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  5. DENTAL CARE PROVIDERS OF AMERICA, LTD.

DENTAL CARE PROVIDERS OF AMERICA, LTD.

Company Details

Entity Name: DENTAL CARE PROVIDERS OF AMERICA, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 23 Mar 2007
Date of Dissolution: 09 Aug 2019
Company Number: CORP_65407795
File Number: 65407795
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 09 Aug 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KISKER DENTAL ASSOCIATES LTD 401 K PROFIT SHARING PLAN TRUST 2014 208986052 2015-07-24 KISKER DENTAL ASSOCIATES LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 8479180001
Plan sponsor’s address 701 N MILWAUKEE AVE, STE 320, VERNON HILLS, IL, 60061

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing WILLIAM KISKER
Valid signature Filed with authorized/valid electronic signature
KISKER DENTAL ASSOCIATES LTD 401 K PROFIT SHARING PLAN TRUST 2013 208986052 2015-02-06 KISKER DENTAL ASSOCIATES LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 8479180001
Plan sponsor’s address 701 N MILWAUKEE AVE, STE 320, VERNON HILLS, IL, 60061

Signature of
Role Plan administrator
Date 2015-02-06
Name of individual signing WILLIAM KISKER
Valid signature Filed with authorized/valid electronic signature
KISKER DENTAL ASSOCIATES LTD 401 K PROFIT SHARING PLAN TRUST 2012 208986052 2013-07-12 KISKER DENTAL ASSOCIATES LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 8479180001
Plan sponsor’s address 701 N MILWAUKEE AVE, STE 320, VERNON HILLS, IL, 60061

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing KISKER DENTAL ASSOCIATES LTD
Valid signature Filed with authorized/valid electronic signature
KISKER DENTAL ASSOCIATES LTD 401 K PROFIT SHARING PLAN TRUST 2011 208986052 2013-07-12 KISKER DENTAL ASSOCIATES LTD 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 8479180001
Plan sponsor’s address 701 N MILWAUKEE AVE STE 320, VERNON HILLS, IL, 600611524

Plan administrator’s name and address
Administrator’s EIN 208986052
Plan administrator’s name KISKER DENTAL ASSOCIATES LTD
Plan administrator’s address 701 N MILWAUKEE AVE STE 320, VERNON HILLS, IL, 600611524
Administrator’s telephone number 8479180001

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing KISKER DENTAL ASSOCIATES LTD
Valid signature Filed with authorized/valid electronic signature
KISKER DENTAL ASSOCIATES LTD 401 K PROFIT SHARING PLAN TRUST 2010 208986052 2011-07-27 KISKER DENTAL ASSOCIATES LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 8479180001
Plan sponsor’s address 701 NORTH MILWAUKEE AVE. STE, VERNON HILLS, IL, 60061

Plan administrator’s name and address
Administrator’s EIN 208986052
Plan administrator’s name KISKER DENTAL ASSOCIATES LTD
Plan administrator’s address 701 NORTH MILWAUKEE AVE. STE, VERNON HILLS, IL, 60061
Administrator’s telephone number 8479180001

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing KISKER DENTAL ASSOCIATES LTD
Valid signature Filed with authorized/valid electronic signature
KISKER DENTAL ASSOCIATES LTD 2009 208986052 2010-08-03 KISKER DENTAL ASSOCIATES LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 8479180001
Plan sponsor’s address 701 NORTH MILWAUKEE AVE STE, VERNON HILLS, IL, 60061

Plan administrator’s name and address
Administrator’s EIN 208986052
Plan administrator’s name KISKER DENTAL ASSOCIATES LTD
Plan administrator’s address 701 NORTH MILWAUKEE AVE STE, VERNON HILLS, IL, 60061
Administrator’s telephone number 8479180001

Signature of
Role Plan administrator
Date 2010-08-03
Name of individual signing KISKER DENTAL ASSOCIATES LTD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WILLIAM KISKER, 807 PARK AVE, LAKE VILLA, 60046, LAKE Agent 2018-09-11

President

Name and Address Role
WILLIAM KISKER, 807 PARK AVE LAKE VILLA IL 60046 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
DENTAL CARE OF VERNON HILLS No data 2007-11-29 2019-08-01 Involuntary Cancellation No data

Historical Names

Name Change Date
KISKER DENTAL ASSOCIATES, LTD. 2014-08-22

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000000 1000000 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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