| Entity Name: | BRIMFIELD FAMILY DENTISTRY, P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 28 Jul 2020 |
| Company Number: | CORP_72847911 |
| File Number: | 72847911 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| J5UTBARVH5T4 | 2025-04-11 | 232 E KNOXVILLE ST, BRIMFIELD, IL, 61517, 8178, USA | 232 E KNOXVILLE ST, BRIMFIELD, IL, 61517, 8178, USA | |||||||||||||||||||||||||||||||||||||
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| URL | www.brimfieldfamilydentistry.com |
| Congressional District | 16 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-04-15 |
| Initial Registration Date | 2023-05-18 |
| Entity Start Date | 2020-08-04 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CLINT MARTIN |
| Address | 232 E KNOXVILLE ST, BRIMFIELD, IL, 61517, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CLINT MARTIN |
| Address | 232 E KNOXVILLE ST, BRIMFIELD, IL, 61517, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIMFIELD FAMILY DENTISTRY 401(K) PLAN | 2023 | 852251360 | 2024-05-16 | BRIMFIELD FAMILY DENTISTRY, P.C. | 26 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-16 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3093963123 |
| Plan sponsor’s address | 232 E KNOXVILLE ST, BRIMFIELD, IL, 61517 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3093963123 |
| Plan sponsor’s address | 232 E KNOXVILLE ST, BRIMFIELD, IL, 61517 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-01 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| HEYL, ROYSTER, VOELKER & ALLEN - PROFESSIONAL CORPORATION, 300 HAMILTON BLVD, 2ND FLOOR, PEORIA, 61601, PEORIA | Agent | 2024-03-29 |
| Name and Address | Role |
|---|---|
| CLINT M MARTIN, 10023 W GRANGEHALL RD PRINCEVILLE IL 61559 | President |
| Name and Address | Role |
|---|---|
| ALEXANDER N FUNK 12212 N WAKE ROBIN WAY DUNLAP IL 61525 | Secretary |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PROF SERVICE CORP | 060012562 | No data | No data | REGISTERED PROFESSIONAL SERVICE CORPORATION | No data | 2020-08-04 | 2021-10-29 | 2025-01-01 |
| 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
