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  5. CAMPTON SQUARE ORAL SURGERY, P.C.

CAMPTON SQUARE ORAL SURGERY, P.C.

Company Details

Entity Name: CAMPTON SQUARE ORAL SURGERY, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 29 Aug 2007
Company Number: CORP_65719096
File Number: 65719096
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMPTON SQUARE ORAL SURGERY, P.C. 401(K) PLAN AND TRUST 2023 208115115 2024-09-24 CAMPTON SQUARE ORAL SURGERY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6305136440
Plan sponsor’s address 40W165 CAMPTON CROSSINGS DRIVE, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2024-09-24
Name of individual signing SCOTT GENUTIS
Valid signature Filed with authorized/valid electronic signature
CAMPTON SQUARE ORAL SURGERY, P.C. 401(K) PLAN AND TRUST 2022 208115115 2023-09-07 CAMPTON SQUARE ORAL SURGERY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6305136440
Plan sponsor’s address 40W165 CAMPTON CROSSINGS DRIVE, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing SCOTT GENUTIS
Valid signature Filed with authorized/valid electronic signature
CAMPTON SQUARE ORAL SURGERY, P.C. 401(K) PLAN AND TRUST 2021 208115115 2022-09-29 CAMPTON SQUARE ORAL SURGERY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6305136440
Plan sponsor’s address 40W165 CAMPTON CROSSINGS DRIVE, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2022-09-29
Name of individual signing SCOTT GENUTIS
Valid signature Filed with authorized/valid electronic signature
CAMPTON SQUARE ORAL SURGERY, P.C. 401(K) PLAN AND TRUST 2020 208115115 2021-06-09 CAMPTON SQUARE ORAL SURGERY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6305136440
Plan sponsor’s address 40W165 CAMPTON CROSSINGS DRIVE, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2021-06-09
Name of individual signing SCOTT GENUTIS
Valid signature Filed with authorized/valid electronic signature
CAMPTON SQUARE ORAL SURGERY, P.C. 401(K) PLAN AND TRUST 2019 208115115 2020-09-28 CAMPTON SQUARE ORAL SURGERY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6305136440
Plan sponsor’s address 40W165 CAMPTON CROSSINGS DRIVE, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2020-09-28
Name of individual signing SCOTT GENUTIS
Valid signature Filed with authorized/valid electronic signature
CAMPTON SQUARE ORAL SURGERY, P.C. 401(K) PLAN AND TRUST 2018 208115115 2019-08-29 CAMPTON SQUARE ORAL SURGERY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6305136440
Plan sponsor’s address 40W165 CAMPTON CROSSINGS DRIVE, SUITE B, ST. CHARLES, IL, 60175

Signature of
Role Plan administrator
Date 2019-08-29
Name of individual signing SCOTT GENUTIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SCOTT J GENUTIS, 40W165 CAMPTON CROSSINGS DR B, SAINT CHARLES, 60175, KANE Agent 2007-08-29

President

Name and Address Role
SCOTT GENUTIS, 38W423 FAIRWAY DR, SAINT CHARLES, 60175 President

Secretary

Name and Address Role
OTTO GENUTIS 5 SHILOH COURT BURR RIDGE, IL 60527 Secretary

Shares

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