| Entity Name: | CARLSON, CASTOR & HAUF, P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 03 Oct 2012 |
| Company Number: | CORP_68657679 |
| File Number: | 68657679 |
| 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 | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTURY DENTAL OF HUNTLEY 401(K) PLAN | 2023 | 461155796 | 2024-09-25 | CENTURY DENTAL OF HUNTLEY | 23 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-09-25 |
| Name of individual signing | MICHAEL VANDERFORD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8476694771 |
| Plan sponsor’s address | 10775 NORTH IL ROUTE 47, HUNTLEY, IL, 60142 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-21 |
| Name of individual signing | MICHAEL VANDERFORD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8476694771 |
| Plan sponsor’s address | 10775 NORTH IL ROUTE 47, HUNTLEY, IL, 60142 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-07 |
| Name of individual signing | SARAH CARLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8476694771 |
| Plan sponsor’s address | 10775 NORTH IL ROUTE 47, HUNTLEY, IL, 60142 |
Signature of
| Role | Plan administrator |
| Date | 2021-09-08 |
| Name of individual signing | SARAH CARLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8476694771 |
| Plan sponsor’s address | 10775 NORTH IL ROUTE 47, HUNTLEY, IL, 60142 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-03 |
| Name of individual signing | SARAH CARLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ROBERT S STRAUSS, 500 SKOKIE BLVD STE 600, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO | Agent | 2023-06-20 |
| Name and Address | Role |
|---|---|
| SARAH CARLSON, 10775 N IL RTE47, HUNTLEY, IL 60142 | President |
| Name and Address | Role |
|---|---|
| KATHERINE HAUF, 10775 N RTE 47HUNTLEY, IL, 60142 | Secretary |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| CENTURY DENTAL OF HUNTLEY | Assume Name | 2012-11-05 | No data | No data | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 600000 | No data |
Date of last update: 13 Jan 2025
