| Entity Name: | ADAM J. UNTERBRUNNER, D.D.S., P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 21 Nov 2011 |
| Company Number: | CORP_68085489 |
| File Number: | 68085489 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADAM J. UNTERBRUNNER, D.D.S., P.C. 401(K) PLAN | 2023 | 453864593 | 2024-10-10 | ADAM J. UNTERBRUNNER, D.D.S., P.C. | 3 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-10-10 |
| Name of individual signing | ADAM UNTERBRUNNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-10 |
| Name of individual signing | ADAM UNTERBRUNNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3193309534 |
| Plan sponsor’s address | 2040 W. IRVING PARK RD., CHICAGO, IL, 60618 |
Signature of
| Role | Plan administrator |
| Date | 2024-10-10 |
| Name of individual signing | ADAM UNTERBRUNNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-10 |
| Name of individual signing | ADAM UNTERBRUNNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3193309534 |
| Plan sponsor’s address | 2040 W. IRVING PARK RD., CHICAGO, IL, 60618 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-10 |
| Name of individual signing | ADAM UNTERBRUNNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-10-10 |
| Name of individual signing | ADAM UNTERBRUNNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3193309534 |
| Plan sponsor’s address | 2040 W. IRVING PARK RD., CHICAGO, IL, 60618 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-21 |
| Name of individual signing | ADAM UNTERBRUNNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-08-21 |
| Name of individual signing | ADAM UNTERBRUNNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ADAM J UNTERBRUNNER, 2124 W PENSACOLA AVE, CHICAGO, 60618, COOK-NOT IN CITY OF CHICAGO | Agent | 2019-12-31 |
| Name and Address | Role |
|---|---|
| ADAM J UNTERBRUNNER 2124 W PENSACOLA AVE CHICAGO IL 60618 | President |
| Name and Address | Role |
|---|---|
| ADAM J UNTERBRUNNER, PRESIDENT, 2124 W PENSACOLA AVE 60618 | Secretary |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| NEIGHBORHOOD DENTAL | Assume Name | 2023-08-08 | No data | No data | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 20 Jan 2025
