AMBOY DENTAL GROUP PROFIT SHARING PLAN
|
2014
|
364409871
|
2015-08-13
|
AMBOY DENTAL GROUP
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1978-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8158572015
|
Plan sponsor’s
address |
P O BOX 110, AMBOY, IL, 61310
|
Signature of
Role |
Plan administrator |
Date |
2015-08-13 |
Name of individual signing |
JOEL HOCHSTATTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-13 |
Name of individual signing |
JOEL HOCHSTATTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHANNER CORPORATION EMPLOYEES PROFIT SHARING PLAN
|
2012
|
362337740
|
2013-10-07
|
CHANNER CORPORATION
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1965-06-30
|
Business code |
335900
|
Sponsor’s telephone number |
8478167000
|
Plan sponsor’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
PAUL R. ORCHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHANNER CORPORATION EMPLOYEES PROFIT SHARING PLAN
|
2011
|
362337740
|
2012-10-08
|
CHANNER CORPORATION
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1965-06-30
|
Business code |
335900
|
Sponsor’s telephone number |
8478167000
|
Plan sponsor’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045
|
Plan administrator’s name and address
Administrator’s EIN |
362337740 |
Plan administrator’s name |
CHANNER CORPORATION |
Plan administrator’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045 |
Administrator’s telephone number |
8478167000 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
PAUL R. ORCHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHANNER CORPORATION EMPLOYEES' PENSION TRUST
|
2011
|
362337740
|
2012-06-28
|
CHANNER CORPORATION
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-06-30
|
Business code |
335900
|
Sponsor’s telephone number |
8478167000
|
Plan sponsor’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045
|
Plan administrator’s name and address
Administrator’s EIN |
362337740 |
Plan administrator’s name |
CHANNER CORPORATION |
Plan administrator’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045 |
Administrator’s telephone number |
8478167000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
PAUL ORCHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHANNER CORPORATION EMPLOYEES PROFIT SHARING PLAN
|
2010
|
362337740
|
2011-10-10
|
CHANNER CORPORATION
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1965-06-30
|
Business code |
335900
|
Sponsor’s telephone number |
8478167000
|
Plan sponsor’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045
|
Plan administrator’s name and address
Administrator’s EIN |
362337740 |
Plan administrator’s name |
CHANNER CORPORATION |
Plan administrator’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045 |
Administrator’s telephone number |
8478167000 |
Signature of
Role |
Plan administrator |
Date |
2011-10-10 |
Name of individual signing |
PAUL R. ORCHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHANNER CORPORATION EMPLOYEES' PENSION TRUST
|
2010
|
362337740
|
2011-07-06
|
CHANNER CORPORATION
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-06-30
|
Business code |
335900
|
Sponsor’s telephone number |
8478167000
|
Plan sponsor’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045
|
Plan administrator’s name and address
Administrator’s EIN |
362337740 |
Plan administrator’s name |
CHANNER CORPORATION |
Plan administrator’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045 |
Administrator’s telephone number |
8478167000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-27 |
Name of individual signing |
PAUL ORCHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHANNER CORPORATION EMPLOYEES PROFIT SHARING PLAN
|
2009
|
362337740
|
2010-07-06
|
CHANNER CORPORATION
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1965-06-30
|
Business code |
335900
|
Sponsor’s telephone number |
8478167000
|
Plan sponsor’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045
|
Plan administrator’s name and address
Administrator’s EIN |
362337740 |
Plan administrator’s name |
CHANNER CORPORATION |
Plan administrator’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045 |
Administrator’s telephone number |
8478167000 |
Signature of
Role |
Plan administrator |
Date |
2010-07-06 |
Name of individual signing |
PAUL ORCHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHANNER CORPORATION EMPLOYEES' PENSION TRUST
|
2009
|
362337740
|
2010-08-24
|
CHANNER CORPORATION
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-06-30
|
Business code |
335900
|
Sponsor’s telephone number |
8478167000
|
Plan sponsor’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045
|
Plan administrator’s name and address
Administrator’s EIN |
362337740 |
Plan administrator’s name |
CHANNER CORPORATION |
Plan administrator’s
address |
13720 WEST POLO TRAIL DRIVE, LAKE FOREST, IL, 60045 |
Administrator’s telephone number |
8478167000 |
Signature of
Role |
Plan administrator |
Date |
2010-08-20 |
Name of individual signing |
PAUL ORCHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|