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NICHOLAS E. BAKER, DMD, P.C.

Company Details

Entity Name: NICHOLAS E. BAKER, DMD, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 31 Jul 2008
Company Number: CORP_66194019
File Number: 66194019
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
NICHOLAS E. BAKER, DMD, P. C. 401(K) PLAN 2023 263094428 2024-12-04 NICHOLAS E. BAKER, DMD, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3092876885
Plan sponsor’s address 2817 REED ROAD, BLOOMINGTON, IL, 61704

Signature of

Role Plan administrator
Date 2024-12-04
Name of individual signing NICHOLAS BAKER
Valid signature Filed with authorized/valid electronic signature
NICHOLAS E. BAKER, DMD, P. C. 401(K) PLAN 2021 263094428 2022-07-08 NICHOLAS E. BAKER, DMD, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3092876885
Plan sponsor’s address 2817 REED ROAD, BLOOMINGTON, IL, 61704
NICHOLAS E. BAKER, DMD, P. C. 401(K) PLAN 2020 263094428 2021-06-17 NICHOLAS E. BAKER, DMD, P.C. 14
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3092876885
Plan sponsor’s address 2817 REED ROAD, BLOOMINGTON, IL, 61704

Signature of

Role Plan administrator
Date 2021-06-17
Name of individual signing NICHOLAS BAKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-17
Name of individual signing NICHOLAS BAKER
Valid signature Filed with authorized/valid electronic signature
NICHOLAS E. BAKER, DMD, P. C. 401(K) PLAN 2020 263094428 2021-06-17 NICHOLAS E. BAKER, DMD, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3092876885
Plan sponsor’s address 2817 REED ROAD, BLOOMINGTON, IL, 61704

Signature of

Role Plan administrator
Date 2021-06-17
Name of individual signing NICHOLAS BAKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-17
Name of individual signing NICHOLAS BAKER
Valid signature Filed with authorized/valid electronic signature
NICHOLAS E. BAKER, DMD, P. C. 401(K) PLAN 2019 263094428 2020-07-17 NICHOLAS E. BAKER, DMD, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3092876885
Plan sponsor’s address 2817 REED ROAD, BLOOMINGTON, IL, 61704
NICHOLAS E. BAKER, DMD, P. C. 401(K) PLAN 2018 263094428 2019-10-14 NICHOLAS E. BAKER, DMD, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3092876885
Plan sponsor’s address 2817 REED ROAD, BLOOMINGTON, IL, 61704
NICHOLAS E. BAKER, DMD, P. C. 401(K) PLAN 2017 263094428 2018-10-10 NICHOLAS E. BAKER, DMD, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3092876885
Plan sponsor’s address 2817 REED ROAD, BLOOMINGTON, IL, 61704
NICHOLAS E. BAKER, DMD, P. C. 401(K) PLAN 2016 263094428 2017-10-16 NICHOLAS E. BAKER, DMD, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3096625921
Plan sponsor’s address 2817 REED ROAD, BLOOMINGTON, IL, 61704

Signature of

Role Plan administrator
Date 2017-10-16
Name of individual signing NICHOLAS E. BAKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing NICHOLAS E. BAKER
Valid signature Filed with authorized/valid electronic signature
NICHOLAS E. BAKER, DMD, P.C. 401(K) PLAN 2015 263094428 2016-04-06 NICHOLAS E. BAKER, DMD, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3096625921
Plan sponsor’s address 2206 E. OAKLAND AVE., BLOOMINGTON, IL, 61701
NICHOLAS E. BAKER, DMD, P.C. 401(K) PLAN 2014 263094428 2015-05-26 NICHOLAS E. BAKER, DMD, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3096625921
Plan sponsor’s address 2206 E. OAKLAND AVE., BLOOMINGTON, IL, 61701

Agent

Name and Address Role Appointment Date
JOHN L. PRATT, 201 E GROVE ST STE 100, BLOOMINGTON, 61701, MC LEAN Agent 2024-04-29

Secretary

Name and Address Role
NICHOLAS E BAKER, 1738 BEECH ST, NORMAL IL 61761 Secretary

President

Name and Address Role
NICHOLAS E BAKER, 1738 BEECH ST, NORMAL IL 61761 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BLOOMINGTON MODERN DENTISTRY Assume Name 2015-06-26 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 10000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State