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GREEN MEADOWS DENTAL, LTD.

Company Details

Entity Name: GREEN MEADOWS DENTAL, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 28 Jun 2010
Company Number: CORP_67514564
File Number: 67514564
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREEN MEADOWS DENTAL, LTD PROFIT SHARING PLAN 2023 273032671 2024-07-31 GREEN MEADOWS DENTAL, LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8473369798
Plan sponsor’s address 1220 NORTH GREEN BAY RD, WAUKEGAN, IL, 60085

Signature of

Role Plan administrator
Date 2024-07-31
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature
GREEN MEADOWS DENTAL, LTD PROFIT SHARING PLAN 2022 273032671 2023-05-03 GREEN MEADOWS DENTAL, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8473369798
Plan sponsor’s address 1220 NORTH GREEN BAY RD, WAUKEGAN, IL, 60085

Signature of

Role Plan administrator
Date 2023-05-03
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature
GREEN MEADOWS DENTAL, LTD PROFIT SHARING PLAN 2021 273032671 2022-09-01 GREEN MEADOWS DENTAL, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8473369798
Plan sponsor’s address 1220 NORTH GREEN BAY RD, WAUKEGAN, IL, 60085

Signature of

Role Plan administrator
Date 2022-09-01
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature
GREEN MEADOWS DENTAL, LTD PROFIT SHARING PLAN 2020 273032671 2021-06-02 GREEN MEADOWS DENTAL, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8473369798
Plan sponsor’s address 1220 NORTH GREEN BAY RD, WAUKEGAN, IL, 60085

Signature of

Role Plan administrator
Date 2021-06-02
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature
GREEN MEADOWS DENTAL, LTD PROFIT SHARING PLAN 2019 273032671 2020-10-14 GREEN MEADOWS DENTAL, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8473369798
Plan sponsor’s address 1220 NORTH GREEN BAY RD, WAUKEGAN, IL, 60085

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature
GREEN MEADOWS DENTAL, LTD PROFIT SHARING PLAN 2018 273032671 2019-07-31 GREEN MEADOWS DENTAL, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8473369798
Plan sponsor’s address 1220 NORTH GREEN BAY RD, WAUKEGAN, IL, 60085

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature
GREEN MEADOWS DENTAL, LTD PROFIT SHARING PLAN 2017 273032671 2018-10-11 GREEN MEADOWS DENTAL, LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8473369798
Plan sponsor’s address 1220 NORTH GREEN BAY RD, WAUKEGAN, IL, 60085

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature
GREEN MEADOWS DENTAL, LTD PROFIT SHARING PLAN 2016 273032671 2017-09-29 GREEN MEADOWS DENTAL, LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8473369798
Plan sponsor’s address 1220 NORTH GREEN BAY RD, WAUKEGAN, IL, 60085

Signature of

Role Plan administrator
Date 2017-09-29
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature
GREEN MEADOWS DENTAL, LTD PROFIT SHARING PLAN 2015 273032671 2016-10-12 GREEN MEADOWS DENTAL, LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8473369798
Plan sponsor’s address 1220 NORTH GREEN BAY RD, WAUKEGAN, IL, 60085

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature
GREEN MEADOWS DENTAL, LTD PROFIT SHARING PLAN 2014 273032671 2015-07-22 GREEN MEADOWS DENTAL, LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8473369798
Plan sponsor’s address 1220 NORTH GREEN BAY RD, WAUKEGAN, IL, 60085

Signature of

Role Plan administrator
Date 2015-07-22
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-22
Name of individual signing VU PHAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TRACEY A. LUNDGREN, 1800 NATIONS DR STE 117-5, GURNEE, 60031, LAKE Agent 2023-07-14

President

Name and Address Role
VU PHAN 1457 S SOMERSET CIRCLE LIBERTYVILLE IL 60048 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 5000 1000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State