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BB DENTAL CARE, P.C.

Company Details

Entity Name: BB DENTAL CARE, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 Apr 2017
Company Number: CORP_71182908
File Number: 71182908
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BB DENTAL CARE 401K 2023 821278826 2024-05-30 BB DENTAL CARE 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621210
Sponsor’s telephone number 8155057765
Plan sponsor’s address 115 W LINCOLN AVENUE, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2024-05-30
Name of individual signing LINDSEY SVATOS
Valid signature Filed with authorized/valid electronic signature
BB DENTAL CARE 401K 2022 821278826 2023-06-05 BB DENTAL CARE 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621210
Sponsor’s telephone number 3124983116
Plan sponsor’s address 115 W LINCOLN AVENUE, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2023-06-05
Name of individual signing LINDSEY SVATOS
Valid signature Filed with authorized/valid electronic signature
BB DENTAL CARE 401K 2021 821278826 2022-05-27 BB DENTAL CARE 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621210
Sponsor’s telephone number 3124983116
Plan sponsor’s address 115 W LINCOLN AVENUE, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2022-05-27
Name of individual signing JAIME STALEY
Valid signature Filed with authorized/valid electronic signature
BB DENTAL CARE 401K 2020 821278826 2021-06-04 BB DENTAL CARE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621210
Sponsor’s telephone number 3124983116
Plan sponsor’s address 115 W LINCOLN AVENUE, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2021-06-04
Name of individual signing JAIME STALEY
Valid signature Filed with authorized/valid electronic signature
BB DENTAL CARE 401K 2019 821278826 2020-06-30 BB DENTAL CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621210
Sponsor’s telephone number 3124983116
Plan sponsor’s address 115 W LINCOLN AVENUE, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing JAIME STALEY
Valid signature Filed with authorized/valid electronic signature
BB DENTAL CARE 401K 2019 821278826 2020-06-22 BB DENTAL CARE 11
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621210
Sponsor’s telephone number 3124983116
Plan sponsor’s address 115 W LINCOLN AVENUE, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2020-06-19
Name of individual signing JSTALEY4434
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TIMOTHY J. LEAKE, 839 N PERRYVILLE RD STE 200, ROCKFORD, 61107, WINNEBAGO Agent 2022-12-16

President

Name and Address Role
JEFFREY BURCH 115 W LINCOLN AVE BELVIDERE 61008 President

Secretary

Name and Address Role
MICHAEL BRECHON Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BRECHON DENTAL Assume Name 2018-10-11 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State