BRITTEN-FAZZIO D.D.S. P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 Dec 2006
Company Number: CORP_65303981
File Number: 65303981
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
JESSICA BRITTEN-FAZZIO D.D.S. P.C RETIREMENT TRUST 2022 870791346 2024-02-07 JESSICA BRITTEN-FAZZIO D.D.S. P.C 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 541600
Sponsor’s telephone number 7083091003
Plan sponsor’s address 4 S NORTHWEST HWY, PALATINE, IL, 60074

Signature of
Role Plan administrator
Date 2024-02-08
Name of individual signing JESSICA FAZZIO
Valid signature Filed with authorized/valid electronic signature
JESSICA BRITTEN-FAZZIO D.D.S. P.C RETIREMENT TRUST 2021 870791346 2022-07-18 JESSICA BRITTEN-FAZZIO D.D.S. P.C 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 541600
Sponsor’s telephone number 7083091003
Plan sponsor’s address 4 S NORTHWEST HWY, PALATINE, IL, 60074

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing JESSICA BRITTEN-FAZZIO
Valid signature Filed with authorized/valid electronic signature
JESSICA BRITTEN-FAZZIO D.D.S. P.C RETIREMENT TRUST 2020 870791346 2021-06-28 JESSICA BRITTEN-FAZZIO D.D.S. P.C 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 541600
Sponsor’s telephone number 7083091003
Plan sponsor’s address 4 S NORTHWEST HWY, PALATINE, IL, 60074

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing JESSICA FAITH BRITTEN-FAZZIO
Valid signature Filed with authorized/valid electronic signature
JESSICA BRITTEN-FAZZIO D.D.S. P.C RETIREMENT TRUST 2019 870791346 2020-06-29 JESSICA BRITTEN-FAZZIO D.D.S. P.C 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 541600
Sponsor’s telephone number 7083091003
Plan sponsor’s address 4 S NORTHWEST HWY, PALATINE, IL, 60074

Signature of
Role Plan administrator
Date 2020-06-29
Name of individual signing JESSICA BRITTEN-FAZZIO
Valid signature Filed with authorized/valid electronic signature
JESSICA BRITTEN-FAZZIO D.D.S. P.C RETIREMENT TRUST 2018 870791346 2019-07-17 JESSICA BRITTEN-FAZZIO D.D.S. P.C 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 541600
Sponsor’s telephone number 7083091003
Plan sponsor’s address 4 S NORTHWEST HWY, PALATINE, IL, 60074

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing JESSICA BRITTEN-FAZZIO
Valid signature Filed with authorized/valid electronic signature
JESSICA BRITTEN-FAZZIO D.D.S. P.C RETIREMENT TRUST 2017 870791346 2018-07-09 JESSICA BRITTEN-FAZZIO D.D.S. P.C 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 541600
Sponsor’s telephone number 7083091003
Plan sponsor’s address 4 S NORTHWEST HWY, PALATINE, IL, 60074

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing JESSICA BRITTEN-FAZZIO
Valid signature Filed with authorized/valid electronic signature
JESSICA BRITTEN-FAZZIO D.D.S. P.C RETIREMENT TRUST 2016 870791346 2017-07-12 JESSICA BRITTEN-FAZZIO D.D.S. P.C 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 541600
Sponsor’s telephone number 7083091003
Plan sponsor’s address 4 S. NORTHWEST HWY, PALATINE, IL, 60074

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing JESSICA BRITTEN-FAZZIO
Valid signature Filed with authorized/valid electronic signature
JESSICA BRITTEN-FAZZIO D.D.S. P.C RETIREMENT TRUST 2015 870791346 2016-07-07 JESSICA BRITTEN-FAZZIO D.D.S. P.C 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 541600
Sponsor’s telephone number 7083091003
Plan sponsor’s address 4 S. NORTHWEST HWY, PALATINE, IL, 60074

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing JESSICA BRITTEN-FAZZIO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JESSICA BRITTEN-FAZZIO, 578 LAKEVIEW TER, GLEN ELLYN, 60137, DU PAGE Agent 2017-03-02

President

Name and Address Role
JESSICA BRITTEN 578 LAKEVIEW TERRACE GLEN ELLYN, IL 60137 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PALATINE DENTAL ASSOCIATES No data 2008-09-05 2016-05-02 Involuntary Cancellation No data

Historical Names

Name Change Date
JESSICA BRITTEN D.D.S., P.C. 2008-08-20

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 2000 2000000 0.01

Related by officers

No related officers

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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