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CREEKVIEW DENTAL GROUP, P.C.

Company Details

Entity Name: CREEKVIEW DENTAL GROUP, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 25 May 1999
Company Number: CORP_60513538
File Number: 60513538
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CREEKVIEW DENTAL GROUP RETIREMENT PLAN 2023 364303356 2024-09-01 CREEKVIEW DENTAL GROUP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8152825300
Plan sponsor’s address 2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111

Signature of

Role Plan administrator
Date 2024-09-01
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
CREEKVIEW DENTAL GROUP RETIREMENT PLAN 2022 364303356 2023-07-14 CREEKVIEW DENTAL GROUP 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8152825300
Plan sponsor’s address 2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111

Signature of

Role Plan administrator
Date 2023-07-14
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
CREEKVIEW DENTAL GROUP RETIREMENT PLAN 2021 364303356 2022-07-28 CREEKVIEW DENTAL GROUP 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8152825300
Plan sponsor’s address 2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111

Signature of

Role Plan administrator
Date 2022-07-28
Name of individual signing JOSEPH ZAMMUTO
Valid signature Filed with authorized/valid electronic signature
CREEKVIEW DENTAL GROUP RETIREMENT PLAN 2020 364303356 2022-04-09 CREEKVIEW DENTAL GROUP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8152825300
Plan sponsor’s address 2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111

Signature of

Role Plan administrator
Date 2022-04-09
Name of individual signing JOSEPH ZAMMUTO
Valid signature Filed with authorized/valid electronic signature
CREEKVIEW DENTAL GROUP RETIREMENT PLAN 2020 364303356 2021-11-03 CREEKVIEW DENTAL GROUP 10
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8152825300
Plan sponsor’s address 2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111

Signature of

Role Plan administrator
Date 2021-11-03
Name of individual signing JOSEPH ZAMMUTO
Valid signature Filed with authorized/valid electronic signature
CREEKVIEW DENTAL GROUP RETIREMENT PLAN 2019 364303356 2020-10-14 CREEKVIEW DENTAL GROUP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8152825300
Plan sponsor’s address 2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing JOSEPH ZAMMUTO
Valid signature Filed with authorized/valid electronic signature
CREEKVIEW DENTAL GROUP RETIREMENT PLAN 2018 364303356 2019-05-22 CREEKVIEW DENTAL GROUP 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8152825300
Plan sponsor’s address 2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111

Signature of

Role Plan administrator
Date 2019-05-22
Name of individual signing JOSEPH ZAMMUTO
Valid signature Filed with authorized/valid electronic signature
CREEKVIEW DENTAL GROUP RETIREMENT PLAN 2017 364303356 2018-10-23 CREEKVIEW DENTAL GROUP 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8152825300
Plan sponsor’s address 2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111

Signature of

Role Plan administrator
Date 2018-10-23
Name of individual signing JOSEPH ZAMMUTO
Valid signature Filed with authorized/valid electronic signature
CREEKVIEW DENTAL GROUP RETIREMENT PLAN 2017 364303356 2018-10-22 CREEKVIEW DENTAL GROUP 7
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8152825300
Plan sponsor’s address 2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111

Signature of

Role Plan administrator
Date 2018-10-22
Name of individual signing JOSEPH ZAMMUTO
Valid signature Filed with authorized/valid electronic signature
CREEKVIEW DENTAL GROUP RETIREMENT PLAN 2016 364303356 2017-05-24 CREEKVIEW DENTAL GROUP 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 8152825300
Plan sponsor’s address 2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111

Signature of

Role Plan administrator
Date 2017-05-24
Name of individual signing JOSEPH ZAMMUTO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GINO GALLUZZO, 839 N PERRYVILLE RD STE 200, ROCKFORD, 61107, WINNEBAGO Agent 2022-12-20

President

Name and Address Role
JOSEPH P ZAMMUTO, 2028 E RIVERSIDE BLVD, LOVES PARK 61111 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State