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  5. ELLIFF DENTAL, P.C.

ELLIFF DENTAL, P.C.

Company Details

Entity Name: ELLIFF DENTAL, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 Aug 2009
Company Number: CORP_66586685
File Number: 66586685
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
ELLIFF DENTAL, P.C. 401(K) PROFIT SHARING PLAN 2023 270896595 2024-03-12 ELLIFF DENTAL P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6304053914
Plan sponsor’s address 1912 W. WILSON STREET, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2024-03-12
Name of individual signing ANDREW ELLIFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-12
Name of individual signing ANDREW ELLIFF
Valid signature Filed with authorized/valid electronic signature
ELLIFF DENTAL, P.C. 401(K) PROFIT SHARING PLAN 2022 270896595 2023-03-22 ELLIFF DENTAL P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6304053914
Plan sponsor’s address 1912 W. WILSON STREET, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2023-02-28
Name of individual signing ANDREW ELLIFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-28
Name of individual signing ANDREW ELLIFF
Valid signature Filed with authorized/valid electronic signature
ELLIFF DENTAL, P.C. 401(K) PROFIT SHARING PLAN 2021 270896595 2022-06-01 ELLIFF DENTAL P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6304053914
Plan sponsor’s address 1912 W. WILSON STREET, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing ANDREW ELLIFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-31
Name of individual signing ANDREW ELLIFF
Valid signature Filed with authorized/valid electronic signature
ELLIFF DENTAL, P.C. 401(K) PROFIT SHARING PLAN 2020 270896595 2021-09-14 ELLIFF DENTAL P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6304053914
Plan sponsor’s address 1912 W. WILSON STREET, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2021-09-02
Name of individual signing ANDREW ELLIFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-02
Name of individual signing ANDREW ELLIFF
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LAURA K ELLIFF, 1912 W WILSON ST, BATAVIA, 60510, KANE Agent 2016-07-13

President

Name and Address Role
ANDREW F ELLIFF 1912 W WILSONST BATAVIA IL 60510 President

Secretary

Name and Address Role
LAURA ELLIFF Secretary

Shares

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

Related by officers

No related officers

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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