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ROSCOE FAMILY DENTAL CENTER, P.C.

Company Details

Entity Name: ROSCOE FAMILY DENTAL CENTER, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Dec 2007
Company Number: CORP_65883651
File Number: 65883651
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
ROSCOE FAMILY DENTAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2023 261516343 2024-05-10 ROSCOE FAMILY DENTAL CENTER, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 8156237366
Plan sponsor’s address 5640 CLAYTON CIRCLE, P.O. BOX 967, ROSCOE, IL, 61073

Signature of

Role Plan administrator
Date 2024-05-10
Name of individual signing VAUGHN DEGUZMAN
Valid signature Filed with authorized/valid electronic signature
ROSCOE FAMILY DENTAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2022 261516343 2023-03-28 ROSCOE FAMILY DENTAL CENTER, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 8156237366
Plan sponsor’s address 5640 CLAYTON CIRCLE, P.O. BOX 967, ROSCOE, IL, 61073

Signature of

Role Plan administrator
Date 2023-03-28
Name of individual signing VAUGHN DEGUZMAN
Valid signature Filed with authorized/valid electronic signature
ROSCOE FAMILY DENTAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2021 261516343 2022-07-27 ROSCOE FAMILY DENTAL CENTER, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 8156237366
Plan sponsor’s address 5640 CLAYTON CIRCLE, P.O. BOX 967, ROSCOE, IL, 61073

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing VAUGHN DEGUZMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMIE S. CASSEL, 2902 MCFARLAND RD STE 400, ROCKFORD, 61107, WINNEBAGO Agent 2021-11-22

President

Name and Address Role
VAUGHN J. DE GUZMAN, 5640 CLAYTON CIRCLE, ROSCOE, IL 61073 President

Secretary

Name and Address Role
VAUGHN J. DE GUZMAN, 5640 CLAYTON CIRCLE, ROSCOE, IL 61073 Secretary

Historical Names

Name Change Date
ROSCOE FAMILY DENTAL CENTER, S.C. 2007-12-10

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 5000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State