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  5. HERITAGE DENTAL, P.C.

HERITAGE DENTAL, P.C.

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Company Details

Entity Name: HERITAGE DENTAL, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 22 Feb 1993
Company Number: CORP_57193972
File Number: 57193972
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

Agent

Name and Address Role Appointment Date
SCOTT GARTNER, 345 PARK AVE STE 7, ANTIOCH, 60002, LAKE Agent 2024-01-25

President

Name and Address Role
DANIEL BOARINI 800 MAIN ST ANTIOCH IL 60002 President

Secretary

Name and Address Role
MARK BOARINI Secretary

National Provider Identifier

NPI Number:
1356490700
Link:
View on NPI website

Authorized Person:

Name:
DR. KENNETH JAZDZEWSKI
Role:
OFFICER OF CORPORATION
Phone:
8473951461

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Phone:
+1 847-395-1461
Fax:
8473959255

Form 5500 Series

Employer Identification Number (EIN):
363869109
Plan Year:
2023
Number Of Participants:
20
Sponsors Telephone Number:
8473951461
File:
View File
Plan Year:
2022
Number Of Participants:
19
Sponsors Telephone Number:
8473951461
File:
View File
Plan Year:
2021
Number Of Participants:
20
Sponsors Telephone Number:
8473951461
File:
View File
Plan Year:
2020
Number Of Participants:
19
Sponsors Telephone Number:
8473951461
File:
View File
Plan Year:
2019
Number Of Participants:
22
Sponsors Telephone Number:
8473951461
File:
View File

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 300 300000 No data

USAspending Awards / Financial Assistance

Date:
2021-01-28
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
209922.00
Total Face Value Of Loan:
209922.00
Date:
2020-04-18
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
209900.00
Total Face Value Of Loan:
209900.00

Paycheck Protection Program

Jobs Reported:
19
Initial Approval Amount:
$209,900
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$209,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$212,756.97
Servicing Lender:
State Bank of the Lakes, National Association
Use of Proceeds:
Payroll: $157,425
Utilities: $52,475
Jobs Reported:
19
Initial Approval Amount:
$209,922
Date Approved:
2021-01-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$209,922
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$212,085.36
Servicing Lender:
State Bank of the Lakes, National Association
Use of Proceeds:
Payroll: $209,922

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Date of last update: 21 Jul 2025

Sources: Illinois Office of the Secretary of State

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