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S.W. FURMANEK, D.D.S., P.C.

Company Details

Entity Name: S.W. FURMANEK, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 13 Jun 2012
Date of Dissolution: 09 Nov 2018
Company Number: CORP_68484561
File Number: 68484561
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 09 Nov 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
S.W. FURMANEK, D.D.S., P.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2012 362808714 2014-04-03 S.W. FURMANEK, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621210
Sponsor’s telephone number 8473986668
Plan sponsor’s address 6355 N. BROADWAY, CHICAGO, IL, 60660

Signature of

Role Plan administrator
Date 2014-04-03
Name of individual signing S.W. FURMANEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-03
Name of individual signing S.W. FURMANEK
Valid signature Filed with authorized/valid electronic signature
S.W. FURMANEK, D.D.S., P.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2011 362808714 2012-11-09 S.W. FURMANEK, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621210
Sponsor’s telephone number 8473986668
Plan sponsor’s address 6355 N. BROADWAY, CHICAGO, IL, 60660

Plan administrator’s name and address

Administrator’s EIN 362808714
Plan administrator’s name S.W. FURMANEK, D.D.S., P.C.
Plan administrator’s address 6355 N. BROADWAY, CHICAGO, IL, 60660
Administrator’s telephone number 8473986668

Signature of

Role Plan administrator
Date 2012-11-09
Name of individual signing S.W. FURMANEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-11-09
Name of individual signing S.W. FURMANEK
Valid signature Filed with authorized/valid electronic signature
S.W. FURMANEK, D.D.S., P.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2010 362808714 2012-07-09 S.W. FURMANEK, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621210
Sponsor’s telephone number 8473986668
Plan sponsor’s address 6355 N. BROADWAY, CHICAGO, IL, 60660

Plan administrator’s name and address

Administrator’s EIN 362808714
Plan administrator’s name S.W. FURMANEK, D.D.S., P.C.
Plan administrator’s address 6355 N. BROADWAY, CHICAGO, IL, 60660
Administrator’s telephone number 8473986668

Signature of

Role Plan administrator
Date 2012-07-09
Name of individual signing S.W. FURMANEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-09
Name of individual signing S.W. FURMANEK
Valid signature Filed with authorized/valid electronic signature
S.W. FURMANEK, D.D.S., P.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2009 362808714 2011-05-17 S.W. FURMANEK, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621210
Sponsor’s telephone number 8473986668
Plan sponsor’s address 6355 N. BROADWAY, CHICAGO, IL, 60660

Plan administrator’s name and address

Administrator’s EIN 362808714
Plan administrator’s name S.W. FURMANEK, D.D.S., P.C.
Plan administrator’s address 6355 N. BROADWAY, CHICAGO, IL, 60660
Administrator’s telephone number 8473986668

Signature of

Role Plan administrator
Date 2011-05-17
Name of individual signing S.W. FURMANEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-17
Name of individual signing S.W. FURMANEK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID P BUCKLEY JR., 102 S WYNSTONE PARK DR STE 100, NORTH BARRINGTON, 60010, LAKE Agent 2012-06-13

President

Name and Address Role
SYLVESTER W FURMANEK, 1614 S CENTRAL RD #212, ALRINGTON HTS President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State