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  5. ELYSIA L. AN DDS, LTD.

ELYSIA L. AN DDS, LTD.

Company Details

Entity Name: ELYSIA L. AN DDS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 15 Jul 2014
Date of Dissolution: 13 Dec 2019
Company Number: CORP_69536573
File Number: 69536573
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 13 Dec 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BELLA DENTAL LTD 401(K) PROFIT SHARING & TRUST 2019 471391182 2021-07-16 BELLA DENTAL LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6302534996
Plan sponsor’s address 2525 RED HAWK RIDGE DR, AURORA, IL, 605036295

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing ELYSIA AN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-16
Name of individual signing ELYSIA AN
Valid signature Filed with authorized/valid electronic signature
BELLA DENTAL LTD 401 K PROFIT SHARING PLAN TRUST 2018 471391182 2019-05-20 BELLA DENTAL LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6308515250
Plan sponsor’s address 2525 RED HAWK RIDGE DR, AURORA, IL, 60503

Signature of
Role Plan administrator
Date 2019-05-20
Name of individual signing ELYSIA AN
Valid signature Filed with authorized/valid electronic signature
BELLA DENTAL LTD 401 K PROFIT SHARING PLAN TRUST 2017 471391182 2018-07-10 BELLA DENTAL LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6308515250
Plan sponsor’s address 2525 RED HAWK RIDGE DR, AURORA, IL, 60503

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing ELYSIA AN
Valid signature Filed with authorized/valid electronic signature
BELLA DENTAL LTD 401 K PROFIT SHARING PLAN TRUST 2016 471391182 2017-07-31 BELLA DENTAL LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6308515250
Plan sponsor’s address 2525 RED HAWK RIDGE DR, AURORA, IL, 60503

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing ELYSIA AN
Valid signature Filed with authorized/valid electronic signature
BELLA DENTAL LTD 401 K PROFIT SHARING PLAN TRUST 2015 471391182 2016-07-19 BELLA DENTAL LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6308515250
Plan sponsor’s address 2525 RED HAWK RIDGE DR, AURORA, IL, 60503

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing ELYSIA AN
Valid signature Filed with authorized/valid electronic signature
BELLA DENTAL LTD 401 K PROFIT SHARING PLAN TRUST 2014 471391182 2015-07-07 BELLA DENTAL LTD 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6308515250
Plan sponsor’s address 2525 RED HAWK RIDGE DR, AURORA, IL, 60503

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing ELYSIA AN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ELYSIA LEERA AN, 2525 RD HAWK RIDGE DR, AURORA, 60503, WILL Agent 2014-07-15

President

Name and Address Role
ELYSIA AN President

Historical Names

Name Change Date
BELLA DENTAL LTD. 2019-05-28

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

Related by officers

No related officers

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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