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  5. GALVA FAMILY DENTISTRY, INC.

GALVA FAMILY DENTISTRY, INC.

Company Details

Entity Name: GALVA FAMILY DENTISTRY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 19 Dec 2011
Company Number: CORP_68098246
File Number: 68098246
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GALVA FAMILY DENTISTRY 401K PLAN 2022 454077425 2023-04-19 GALVA FAMILY DENTISTRY 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3099322000
Plan sponsor’s address 217 MARKET ST., GALVA, IL, 61434

Signature of
Role Plan administrator
Date 2023-04-19
Name of individual signing MIKE KEUP
Valid signature Filed with authorized/valid electronic signature
GALVA FAMILY DENTISTRY 401K PLAN 2021 454077425 2022-07-05 GALVA FAMILY DENTISTRY 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3099322000
Plan sponsor’s address 217 MARKET ST., GALVA, IL, 61434

Signature of
Role Plan administrator
Date 2022-07-05
Name of individual signing MIKE KEUP
Valid signature Filed with authorized/valid electronic signature
GALVA FAMILY DENTISTRY 401K PLAN 2020 454077425 2021-07-15 GALVA FAMILY DENTISTRY 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3099322000
Plan sponsor’s address 217 MARKET ST., GALVA, IL, 61434

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing PAMELA BATES
Valid signature Filed with authorized/valid electronic signature
GALVA FAMILY DENTISTRY 401K PLAN 2019 454077425 2020-05-26 GALVA FAMILY DENTISTRY 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3099322000
Plan sponsor’s address 217 MARKET ST., GALVA, IL, 61434

Signature of
Role Plan administrator
Date 2020-05-26
Name of individual signing PAMELA BATES
Valid signature Filed with authorized/valid electronic signature
GALVA FAMILY DENTISTRY 401K PLAN 2018 454077425 2019-05-14 GALVA FAMILY DENTISTRY 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3099322000
Plan sponsor’s address 217 MARKET ST., GALVA, IL, 61434

Signature of
Role Plan administrator
Date 2019-05-14
Name of individual signing PAMELA BATES
Valid signature Filed with authorized/valid electronic signature
GALVA FAMILY DENTISTRY 401K PLAN 2017 454077425 2018-05-16 GALVA FAMILY DENTISTRY 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3099322000
Plan sponsor’s address 217 MARKET ST., GALVA, IL, 61434

Signature of
Role Plan administrator
Date 2018-05-16
Name of individual signing PAMELA BATES
Valid signature Filed with authorized/valid electronic signature
GALVA FAMILY DENTISTRY 401K PLAN 2016 454077425 2017-05-25 GALVA FAMILY DENTISTRY 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3099322000
Plan sponsor’s address 217 MARKET ST., GALVA, IL, 61434

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing PAMELA BATES
Valid signature Filed with authorized/valid electronic signature
GALVA FAMILY DENTISTRY 401K PLAN 2015 454077425 2016-05-16 GALVA FAMILY DENTISTRY 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3099322000
Plan sponsor’s address 217 MARKET ST., GALVA, IL, 61434

Signature of
Role Plan administrator
Date 2016-05-16
Name of individual signing PAMELA BATES
Valid signature Filed with authorized/valid electronic signature
GALVA FAMILY DENTISTRY 401K PLAN 2014 454077425 2015-04-21 GALVA FAMILY DENTISTRY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3099322000
Plan sponsor’s address 217 MARKET ST., GALVA, IL, 61434

Signature of
Role Plan administrator
Date 2015-04-21
Name of individual signing PAMELA BATES
Valid signature Filed with authorized/valid electronic signature
GALVA FAMILY DENTISTRY 401K PLAN 2013 454077425 2014-06-04 GALVA FAMILY DENTISTRY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3099322000
Plan sponsor’s address 217 MARKET ST., GALVA, IL, 61434

Signature of
Role Plan administrator
Date 2014-06-04
Name of individual signing PAMELA BATES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-04
Name of individual signing SCOTT BIALOBRESKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
REYNOLDS M EVERETT JR, 110 EXCHANGE ST PO BOX 165, GALVA, 61434, HENRY Agent 2016-12-06

President

Name and Address Role
SCOTT N BIALOBRESKI 3438 BOLDER POINT CT DUNLAP IL 61525 President

Secretary

Name and Address Role
NONE Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 100000 No data

Related by officers

NONE

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REYNOLDS M EVERETT JR, 110 EXCHANGE ST PO BOX 165, GALVA, 61434, HENRY

BOLDUC & SONS, INC. FLAGS OF GALVA GALVA ARTS COUNCIL, INC. RDR FARMS OF KNOX COUNTY, INC. GRACE UNITED METHODIST CHURCH OF GALVA

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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