LEGACY DENTAL, P.C.

Company Details

Entity Name:	LEGACY DENTAL, P.C.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Goodstanding
Date Formed:	29 Sep 2016
Company Number:	CORP_70847973
File Number:	70847973
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

LEGACY DENTAL 401(K) PROFIT SHARING PLAN

2023

814031266

2024-07-22

LEGACY DENTAL

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621210
Sponsor’s telephone number	6307620000
Plan sponsor’s address	40W131 CAMPTON CROSSING DRIVE, ST. CHARLES, IL, 60175

Signature of

Role	Plan administrator
Date	2024-07-22
Name of individual signing	DR. MICHAEL TEUSCHER
Valid signature	Filed with authorized/valid electronic signature

LEGACY DENTAL 401(K) PROFIT SHARING PLAN

2022

814031266

2023-07-17

LEGACY DENTAL

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621210
Sponsor’s telephone number	6307620000
Plan sponsor’s address	40W131 CAMPTON CROSSING DRIVE, ST. CHARLES, IL, 60175

Signature of

Role	Plan administrator
Date	2023-07-17
Name of individual signing	DR. MICHAEL TEUSCHER
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
CRAIG P THOMAS, 2902 MCFARLAND ROAD STE 400, ROCKFORD, 61107, WINNEBAGO	Agent	2016-09-29

Name and Address	Role
MICHAEL TEUSCHER 40W131 CAMPTON CROSSINGS DR ST. CHARLES IL	President

Name	Type	Effective Date	Cancellation Date	Cancellation Type	Last Renewal Date
TEUSCHER LEGACY DENTAL	Assume Name	2019-12-17	No data	No data	No data

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	10000	1000000	No data

Date of last update: 16 Jan 2025