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  5. CHACON DENTAL GROUP P.C.

CHACON DENTAL GROUP P.C.

Company Details

Entity Name: CHACON DENTAL GROUP P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 10 Jan 2013
Company Number: CORP_68651174
File Number: 68651174
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
CHACON DENTAL GROUP, PC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST 2023 460742713 2024-10-08 CHACON DENTAL GROUP, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8479249815
Plan sponsor’s address 3535 E NEW YORK ST. STE 212, AURORA, IL, 60504

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing JOSE CHACON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-08
Name of individual signing JOSE CHACON
Valid signature Filed with authorized/valid electronic signature
CHACON DENTAL GROUP, PC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST 2022 460742713 2023-06-09 CHACON DENTAL GROUP, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8479249815
Plan sponsor’s address 3535 E NEW YORK ST. STE 212, AURORA, IL, 60504

Signature of
Role Plan administrator
Date 2023-06-09
Name of individual signing JOSE CHACON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-09
Name of individual signing JOSE CHACON
Valid signature Filed with authorized/valid electronic signature
CHACON DENTAL GROUP, PC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST 2021 460742713 2022-10-12 CHACON DENTAL GROUP, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8479249815
Plan sponsor’s address 3535 E NEW YORK ST. STE 212, AURORA, IL, 60504

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing JOSE CHACON
Valid signature Filed with authorized/valid electronic signature
CHACON DENTAL GROUP, PC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST 2020 460742713 2021-10-11 CHACON DENTAL GROUP, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8479249815
Plan sponsor’s address 3535 E NEW YORK ST. STE 212, AURORA, IL, 60504

Signature of
Role Plan administrator
Date 2021-10-09
Name of individual signing JOSE CHACON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-09
Name of individual signing JOSE CHACON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOSE A CHACON, 3535 E NEW YORK ST, STE 212, AURORA, 60504, DU PAGE Agent 2015-06-30

President

Name and Address Role
JOSE A CHACON 3535 E NEW YORKST #212 AURORA IL, 60504 President

Secretary

Name and Address Role
JOSE A CHACON 3535 E NEW YORKST #212 AURORA IL, 60504 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
AURORA ORTHODONTICS AND PERIODONTICS Assume Name 2013-01-24 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1500 1500000 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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