FRANCIS A. BUGAJ, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2011
|
363590628
|
2012-09-10
|
FRANCIS ALAN BUGAJ, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474328080
|
Plan sponsor’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363590628 |
Plan administrator’s name |
FRANCIS ALAN BUGAJ, D.D.S., LTD. |
Plan administrator’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474328080 |
Signature of
Role |
Plan administrator |
Date |
2012-09-10 |
Name of individual signing |
FRANCIS ALAN BUGAJ, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCIS A. BUGAJ, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2010
|
363590628
|
2011-04-28
|
FRANCIS ALAN BUGAJ, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474328080
|
Plan sponsor’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363590628 |
Plan administrator’s name |
FRANCIS ALAN BUGAJ, D.D.S., LTD. |
Plan administrator’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474328080 |
Signature of
Role |
Plan administrator |
Date |
2011-04-28 |
Name of individual signing |
FRANCIS ALAN BUGAJ, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCIS A. BUGAJ, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2009
|
363590628
|
2010-09-09
|
FRANCIS ALAN BUGAJ, D.D.S., LTD.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474328080
|
Plan sponsor’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363590628 |
Plan administrator’s name |
FRANCIS ALAN BUGAJ, D.D.S., LTD. |
Plan administrator’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474328080 |
Signature of
Role |
Plan administrator |
Date |
2010-08-18 |
Name of individual signing |
FRANCIS ALAN BUGAJ, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-18 |
Name of individual signing |
FRANCIS ALAN BUGAJ, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
FRANCIS A. BUGAJ, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2009
|
363590628
|
2010-09-26
|
FRANCIS ALAN BUGAJ, D.D.S., LTD.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474328080
|
Plan sponsor’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363590628 |
Plan administrator’s name |
FRANCIS ALAN BUGAJ, D.D.S., LTD. |
Plan administrator’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474328080 |
Signature of
Role |
Plan administrator |
Date |
2010-08-18 |
Name of individual signing |
FRANCIS ALAN BUGAJ, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
FRANCIS A. BUGAJ, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2009
|
363590628
|
2010-09-27
|
FRANCIS ALAN BUGAJ, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474328080
|
Plan sponsor’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363590628 |
Plan administrator’s name |
FRANCIS ALAN BUGAJ, D.D.S., LTD. |
Plan administrator’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474328080 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
FRANCIS ALAN BUGAJ, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANCIS A. BUGAJ, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2009
|
363590628
|
2010-08-18
|
FRANCIS ALAN BUGAJ, D.D.S., LTD.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474328080
|
Plan sponsor’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363590628 |
Plan administrator’s name |
FRANCIS ALAN BUGAJ, D.D.S., LTD. |
Plan administrator’s
address |
555 VINE AVENUE, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474328080 |
Signature of
Role |
Plan administrator |
Date |
2010-08-18 |
Name of individual signing |
FRANCIS ALAN BUGAJ, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-18 |
Name of individual signing |
FRANCIS ALAN BUGAJ, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|