TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN
|
2012
|
371385562
|
2013-10-02
|
TODD C. MARTIN, D.D.S., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084850016
|
Plan sponsor’s
address |
9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
|
Signature of
Role |
Plan administrator |
Date |
2013-10-02 |
Name of individual signing |
TODD C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-02 |
Name of individual signing |
TODD C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN
|
2011
|
371385562
|
2012-07-05
|
TODD C. MARTIN, D.D.S., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084850016
|
Plan sponsor’s
address |
9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
|
Plan administrator’s name and address
Administrator’s EIN |
371385562 |
Plan administrator’s name |
TODD C. MARTIN, D.D.S., P.C. |
Plan administrator’s
address |
9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513 |
Administrator’s telephone number |
7084850016 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
TODD C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-05 |
Name of individual signing |
TODD C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN
|
2010
|
371385562
|
2011-09-22
|
TODD C. MARTIN, D.D.S., P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084850016
|
Plan sponsor’s
address |
9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
|
Plan administrator’s name and address
Administrator’s EIN |
371385562 |
Plan administrator’s name |
TODD C. MARTIN, D.D.S., P.C. |
Plan administrator’s
address |
9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513 |
Administrator’s telephone number |
7084850016 |
Signature of
Role |
Plan administrator |
Date |
2011-09-22 |
Name of individual signing |
TODD C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-22 |
Name of individual signing |
TODD C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD C. MARTIN, D.D.S., P.C. SAFE HARBOR 401K PLAN
|
2009
|
371385562
|
2010-06-30
|
TODD C. MARTIN, D.D.S., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084850016
|
Plan sponsor’s
address |
9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513
|
Plan administrator’s name and address
Administrator’s EIN |
371385562 |
Plan administrator’s name |
TODD C. MARTIN, D.D.S., P.C. |
Plan administrator’s
address |
9345 WEST OGDEN AVENUE, BROOKFIELD, IL, 60513 |
Administrator’s telephone number |
7084850016 |
Signature of
Role |
Plan administrator |
Date |
2010-06-30 |
Name of individual signing |
TODD C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-30 |
Name of individual signing |
TODD C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|