SANDPIPER DENTAL PROFIT SHARING PLAN
|
2012
|
363933301
|
2013-03-27
|
SANDPIPER DENTAL P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305881700
|
Plan sponsor’s
address |
1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190
|
Signature of
Role |
Plan administrator |
Date |
2013-03-27 |
Name of individual signing |
THERESA LAO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-27 |
Name of individual signing |
THERESA LAO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDPIPER DENTAL PROFIT SHARING PLAN
|
2011
|
363933301
|
2012-05-30
|
SANDPIPER DENTAL P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305881700
|
Plan sponsor’s
address |
1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190
|
Plan administrator’s name and address
Administrator’s EIN |
363933301 |
Plan administrator’s name |
SANDPIPER DENTAL P.C. |
Plan administrator’s
address |
1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190 |
Administrator’s telephone number |
6305881700 |
Signature of
Role |
Plan administrator |
Date |
2012-05-30 |
Name of individual signing |
THERESA LAO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-30 |
Name of individual signing |
THERESA LAO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDPIPER DENTAL PROFIT SHARING PLAN
|
2010
|
363933301
|
2011-03-29
|
SANDPIPER DENTAL P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305881700
|
Plan sponsor’s
address |
1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190
|
Plan administrator’s name and address
Administrator’s EIN |
363933301 |
Plan administrator’s name |
SANDPIPER DENTAL P.C. |
Plan administrator’s
address |
1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190 |
Administrator’s telephone number |
6305881700 |
Signature of
Role |
Plan administrator |
Date |
2011-03-29 |
Name of individual signing |
THERESA LAO ADAMOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-29 |
Name of individual signing |
THERESA LAO ADAMOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDPIPER DENTAL PROFIT SHARING PLAN
|
2009
|
363933301
|
2010-06-22
|
SANDPIPER DENTAL P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305881700
|
Plan sponsor’s
address |
1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190
|
Plan administrator’s name and address
Administrator’s EIN |
363933301 |
Plan administrator’s name |
SANDPIPER DENTAL P.C. |
Plan administrator’s
address |
1N141 COUNTY FARM ROAD, SUITE 150, WINFIELD, IL, 60190 |
Administrator’s telephone number |
6305881700 |
Signature of
Role |
Plan administrator |
Date |
2010-06-22 |
Name of individual signing |
THERESA LAO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-22 |
Name of individual signing |
THERESA LAO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|