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BLUE STAR DENTAL INC.

Company Details

Entity Name: BLUE STAR DENTAL INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Dec 2016
Company Number: CORP_71010155
File Number: 71010155
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUE STAR DENTAL INC 401(K) 2023 814838674 2024-09-06 BLUE STAR DENTAL INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 488100
Sponsor’s telephone number 7736985773
Plan sponsor’s address 4703 W LAWRENCE AVE, CHICAGO, IL, 60630

Signature of

Role Plan administrator
Date 2024-09-06
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
BLUE STAR DENTAL INC 401(K) 2022 814838674 2023-09-11 BLUE STAR DENTAL INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 488100
Sponsor’s telephone number 7736985773
Plan sponsor’s address 4703 W LAWRENCE AVE, CHICAGO, IL, 60630

Signature of

Role Plan administrator
Date 2023-09-11
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DORINA NASTASE, 5711 N KIMBALL AVE APT 1N, CHICAGO, 60659, COOK-NOT IN CITY OF CHICAGO Agent 2016-12-01

President

Name and Address Role
DORINA NASTASE 1107 ARBOR LN,GLENVIEW, IL 60630 President

Secretary

Name and Address Role
FLORINA DEMIAN 6931 N KNOX AVE, LINCOLNWOOD, IL 60712 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1 1000 No data

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State