WEST SUBURBAN ORTHODONTICS LTD. 401(K) PROFIT SHARING PLAN
|
2011
|
362771295
|
2014-02-25
|
WEST SUBURBAN ORTHODONTICS LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6302795577
|
Plan sponsor’s
address |
455 NORTH YORK ROAD, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
362771295 |
Plan administrator’s name |
WEST SUBURBAN ORTHODONTICS LTD. |
Plan administrator’s
address |
455 NORTH YORK ROAD, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6302795577 |
Signature of
Role |
Plan administrator |
Date |
2014-02-25 |
Name of individual signing |
JEFFREY BOLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-02-25 |
Name of individual signing |
JEFFREY BOLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST SUBURBAN ORTHODONTICS 401K PROFIT SHARING PL N
|
2011
|
362771295
|
2013-10-04
|
WEST SUBURBAN ORTHODONTICS, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6302795577
|
Plan sponsor’s
address |
459 N. YORK, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
362771295 |
Plan administrator’s name |
WEST SUBURBAN ORTHODONTICS, LTD. |
Plan administrator’s
address |
459 N. YORK, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6302795577 |
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
DAVID GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST SUBURBAN ORTHODONTICS 401K PROFIT SHARING PL N
|
2010
|
362771295
|
2011-08-11
|
WEST SUBURBAN ORTHODONTICS, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6302795577
|
Plan sponsor’s
address |
135 N. ADDISON AVENUE, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
362771295 |
Plan administrator’s name |
WEST SUBURBAN ORTHODONTICS, LTD. |
Plan administrator’s
address |
135 N. ADDISON AVENUE, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6302795577 |
Signature of
Role |
Plan administrator |
Date |
2011-08-11 |
Name of individual signing |
DAVID GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST SUBURBAN ORTHODONTICS 401K PROFIT SHARING PL N
|
2009
|
362771295
|
2010-10-16
|
WEST SUBURBAN ORTHODONTICS, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
6302795577
|
Plan sponsor’s
address |
135 N. ADDISON AVENUE, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
362771295 |
Plan administrator’s name |
WEST SUBURBAN ORTHODONTICS, LTD. |
Plan administrator’s
address |
135 N. ADDISON AVENUE, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6302795577 |
Signature of
Role |
Plan administrator |
Date |
2010-10-16 |
Name of individual signing |
DAVID GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|