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  5. KIDS FIRST PEDIATRIC DENTISTRY, P.C.

KIDS FIRST PEDIATRIC DENTISTRY, P.C.

Company Details

Entity Name: KIDS FIRST PEDIATRIC DENTISTRY, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 25 Jul 2008
Company Number: CORP_66110087
File Number: 66110087
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIDS FIRST PEDIATRIC DENTISTRY, P. C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2022 262846825 2023-10-03 KIDS FIRST PEDIATRIC DENTISTRY, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8477175437
Plan sponsor’s address 1640 CAPITAL STREET, ELGIN, IL, 60123

Plan administrator’s name and address
Administrator’s EIN 454813650
Plan administrator’s name 3(16) FIDUCIARY SERVICES CORPORATION
Plan administrator’s address 6234 OLD HIGHWAY 5 STE D9 #508, WOODSTOCK, GA, 30188
Administrator’s telephone number 5614402139

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing DONAL K. FORD
Valid signature Filed with authorized/valid electronic signature
KIDS FIRST PEDIATRIC DENTISTRY, P. C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2021 262846825 2022-10-04 KIDS FIRST PEDIATRIC DENTISTRY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8477175437
Plan sponsor’s address 1640 CAPITAL STREET, ELGIN, IL, 60123

Plan administrator’s name and address
Administrator’s EIN 454813650
Plan administrator’s name 3(16) FIDUCIARY SERVICES CORPORATION
Plan administrator’s address 6234 OLD HIGHWAY 5 STE D9 #508, WOODSTOCK, GA, 30188
Administrator’s telephone number 5614402139

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing DONAL K. FORD
Valid signature Filed with authorized/valid electronic signature
KIDS FIRST PEDIATRIC DENTISTRY, P. C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2020 262846825 2021-08-17 KIDS FIRST PEDIATRIC DENTISTRY, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8477175437
Plan sponsor’s address 1640 CAPITAL STREET, ELGIN, IL, 60123

Plan administrator’s name and address
Administrator’s EIN 454813650
Plan administrator’s name 3(16) FIDUCIARY SERVICES CORPORATION
Plan administrator’s address 6234 OLD HIGHWAY 5 STE D9 #508, WOODSTOCK, GA, 30188
Administrator’s telephone number 5614402139

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing DONAL K. FORD
Valid signature Filed with authorized/valid electronic signature
KIDS FIRST PEDIATRIC DENTISTRY, P. C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2019 262846825 2020-07-27 KIDS FIRST PEDIATRIC DENTISTRY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8477175437
Plan sponsor’s address 1640 CAPITAL STREET, ELGIN, IL, 60123

Plan administrator’s name and address
Administrator’s EIN 454813650
Plan administrator’s name 3(16) FIDUCIARY SERVICES CORPORATION
Plan administrator’s address 6234 OLD HIGHWAY 5 STE D9 #508, WOODSTOCK, GA, 30188
Administrator’s telephone number 5614402139

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing DONAL K. FORD
Valid signature Filed with authorized/valid electronic signature
KIDS FIRST PEDIATRIC DENTISTRY, P. C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2018 262846825 2019-08-02 KIDS FIRST PEDIATRIC DENTISTRY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8477175437
Plan sponsor’s address 1640 CAPITAL STREET, ELGIN, IL, 60123

Plan administrator’s name and address
Administrator’s EIN 454813650
Plan administrator’s name 3(16) FIDUCIARY SERVICES CORPORATION
Plan administrator’s address 1732 SOUTH CONGRESS AVENUE, NO. 310, PALM SPRINGS, FL, 33461
Administrator’s telephone number 5614402139

Signature of
Role Plan administrator
Date 2019-08-02
Name of individual signing DONAL K. FORD
Valid signature Filed with authorized/valid electronic signature
KIDS FIRST PEDIATRIC DENTISTRY, P. C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2017 262846825 2018-07-23 KIDS FIRST PEDIATRIC DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8477175437
Plan sponsor’s address 1640 CAPITAL STREET, ELGIN, IL, 60123

Plan administrator’s name and address
Administrator’s EIN 454813650
Plan administrator’s name 3(16) FIDUCIARY SERVICES CORPORATION
Plan administrator’s address 1732 SOUTH CONGRESS AVENUE, NO. 310, PALM SPRINGS, FL, 33461
Administrator’s telephone number 5614402139

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing DONAL K. FORD
Valid signature Filed with authorized/valid electronic signature
KIDS FIRST PEDIATRIC DENTISTRY, P. C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2016 262846825 2017-08-09 KIDS FIRST PEDIATRIC DENTISTRY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8477175437
Plan sponsor’s address 1640 CAPITAL STREET, ELGIN, IL, 60123

Plan administrator’s name and address
Administrator’s EIN 454813650
Plan administrator’s name 3(16) FIDUCIARY SERVICES CORPORATION
Plan administrator’s address 1732 SOUTH CONGRESS AVENUE, NO. 310, PALM SPRINGS, FL, 33461
Administrator’s telephone number 5614402139

Signature of
Role Plan administrator
Date 2017-08-09
Name of individual signing DONAL K. FORD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MATTHEW J KARSTEN, 1640 CAPITAL ST, #500, ELGIN, 60124, KANE Agent 2016-06-17

President

Name and Address Role
MATTHEW J. KARSTEN, 144 LAWNDALE, ELMHURST, IL, 60126 President

Shares

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5154668300 2021-01-25 0507 PPS 1640 Capital St Ste 500, Elgin, IL, 60124-8078
Loan Status Date 2021-12-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 235300
Loan Approval Amount (current) 235300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 448174
Servicing Lender Name Millennium Bank
Servicing Lender Address 2077 Miner St, DES PLAINES, IL, 60016-4711
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Elgin, KANE, IL, 60124-8078
Project Congressional District IL-08
Number of Employees 38
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 448174
Originating Lender Name Millennium Bank
Originating Lender Address DES PLAINES, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 237208.54
Forgiveness Paid Date 2021-11-16

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Date of last update: 13 Mar 2025

Sources: Illinois Office of the Secretary of State

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