CREEKVIEW DENTAL GROUP RETIREMENT PLAN
|
2023
|
364303356
|
2024-09-01
|
CREEKVIEW DENTAL GROUP
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152825300
|
Plan sponsor’s
address |
2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111
|
Signature of
Role |
Plan administrator |
Date |
2024-09-01 |
Name of individual signing |
NICK RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREEKVIEW DENTAL GROUP RETIREMENT PLAN
|
2022
|
364303356
|
2023-07-14
|
CREEKVIEW DENTAL GROUP
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152825300
|
Plan sponsor’s
address |
2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111
|
Signature of
Role |
Plan administrator |
Date |
2023-07-14 |
Name of individual signing |
SHIRLEY HORNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREEKVIEW DENTAL GROUP RETIREMENT PLAN
|
2021
|
364303356
|
2022-07-28
|
CREEKVIEW DENTAL GROUP
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152825300
|
Plan sponsor’s
address |
2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111
|
Signature of
Role |
Plan administrator |
Date |
2022-07-28 |
Name of individual signing |
JOSEPH ZAMMUTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREEKVIEW DENTAL GROUP RETIREMENT PLAN
|
2020
|
364303356
|
2022-04-09
|
CREEKVIEW DENTAL GROUP
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152825300
|
Plan sponsor’s
address |
2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111
|
Signature of
Role |
Plan administrator |
Date |
2022-04-09 |
Name of individual signing |
JOSEPH ZAMMUTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREEKVIEW DENTAL GROUP RETIREMENT PLAN
|
2020
|
364303356
|
2021-11-03
|
CREEKVIEW DENTAL GROUP
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152825300
|
Plan sponsor’s
address |
2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111
|
Signature of
Role |
Plan administrator |
Date |
2021-11-03 |
Name of individual signing |
JOSEPH ZAMMUTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREEKVIEW DENTAL GROUP RETIREMENT PLAN
|
2019
|
364303356
|
2020-10-14
|
CREEKVIEW DENTAL GROUP
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152825300
|
Plan sponsor’s
address |
2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
JOSEPH ZAMMUTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREEKVIEW DENTAL GROUP RETIREMENT PLAN
|
2018
|
364303356
|
2019-05-22
|
CREEKVIEW DENTAL GROUP
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152825300
|
Plan sponsor’s
address |
2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111
|
Signature of
Role |
Plan administrator |
Date |
2019-05-22 |
Name of individual signing |
JOSEPH ZAMMUTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREEKVIEW DENTAL GROUP RETIREMENT PLAN
|
2017
|
364303356
|
2018-10-23
|
CREEKVIEW DENTAL GROUP
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152825300
|
Plan sponsor’s
address |
2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111
|
Signature of
Role |
Plan administrator |
Date |
2018-10-23 |
Name of individual signing |
JOSEPH ZAMMUTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREEKVIEW DENTAL GROUP RETIREMENT PLAN
|
2017
|
364303356
|
2018-10-22
|
CREEKVIEW DENTAL GROUP
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152825300
|
Plan sponsor’s
address |
2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111
|
Signature of
Role |
Plan administrator |
Date |
2018-10-22 |
Name of individual signing |
JOSEPH ZAMMUTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREEKVIEW DENTAL GROUP RETIREMENT PLAN
|
2016
|
364303356
|
2017-05-24
|
CREEKVIEW DENTAL GROUP
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152825300
|
Plan sponsor’s
address |
2028 EAST RIVERSIDE BLVD, SUITE 200, LOVES PARK, IL, 61111
|
Signature of
Role |
Plan administrator |
Date |
2017-05-24 |
Name of individual signing |
JOSEPH ZAMMUTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|