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  5. DAVID D. WYSE, D.D.S., P.C.

DAVID D. WYSE, D.D.S., P.C.

Company Details

Entity Name: DAVID D. WYSE, D.D.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 22 May 1978
Company Number: CORP_51455665
File Number: 51455665
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID D. WYSE, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2023 371047370 2024-06-17 DAVID D. WYSE, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621210
Sponsor’s telephone number 3096636393
Plan sponsor’s address 405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2024-06-17
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-17
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
DAVID D. WYSE, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2022 371047370 2023-06-12 DAVID D. WYSE, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621210
Sponsor’s telephone number 3096636393
Plan sponsor’s address 405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2023-06-12
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-12
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
DAVID D. WYSE, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2021 371047370 2022-05-24 DAVID D. WYSE, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621210
Sponsor’s telephone number 3096636393
Plan sponsor’s address 405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-24
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
DAVID D. WYSE, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2020 371047370 2021-06-08 DAVID D. WYSE, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621210
Sponsor’s telephone number 3096636393
Plan sponsor’s address 405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2021-06-08
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-08
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
DAVID D. WYSE, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2019 371047370 2020-05-04 DAVID D. WYSE, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621210
Sponsor’s telephone number 3096636393
Plan sponsor’s address 405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2020-05-04
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-04
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
DAVID D. WYSE, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2018 371047370 2019-06-11 DAVID D. WYSE, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621210
Sponsor’s telephone number 3096636393
Plan sponsor’s address 207 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2019-06-11
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-11
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
DAVID D. WYSE, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2017 371047370 2018-05-29 DAVID D. WYSE, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621210
Sponsor’s telephone number 3096636393
Plan sponsor’s address 207 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2018-05-29
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-29
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
DAVID D. WYSE, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2016 371047370 2017-06-08 DAVID D. WYSE, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621210
Sponsor’s telephone number 3096636393
Plan sponsor’s address 207 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-08
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
DAVID D. WYSE, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2015 371047370 2016-05-23 DAVID D. WYSE, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621210
Sponsor’s telephone number 3096636393
Plan sponsor’s address 207 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-23
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
DAVID D. WYSE, D.D.S., P.C. 401(K) PROFIT-SHARING PLAN & TRUST 2014 371047370 2015-05-21 DAVID D. WYSE, D.D.S., P.C. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621210
Sponsor’s telephone number 3096636393
Plan sponsor’s address 207 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2015-05-21
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-21
Name of individual signing DAVID D. WYSE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
NATHAN HINCH, 201 E GROVE ST STE 100, BLOOMINGTON, 61701, MC LEAN Agent 2023-04-25

President

Name and Address Role
DAVID D. WYSE, 405 S. PROSPECTROAD, BLOOMINGTON, IL 61704 President

Secretary

Name and Address Role
DAVID D. WYSE, 405 S. PROSPECTROAD, BLOOMINGTON, IL 61704 Secretary

Historical Names

Name Change Date
JAY W. CHRISMAN D.D.S., P. C. 2012-05-15

Shares

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

Related by officers

NATHAN HINCH, 201 E GROVE ST STE 100, BLOOMINGTON, 61701, MC LEAN

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Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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