| Entity Name: | KEITH L. GUZAITIS DDS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 28 Aug 2007 |
| Company Number: | CORP_65676788 |
| File Number: | 65676788 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEITH L. GUZAITIS DDS RETIREMENT PLAN | 2023 | 260888284 | 2024-02-25 | KEITH L. GUZAITIS DDS, INC. | 11 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-02-25 |
| Name of individual signing | KEITH GUZAITIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 6309418398 |
| Plan sponsor’s address | 188 NORTH YORK ROAD, ELMHURST, IL, 60186 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-14 |
| Name of individual signing | KEITH GUZAITIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DAVID R. STALLTER, 1900 SPRING ROAD, OAK BROOK, 60523, DU PAGE | Agent | 2024-05-09 |
| Name and Address | Role |
|---|---|
| KEITH L GUZAITIS 188 N YORK ELMHURST IL 60126 | President |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| GUZAITIS DENTAL GROUP | Assume Name | 2023-03-21 | No data | No data | No data |
| KOPP DENTAL | Assume Name | 2022-02-03 | No data | No data | No data |
| KOPP DENTAL AND ASSOCIATES | Assume Name | 2022-02-03 | No data | No data | No data |
| Name | Change Date |
|---|---|
| KEITH L. GUZEITAS DDS, INC. | 2009-01-14 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 100000 | 1000000 | No data |
Date of last update: 16 Jan 2025
