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  5. BONVALLET DENTAL, P.C.

BONVALLET DENTAL, P.C.

Company Details

Entity Name: BONVALLET DENTAL, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Oct 2007
Company Number: CORP_65792079
File Number: 65792079
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
BONVALLET DENTAL 401(K) PLAN 2023 320219253 2024-05-15 BONVALLET DENTAL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6189778512
Plan sponsor’s address 132 N WALNUT STREET, BYRON, IL, 61010

Plan administrator’s name and address
Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8444728268

Signature of
Role Plan administrator
Date 2024-05-15
Name of individual signing LYNNELL MARTIN
Valid signature Filed with authorized/valid electronic signature
BONVALLET DENTAL 401(K) PLAN 2022 320219253 2023-04-21 BONVALLET DENTAL 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6189778512
Plan sponsor’s address 132 N WALNUT STREET, BYRON, IL, 61010

Plan administrator’s name and address
Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8444728268

Signature of
Role Plan administrator
Date 2023-04-21
Name of individual signing LYNNELL MARTIN
Valid signature Filed with authorized/valid electronic signature
BONVALLET DENTAL 401(K) PLAN 2021 320219253 2022-03-17 BONVALLET DENTAL 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8152344211
Plan sponsor’s address 132 N. WALNUT ST., BYRON, IL, 61010

Plan administrator’s name and address
Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8444728268

Signature of
Role Plan administrator
Date 2022-03-17
Name of individual signing LYNNELL MARTIN
Valid signature Filed with authorized/valid electronic signature
BONVALLET DENTAL 401(K) PLAN 2020 320219253 2021-07-21 BONVALLET DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8152344211
Plan sponsor’s address 132 N. WALNUT ST., BYRON, IL, 61010

Plan administrator’s name and address
Administrator’s EIN 453812777
Plan administrator’s name SAVANT CAPITAL, LLC
Plan administrator’s address 190 BUCKLEY DRIVE, ROCKFORD, IL, 61107
Administrator’s telephone number 8444728268

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing LYNNELL MARTIN
Valid signature Filed with authorized/valid electronic signature
BONVALLET DENTAL 401(K) PLAN 2019 320219253 2020-09-01 BONVALLET DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8152344211
Plan sponsor’s address 132 N. WALNUT ST., BYRON, IL, 61010

Signature of
Role Plan administrator
Date 2020-09-01
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
BONVALLET DENTAL 401(K) PLAN 2018 320219253 2019-07-23 BONVALLET DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8152344211
Plan sponsor’s address 132 N. WALNUT ST., BYRON, IL, 61010

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
BONVALLET DENTAL 401(K) PLAN 2017 320219253 2018-02-23 BONVALLET DENTAL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8152344211
Plan sponsor’s address 132 N. WALNUT ST., BYRON, IL, 61010

Signature of
Role Plan administrator
Date 2018-02-23
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JUSTIN BONVALLET, 132 N WALNUT STREET, BYRON, 61010, OGLE Agent 2007-10-23

President

Name and Address Role
JUSTIN BONVALLET 132 NORTH WALNUT ST. BYRON, IL 61010 President

Secretary

Name and Address Role
ANNA BONVALLET 132 NORTH WALNUT ST. BYRON, IL 61010 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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