PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
362728994
|
2013-04-30
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HIGHWAY, SUITE 4, FLOSSMOOR, IL, 60422
|
Plan administrator’s name and address
Administrator’s EIN |
362728994 |
Plan administrator’s name |
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. |
Plan administrator’s
address |
19815 GOVERNORS HIGHWAY, SUITE 4, FLOSSMOOR, IL, 60422 |
Administrator’s telephone number |
7087995437 |
Signature of
Role |
Plan administrator |
Date |
2013-04-30 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-30 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
362728994
|
2012-05-07
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HIGHWAY, SUITE 4, FLOSSMOOR, IL, 60422
|
Plan administrator’s name and address
Administrator’s EIN |
362728994 |
Plan administrator’s name |
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. |
Plan administrator’s
address |
19815 GOVERNORS HIGHWAY, SUITE 4, FLOSSMOOR, IL, 60422 |
Administrator’s telephone number |
7087995437 |
Signature of
Role |
Plan administrator |
Date |
2012-05-07 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
362728994
|
2011-04-20
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HIGHWAY, SUITE 4, FLOSSMOOR, IL, 60422
|
Plan administrator’s name and address
Administrator’s EIN |
362728994 |
Plan administrator’s name |
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. |
Plan administrator’s
address |
19815 GOVERNORS HIGHWAY, SUITE 4, FLOSSMOOR, IL, 60422 |
Administrator’s telephone number |
7087995437 |
Signature of
Role |
Plan administrator |
Date |
2011-04-20 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401K PROFIT SHARING PLAN AND TRUST
|
2009
|
362728994
|
2010-07-02
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HIGHWAY, SUITE 4, FLOSSMOOR, IL, 60422
|
Plan administrator’s name and address
Administrator’s EIN |
362728994 |
Plan administrator’s name |
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. |
Plan administrator’s
address |
19815 GOVERNORS HIGHWAY, SUITE 4, FLOSSMOOR, IL, 60422 |
Administrator’s telephone number |
7087995437 |
Signature of
Role |
Plan administrator |
Date |
2010-07-02 |
Name of individual signing |
RONALD G. TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-02 |
Name of individual signing |
RONALD G. TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|