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MILK HOUSE DINER, INC.

Company Details

Entity Name: MILK HOUSE DINER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 02 Mar 2005
Date of Dissolution: 10 Aug 2007
Company Number: CORP_64096044
File Number: 64096044
Type of Business: All Inclusive Purpose
Date Status Change: 10 Aug 2007
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN 2012 371385562 2013-10-02 TODD C. MARTIN, D.D.S., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 7084850016
Plan sponsor’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513

Signature of

Role Plan administrator
Date 2013-10-02
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-02
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN 2011 371385562 2012-07-05 TODD C. MARTIN, D.D.S., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 7084850016
Plan sponsor’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513

Plan administrator’s name and address

Administrator’s EIN 371385562
Plan administrator’s name TODD C. MARTIN, D.D.S., P.C.
Plan administrator’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
Administrator’s telephone number 7084850016

Signature of

Role Plan administrator
Date 2012-07-05
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-05
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN 2010 371385562 2011-09-22 TODD C. MARTIN, D.D.S., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 7084850016
Plan sponsor’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513

Plan administrator’s name and address

Administrator’s EIN 371385562
Plan administrator’s name TODD C. MARTIN, D.D.S., P.C.
Plan administrator’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
Administrator’s telephone number 7084850016

Signature of

Role Plan administrator
Date 2011-09-22
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-22
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN 2009 371385562 2010-06-30 TODD C. MARTIN, D.D.S., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 7084850016
Plan sponsor’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513

Plan administrator’s name and address

Administrator’s EIN 371385562
Plan administrator’s name TODD C. MARTIN, D.D.S., P.C.
Plan administrator’s address 9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
Administrator’s telephone number 7084850016

Signature of

Role Plan administrator
Date 2010-06-30
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-30
Name of individual signing TODD C. MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL D LAWSON, 311 4TH AVE POB 656, MATHERVILLE, 61263, MERCER Agent 2005-03-02

President

Name and Address Role
MICHAEL LAWSON PO BOX 94 VIOLA 61486 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 10000000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State