| Entity Name: | KANKAKEE VALLEY ORAL MAXILLOFACIAL SURGERY, P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 21 Jan 2021 |
| Company Number: | CORP_73127734 |
| File Number: | 73127734 |
| 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 | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KANKAKEE VALLEY ORAL MAXILLOFACIAL SURGERY PC 401(K) AND PROFIT SHARING PLAN | 2023 | 861449079 | 2024-07-11 | KANKAKEE VALLEY ORAL MAXILLOFACIAL SURGERY, P.C. | 8 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-10 |
| Name of individual signing | CHRISTOPHER POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-07-10 |
| Name of individual signing | CHRISTOPHER POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-04-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8156857379 |
| Plan sponsor’s address | 31 BRIARCLIFF PROFESSIONAL CENTER B, BOURBONNAIS, IL, 60914 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-18 |
| Name of individual signing | CHRISTOPHER POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-07-18 |
| Name of individual signing | CHRISTOPHER POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-04-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8156857379 |
| Plan sponsor’s address | 31 BRIARCLIFF PROFESSIONAL CENTER B, BOURBONNAIS, IL, 60914 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-27 |
| Name of individual signing | CHRISTOPHER POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-09-27 |
| Name of individual signing | CHRISTOPHER POWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CHRISTIAN G. SPESIA, 1415 BLACK RD, JOLIET, 60435, WILL | Agent | 2022-09-23 |
| Name and Address | Role |
|---|---|
| CHRISTOPHER POWELL 31 BRIARCLIFF PROFESSIOAL CENTER BLDG | President |
| Name and Address | Role |
|---|---|
| BOURBONNAIS IL 60914 | Secretary |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 27 Jan 2025
