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  5. SOUTH LOOP DENTAL SPECIALISTS, P.C.

SOUTH LOOP DENTAL SPECIALISTS, P.C.

Company Details

Entity Name: SOUTH LOOP DENTAL SPECIALISTS, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 17 Jan 2008
Company Number: CORP_65943247
File Number: 65943247
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
SOUTH LOOP DENTAL SPECIALISTS 401(K) PROFIT SHARING PLAN AND TRUST 2023 261883943 2024-09-23 SOUTH LOOP DENTAL SPECIALISTS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3123564700
Plan sponsor’s address 850 S. WABASH AVENUE, SUITE 240, CHICAGO, IL, 60605

Signature of
Role Plan administrator
Date 2024-09-23
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
SOUTH LOOP DENTAL SPECIALISTS 401(K) PROFIT SHARING PLAN AND TRUST 2022 261883943 2023-10-07 SOUTH LOOP DENTAL SPECIALISTS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3123564700
Plan sponsor’s address 850 S. WABASH AVENUE, SUITE 240, CHICAGO, IL, 60605

Signature of
Role Plan administrator
Date 2023-10-07
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
SOUTH LOOP DENTAL SPECIALISTS 401(K) PROFIT SHARING PLAN & TRUST 2021 261883943 2023-02-08 SOUTH LOOP DENTAL SPECIALISTS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3123564700
Plan sponsor’s address 850 S WABASH STE 240, CHICAGO, IL, 60605

Signature of
Role Plan administrator
Date 2023-02-08
Name of individual signing DEAVLIN OLGUIN
Valid signature Filed with authorized/valid electronic signature
SOUTH LOOP DENTAL SPECIALISTS 401(K) PROFIT SHARING PLAN & TRUST 2020 261883943 2021-05-25 SOUTH LOOP DENTAL SPECIALISTS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3123564700
Plan sponsor’s address 850 S WABASH STE 240, CHICAGO, IL, 60605

Signature of
Role Plan administrator
Date 2021-05-25
Name of individual signing DEAVLIN OLGUIN
Valid signature Filed with authorized/valid electronic signature
SOUTH LOOP DENTAL SPECIALISTS 401(K) PROFIT SHARING PLAN & TRUST 2019 261883943 2020-04-10 SOUTH LOOP DENTAL SPECIALISTS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3123564700
Plan sponsor’s address 850 S WABASH STE 240, CHICAGO, IL, 60605

Signature of
Role Plan administrator
Date 2020-04-10
Name of individual signing DEAVLIN V OLGUIN
Valid signature Filed with authorized/valid electronic signature
SOUTH LOOP DENTAL SPECIALISTS 401 K PROFIT SHARING PLAN TRUST 2018 261883943 2019-04-08 SOUTH LOOP DENTAL SPECIALISTS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3123564700
Plan sponsor’s address 850 S WABASH STE 240, CHICAGO, IL, 60605

Signature of
Role Plan administrator
Date 2019-04-08
Name of individual signing DEAVLIN V OLGUIN
Valid signature Filed with authorized/valid electronic signature
SOUTH LOOP DENTAL SPECIALISTS 401 K PROFIT SHARING PLAN TRUST 2017 261883943 2018-04-27 SOUTH LOOP DENTAL SPECIALISTS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3123564700
Plan sponsor’s address 850 S WABASH STE 240, CHICAGO, IL, 60605

Signature of
Role Plan administrator
Date 2018-04-27
Name of individual signing DEAVLIN OLGUIN
Valid signature Filed with authorized/valid electronic signature
SOUTH LOOP DENTAL SPECIALISTS 401 K PROFIT SHARING PLAN TRUST 2016 261883943 2017-06-23 SOUTH LOOP DENTAL SPECIALISTS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3123564700
Plan sponsor’s address 850 S WABASH STE 240, CHICAGO, IL, 60605

Signature of
Role Plan administrator
Date 2017-06-23
Name of individual signing DEAVLIN OLGUIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TODD L ERDMAN, 127 WHEELING RD, WHEELING, 60090, COOK-NOT IN CITY OF CHICAGO Agent 2012-06-12

Secretary

Name and Address Role
PAMELA L OLGUIN 850 S WABASH,STE 240, CHICAGO, IL 60605 Secretary

President

Name and Address Role
DE'AVLIN V OLGUIN 850 S WABASH, STE 240, CHICAGO, IL 60605 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
DENTAL SPECIALISTS OF NORTH SHORE Assume Name 2014-03-13 No data No data No data
SOUTH LOOP DENTAL SPECIALISTS No data 2009-05-05 2010-02-01 Voluntary Cancellation No data

Historical Names

Name Change Date
DE'AVLIN OLGUIN, D.D.S., M.S., P.C. 2010-02-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Related by officers

TODD L ERDMAN, 127 WHEELING RD, WHEELING, 60090, COOK-NOT IN CITY OF CHICAGO

RENATA RZAZEWSKA-JOHNSON, D.D.S.,M.S., LTD. MIDWEST ADVANCED ORTHODONTICS, P.C.

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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