750 BROADWAY, LLC

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

CHILLICOTHE DENTAL CENTER, P.C. PROFIT SHARING PLAN

2012

371084772

2013-06-06

CHILLICOTHE DENTAL CENTER, P.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1980-06-01
Business code	621210
Sponsor’s telephone number	3096782997
Plan sponsor’s address	1008 N 4TH STREET SUITE B, PO BOX 170, CHILLICOTHE, IL, 61523

Signature of

Role	Plan administrator
Date	2013-06-06
Name of individual signing	STEVE WARFIELD
Valid signature	Filed with authorized/valid electronic signature

CHILLICOTHE DENTAL CENTER, P.C. PROFIT SHARING PLAN

2011

371084772

2012-06-09

CHILLICOTHE DENTAL CENTER, P.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1980-06-01
Business code	621210
Sponsor’s telephone number	3096782997
Plan sponsor’s address	1008 N 4TH STREET SUITE B, PO BOX 170, CHILLICOTHE, IL, 61523

Plan administrator’s name and address

Administrator’s EIN	371084772
Plan administrator’s name	CHILLICOTHE DENTAL CENTER, P.C.
Plan administrator’s address	1008 N 4TH STREET SUITE B, PO BOX 170, CHILLICOTHE, IL, 61523
Administrator’s telephone number	3096782997

Signature of

Role	Plan administrator
Date	2012-06-09
Name of individual signing	STEVE WARFIELD
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
KIM A. BROWN, 6201 ALTON WAY, MATTOON, 61938	Agent	2020-05-19

Name and Address	Role	Appointment Date
CHERNOFF, EVAN, 519 DOWD AVENUE, ELIZABETH, NJ, 07201	Manager	2024-07-23

Date of last update: 13 Jan 2025