Entity Name: | PALOS PEDIATRIC DENTISTRY, P.C. |
Jurisdiction: | Illinois |
Entity Type: | Corporation - Domestic BCA |
Status: | Goodstanding |
Date Formed: | 05 Aug 2013 |
Company Number: | CORP_69120075 |
File Number: | 69120075 |
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 | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PALOS PEDIATRIC DENTISTRY, P.C. 401(K) PLAN | 2023 | 463356304 | 2024-10-14 | PALOS PEDIATRIC DENTISTRY, P.C. | 11 | |||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-10-14 |
Name of individual signing | RICHARD FACKO |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2024-10-14 |
Name of individual signing | RICHARD FACKO |
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 | 7085865851 |
Plan sponsor’s address | 7440 W. COLLEGE DRIVE, SUITE A-200, PALOS HEIGHTS, IL, 60463 |
Signature of
Role | Plan administrator |
Date | 2023-10-11 |
Name of individual signing | DARREN JOSSEL |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2023-10-11 |
Name of individual signing | DARREN JOSSEL |
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 | 7085865851 |
Plan sponsor’s address | 7440 W. COLLEGE DRIVE, SUITE A-200, PALOS HEIGHTS, IL, 60463 |
Signature of
Role | Plan administrator |
Date | 2022-10-13 |
Name of individual signing | MICHAEL W. BLITSTEIN |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2022-10-13 |
Name of individual signing | MICHAEL W. BLITSTEIN |
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 | 7085865851 |
Plan sponsor’s address | 7440 W. COLLEGE DRIVE, SUITE A-200, PALOS HEIGHTS, IL, 60463 |
Signature of
Role | Plan administrator |
Date | 2021-10-12 |
Name of individual signing | MICHAEL W. BLITSTEIN |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2021-10-12 |
Name of individual signing | MICHAEL W. BLITSTEIN |
Valid signature | Filed with authorized/valid electronic signature |
Name and Address | Role | Appointment Date |
---|---|---|
RICHARD N FACKO, 6446 W 127TH STREET, PALOS HEIGHTS, 60463, COOK-NOT IN CITY OF CHICAGO | Agent | 2022-07-08 |
Name and Address | Role |
---|---|
RICHARD FACKO, 6837 W HIGHLANDDR, PALOS HEIGHTS, IL 60463 | President |
Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
---|---|---|---|---|---|
COMMON | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 13 Feb 2025