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SUGAR CREEK ORTHODONTICS, P.C.

Company Details

Entity Name: SUGAR CREEK ORTHODONTICS, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 26 Mar 2007
Company Number: CORP_65437104
File Number: 65437104
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUGAR CREEK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2023 208747882 2024-06-19 SUGAR CREEK ORTHODONTICS, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2177321073
Plan sponsor’s address 400 N. CHICAGO STREET, LINCOLN, IL, 626562019
SUGAR CREEK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2022 208747882 2023-03-02 SUGAR CREEK ORTHODONTICS, P.C, 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2177321073
Plan sponsor’s address 400 N. CHICAGO STREET, LINCOLN, IL, 626562019

Signature of

Role Plan administrator
Date 2023-02-21
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-21
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
SUGAR CREEK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2021 208747882 2022-05-04 SUGAR CREEK ORTHODONTICS, P.C, 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2177321073
Plan sponsor’s address 400 N. CHICAGO STREET, LINCOLN, IL, 626562019

Signature of

Role Plan administrator
Date 2022-05-04
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-04
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
SUGAR CREEK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2020 208747882 2021-02-03 SUGAR CREEK ORTHODONTICS, P.C, 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2177321073
Plan sponsor’s address 400 N. CHICAGO STREET, LINCOLN, IL, 626562019

Signature of

Role Plan administrator
Date 2021-02-03
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-03
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
SUGAR CREEK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2019 208747882 2020-06-08 SUGAR CREEK ORTHODONTICS, P.C, 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2177321073
Plan sponsor’s address 400 N. CHICAGO STREET, LINCOLN, IL, 626562019

Signature of

Role Plan administrator
Date 2020-06-03
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-03
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
SUGAR CREEK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2018 208747882 2019-03-18 SUGAR CREEK ORTHODONTICS, P.C, 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2177321073
Plan sponsor’s address 400 N. CHICAGO STREET, LINCOLN, IL, 626562019

Signature of

Role Plan administrator
Date 2019-03-15
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-15
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
SUGAR CREEK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2017 208747882 2018-03-09 SUGAR CREEK ORTHODONTICS, P.C, 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2177321073
Plan sponsor’s address 400 N. CHICAGO STREET, LINCOLN, IL, 626562019

Signature of

Role Plan administrator
Date 2018-03-05
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-05
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
SUGAR CREEK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2016 208747882 2017-04-24 SUGAR CREEK ORTHODONTICS, P.C, 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2177321073
Plan sponsor’s address 400 N. CHICAGO STREET, LINCOLN, IL, 626562019

Signature of

Role Plan administrator
Date 2017-04-24
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-24
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
SUGAR CREEK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2015 208747882 2016-04-27 SUGAR CREEK ORTHODONTICS, P.C, 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2177321073
Plan sponsor’s address 400 N. CHICAGO STREET, LINCOLN, IL, 626562019

Signature of

Role Plan administrator
Date 2016-04-27
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-27
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
SUGAR CREEK ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2014 208747882 2015-10-22 SUGAR CREEK ORTHODONTICS, P.C, 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2177321073
Plan sponsor’s address 400 N. CHICAGO STREET, LINCOLN, IL, 626562019

Signature of

Role Plan administrator
Date 2015-10-21
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-21
Name of individual signing RON TOMCZAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CLAYTON GEORGE, 207 N MCLEAN ST., LINCOLN, 62656, LOGAN Agent 2007-03-26

President

Name and Address Role
DIANE E ULRICH 1527 2575TH ST ATLANTA IL 61723 President

Secretary

Name and Address Role
RON TOMCZAK, 1527 2575TH ST ATLANTA 61723 Secretary

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