STEPHEN M. WILLENBORG PROFIT SHARING
|
2011
|
371042795
|
2012-09-28
|
STEPHEN M WILLENBORG DMD LTD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2173477021
|
Plan sponsor’s
address |
610 N KELLER DR, EFFINGHAM, IL, 624011814
|
Plan administrator’s name and address
Administrator’s EIN |
371042795 |
Plan administrator’s name |
STEPHEN M WILLENBORG DMD LTD |
Plan administrator’s
address |
610 N KELLER DR, EFFINGHAM, IL, 624011814 |
Administrator’s telephone number |
2173477021 |
Signature of
Role |
Plan administrator |
Date |
2012-09-28 |
Name of individual signing |
HELGA TOWLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN M. WILLENBORG PROFIT SHARING
|
2010
|
371042795
|
2011-09-15
|
STEPHEN M WILLENBORG DMD LTD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2173477021
|
Plan sponsor’s
address |
610 N KELLER DR, EFFINGHAM, IL, 624011814
|
Plan administrator’s name and address
Administrator’s EIN |
371042795 |
Plan administrator’s name |
STEPHEN M WILLENBORG DMD LTD |
Plan administrator’s
address |
610 N KELLER DR, EFFINGHAM, IL, 624011814 |
Administrator’s telephone number |
2173477021 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
HELGA TOWLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN M. WILLENBORG PROFIT SHARING
|
2009
|
371042795
|
2010-10-26
|
STEPHEN M WILLENBORG DMD LTD
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2173477021
|
Plan sponsor’s
address |
610 N KELLER DR, EFFINGHAM, IL, 624011814
|
Plan administrator’s name and address
Administrator’s EIN |
371042795 |
Plan administrator’s name |
STEPHEN M WILLENBORG DMD LTD |
Plan administrator’s
address |
610 N KELLER DR, EFFINGHAM, IL, 624011814 |
Administrator’s telephone number |
2173477021 |
Signature of
Role |
Plan administrator |
Date |
2010-10-26 |
Name of individual signing |
HELGA J TOWLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN M WILLENBORG DMD LTD EMPLOYEE RETIREMENT PLAN
|
2009
|
371042795
|
2010-10-26
|
STEPHEN M WILLENBORG DMD LTD
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
2173477021
|
Plan sponsor’s
address |
610 N KELLER DR, EFFINGHAM, IL, 624011814
|
Plan administrator’s name and address
Administrator’s EIN |
371042795 |
Plan administrator’s name |
STEPHEN M WILLENBORG DMD LTD |
Plan administrator’s
address |
610 N KELLER DR, EFFINGHAM, IL, 624011814 |
Administrator’s telephone number |
2173477021 |
Signature of
Role |
Plan administrator |
Date |
2010-10-26 |
Name of individual signing |
HELGA J TOWLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|