| Entity Name: | LAKEMOOR DENTAL, P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Reinstated |
| Date Formed: | 21 May 2007 |
| Company Number: | CORP_65504871 |
| File Number: | 65504871 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKEMOOR DENTAL 401(K) PLAN | 2023 | 260205148 | 2024-05-22 | LAKEMOOR DENTAL P.C. | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-22 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| SIMA PATEL, 323 ERIE, BLOOMINGDALE, 60108, DU PAGE | Agent | 2007-05-21 |
| Name and Address | Role |
|---|---|
| SIMA PATEL 323 ERIE CIRCLE BLOOMINGDALE IL, 60108 | President |
| Name and Address | Role |
|---|---|
| NILESH PATE 323 ERIE CIRCLE BLOOMINGDALE IL, 60108 | Secretary |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| MEACHAM FAMILY DENTAL | No data | 2019-02-25 | 2020-10-09 | Involuntary Cancellation | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 100 | 50000 | No data |
Date of last update: 16 Jan 2025
