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  5. ISAAC E. DAVISON, D.D.S., LTD.

ISAAC E. DAVISON, D.D.S., LTD.

Company Details

Entity Name: ISAAC E. DAVISON, D.D.S., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 14 Feb 2008
Company Number: CORP_66392937
File Number: 66392937
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ISAAC E. DAVISON, D.D.S., LTD. PROFIT SHARING PLAN PLAN 2018 261999968 2019-09-26 ISAAC E. DAVISON D. D. S. , LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 6185425814
Plan sponsor’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832

Signature of
Role Plan administrator
Date 2019-09-26
Name of individual signing DR. ISSAC E. DAVISON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-26
Name of individual signing ISAAC DAVISON
Valid signature Filed with authorized/valid electronic signature
ISAAC E. DAVISON D.D.S., LTD. PROFIT SHARING PLAN 2017 261999968 2018-10-11 ISAAC E. DAVISON D.D.S., LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 6185425814
Plan sponsor’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing ISAAC E. DAVISON
Valid signature Filed with authorized/valid electronic signature
ISAAC E. DAVISON D.D.S., LTD. PROFIT SHARING PLAN 2016 261999968 2017-08-17 ISAAC E. DAVISON D.D.S., LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 6185425814
Plan sponsor’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832

Signature of
Role Plan administrator
Date 2017-08-17
Name of individual signing ISAAC E. DAVISON
Valid signature Filed with authorized/valid electronic signature
ISAAC E. DAVISON D.D.S., LTD. PROFIT SHARING PLAN 2015 261999968 2016-07-29 ISAAC E. DAVISON D.D.S., LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 6185425814
Plan sponsor’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing ISAAC E. DAVISON
Valid signature Filed with authorized/valid electronic signature
ISAAC E. DAVISON D.D.S., LTD. PROFIT SHARING PLAN 2014 261999968 2015-07-30 ISAAC E. DAVISON D.D.S., LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 6185425814
Plan sponsor’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing ISAAC E. DAVISON
Valid signature Filed with authorized/valid electronic signature
ISAAC E. DAVISON D.D.S., LTD. PROFIT SHARING PLAN 2013 261999968 2014-01-20 ISAAC E. DAVISON D.D.S., LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 6185425814
Plan sponsor’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832

Signature of
Role Plan administrator
Date 2014-01-20
Name of individual signing ISAAC E. DAVISON
Valid signature Filed with authorized/valid electronic signature
ISAAC E. DAVISON D.D.S., LTD. PROFIT SHARING PLAN 2012 261999968 2013-03-25 ISAAC E. DAVISON D.D.S., LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 6185425814
Plan sponsor’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832

Signature of
Role Plan administrator
Date 2013-03-25
Name of individual signing ISAAC E. DAVISON
Valid signature Filed with authorized/valid electronic signature
ISAAC E. DAVISON D.D.S., LTD. PROFIT SHARING PLAN 2011 261999968 2012-04-03 ISAAC E. DAVISON D.D.S., LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 6185425814
Plan sponsor’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832

Plan administrator’s name and address
Administrator’s EIN 261999968
Plan administrator’s name ISAAC E. DAVISON D.D.S., LTD.
Plan administrator’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832
Administrator’s telephone number 6185425814

Signature of
Role Plan administrator
Date 2012-04-03
Name of individual signing ISAAC E. DAVISON
Valid signature Filed with authorized/valid electronic signature
ISAAC E. DAVISON D.D.S., LTD. PROFIT SHARING PLAN 2010 261999968 2011-07-26 ISAAC E. DAVISON D.D.S., LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 6185425814
Plan sponsor’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832

Plan administrator’s name and address
Administrator’s EIN 261999968
Plan administrator’s name ISAAC E. DAVISON D.D.S., LTD.
Plan administrator’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832
Administrator’s telephone number 6185425814

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing ISAAC E. DAVISON
Valid signature Filed with authorized/valid electronic signature
DUQUOIN DENTAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2009 261999968 2010-08-02 DUQUOIN DENTAL ASSOCIATES, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 6185425814
Plan sponsor’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832

Plan administrator’s name and address
Administrator’s EIN 261999968
Plan administrator’s name DUQUOIN DENTAL ASSOCIATES, LTD.
Plan administrator’s address 1226 S. WASHINGTON STREET, P.O. BOX 330, DUQUOIN, IL, 62832
Administrator’s telephone number 6185425814

Signature of
Role Plan administrator
Date 2010-08-02
Name of individual signing ISAAC E. DAVISON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ISAAC E DAVISON, 1226 S WASHINGTON ST PO BOX330, DUQUOIN, 62832, PERRY Agent 2009-05-04

President

Name and Address Role
ISAAC E. DAVISON 219 E PERRY DU QUOIN IL 62832 President

Secretary

Name and Address Role
MELISSA DAVISON 219 E PERRY DUQUOIN IL 62832 Secretary

Historical Names

Name Change Date
DUQUOIN DENTAL ASSOCIATES, LTD. 2010-10-15

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: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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