ENDODONTIC SPECIALISTS, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2020
|
371367724
|
2021-05-14
|
ENDODONTIC SPECIALISTS, L.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096639521
|
Plan sponsor’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2021-05-14 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-14 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC SPECIALISTS, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2019
|
371367724
|
2020-05-01
|
ENDODONTIC SPECIALISTS, L.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096639521
|
Plan sponsor’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2020-05-01 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-01 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC SPECIALISTS, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2018
|
371367724
|
2019-05-30
|
ENDODONTIC SPECIALISTS, L.L.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096639521
|
Plan sponsor’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2019-05-30 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-30 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC SPECIALISTS, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2017
|
371367724
|
2018-05-24
|
ENDODONTIC SPECIALISTS, L.L.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096639521
|
Plan sponsor’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2018-05-24 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-24 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC SPECIALISTS, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2016
|
371367724
|
2017-06-01
|
ENDODONTIC SPECIALISTS, L.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096639521
|
Plan sponsor’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2017-06-01 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-01 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC SPECIALISTS, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2015
|
371367724
|
2016-06-01
|
ENDODONTIC SPECIALISTS, L.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096639521
|
Plan sponsor’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2016-06-01 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-01 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC SPECIALISTS, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2014
|
371367724
|
2015-06-03
|
ENDODONTIC SPECIALISTS, L.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096639521
|
Plan sponsor’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2015-06-03 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-03 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC SPECIALISTS, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2013
|
371367724
|
2014-05-21
|
ENDODONTIC SPECIALISTS, L.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096639521
|
Plan sponsor’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2014-05-21 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-21 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC SPECIALISTS, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2012
|
371367724
|
2013-05-22
|
ENDODONTIC SPECIALISTS, L.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096639521
|
Plan sponsor’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2013-05-22 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-22 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC SPECIALISTS, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2011
|
371367724
|
2012-06-24
|
ENDODONTIC SPECIALISTS, L.L.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096639521
|
Plan sponsor’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704
|
Plan administrator’s name and address
Administrator’s EIN |
371367724 |
Plan administrator’s name |
ENDODONTIC SPECIALISTS, L.L.C. |
Plan administrator’s
address |
3601 G.E. ROAD, BLOOMINGTON, IL, 61704 |
Administrator’s telephone number |
3096639521 |
Signature of
Role |
Plan administrator |
Date |
2012-06-24 |
Name of individual signing |
STEVEN SIERASKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|