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MATTHEW J. BUSCH, D.D.S., LTD.

Company Details

Entity Name: MATTHEW J. BUSCH, D.D.S., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 May 1979
Company Number: CORP_51764471
File Number: 51764471
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID R. MUSICH, D.D.S. AND MATTHEW J. BUSCH, D.D S., LTD. 401(K) RETIREMENT PLAN 2013 363024590 2014-06-06 DAVID R. MUSICH, D.D.S. & MATTHEW J . BUSCH, D.D.S., LTD. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8475171333
Plan sponsor’s address 1701 EAST WOODFIELD RD., SUITE 500, SCHAUMBURG, IL, 60173
DAVID R. MUSICH, D.D.S. AND MATTHEW J. BUSCH, D.D S., LTD. 401(K) RETIREMENT PLAN 2012 363024590 2013-07-01 DAVID R. MUSICH, D.D.S. & MATTHEW J . BUSCH, D.D.S., LTD. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8475171333
Plan sponsor’s address 1701 EAST WOODFIELD RD., SUITE 500, SCHAUMBURG, IL, 60173

Signature of

Role Plan administrator
Date 2013-07-01
Name of individual signing SCOTT EMERING
Valid signature Filed with authorized/valid electronic signature
DAVID R. MUSICH, D.D.S. AND MATTHEW J. BUSCH, D.D S., LTD. 401(K) RETIREMENT PLAN 2011 363024590 2012-06-18 DAVID R. MUSICH, D.D.S. & MATTHEW J . BUSCH, D.D.S., LTD. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8475171333
Plan sponsor’s address 1701 EAST WOODFIELD RD., SUITE 500, SCHAUMBURG, IL, 60173

Plan administrator’s name and address

Administrator’s EIN 363024590
Plan administrator’s name DAVID R. MUSICH, D.D.S. & MATTHEW J . BUSCH, D.D.S., LTD.
Plan administrator’s address 1701 EAST WOODFIELD RD., SUITE 500, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8475171333

Signature of

Role Plan administrator
Date 2012-06-18
Name of individual signing SCOTT EMERING
Valid signature Filed with authorized/valid electronic signature
DAVID R. MUSICH, D.D.S. AND MATTHEW J. BUSCH, D.D S., LTD. 401(K) RETIREMENT PLAN 2010 363024590 2011-06-21 DAVID R. MUSICH, D.D.S. & MATTHEW J . BUSCH, D.D.S., LTD. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8475171333
Plan sponsor’s address 1701 EAST WOODFIELD RD., SUITE 500, SCHAUMBURG, IL, 60173

Plan administrator’s name and address

Administrator’s EIN 363024590
Plan administrator’s name DAVID R. MUSICH, D.D.S. & MATTHEW J . BUSCH, D.D.S., LTD.
Plan administrator’s address 1701 EAST WOODFIELD RD., SUITE 500, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8475171333

Signature of

Role Plan administrator
Date 2011-06-21
Name of individual signing SCOTT EMERING
Valid signature Filed with authorized/valid electronic signature
DAVID R. MUSICH, D.D.S. AND MATTHEW J. BUSCH, D.D S., LTD. 401(K) RETIREMENT PLAN 2009 363024590 2010-08-23 DAVID R. MUSICH, D.D.S. & MATTHEW J . BUSCH, D.D.S., LTD. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8475171333
Plan sponsor’s address 1701 EAST WOODFIELD RD., SUITE 500, SCHAUMBURG, IL, 60173

Plan administrator’s name and address

Administrator’s EIN 363024590
Plan administrator’s name DAVID R. MUSICH, D.D.S. & MATTHEW J . BUSCH, D.D.S., LTD.
Plan administrator’s address 1701 EAST WOODFIELD RD., SUITE 500, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8475171333

Signature of

Role Plan administrator
Date 2010-08-23
Name of individual signing SCOTT EMERING
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL H LURIE, 2345 WAUKEGAN RD #165, BANNOCKBURN, 60015, LAKE Agent 2020-07-06

President

Name and Address Role
MATTHEW J BUSCH DDS 1701 E WOODFIELD RD #500 SCHAUMBURG IL President

Secretary

Name and Address Role
60173 Secretary

Historical Names

Name Change Date
DAVID R. MUSICH, D.D.S. & MATTHEW J. BUSCH, D.D.S., LTD. 2019-02-22
DAVID R. MUSICH, D.D.S., LTD. 2002-06-07

Shares

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

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State