DENTAL HEALTH OF WHEATON, P.C. EMPLOYEES' RET. PLAN & TRUST
|
2011
|
362844960
|
2013-06-01
|
DENTAL HEALTH OF WHEATON, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-11-30
|
Business code |
621210
|
Sponsor’s telephone number |
6306686071
|
Plan sponsor’s
address |
949 WEST LIBERTY DRIVE, WHEATON, IL, 60187
|
Plan administrator’s name and address
Administrator’s EIN |
362844960 |
Plan administrator’s name |
DENTAL HEALTH OF WHEATON, P.C. |
Plan administrator’s
address |
949 WEST LIBERTY DRIVE, WHEATON, IL, 60187 |
Administrator’s telephone number |
6306686071 |
Signature of
Role |
Plan administrator |
Date |
2013-06-01 |
Name of individual signing |
MARY ALICE STEER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL HEALTH OF WHEATON, P.C. EMPLOYEES' RET. PLAN & TRUST
|
2010
|
362844960
|
2012-08-15
|
DENTAL HEALTH OF WHEATON, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-11-30
|
Business code |
621210
|
Sponsor’s telephone number |
6306686071
|
Plan sponsor’s
address |
949 WEST LIBERTY DRIVE, WHEATON, IL, 60187
|
Plan administrator’s name and address
Administrator’s EIN |
362844960 |
Plan administrator’s name |
DENTAL HEALTH OF WHEATON, P.C. |
Plan administrator’s
address |
949 WEST LIBERTY DRIVE, WHEATON, IL, 60187 |
Administrator’s telephone number |
6306686071 |
Signature of
Role |
Plan administrator |
Date |
2012-08-15 |
Name of individual signing |
MARY ALICE STEER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL HEALTH OF WHEATON, P.C. EMPLOYEES' RET. PLAN & TRUST
|
2010
|
362844960
|
2012-07-11
|
DENTAL HEALTH OF WHEATON, P.C.
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-11-30
|
Sponsor’s telephone number |
6306686071
|
Plan sponsor’s
address |
949 WEST LIBERTY DRIVE, WHEATON, IL, 60187
|
Plan administrator’s name and address
Administrator’s EIN |
362844960 |
Plan administrator’s name |
DENTAL HEALTH OF WHEATON, P.C. |
Plan administrator’s
address |
949 WEST LIBERTY DRIVE, WHEATON, IL, 60187 |
Administrator’s telephone number |
6306686071 |
Signature of
Role |
Plan administrator |
Date |
2012-07-11 |
Name of individual signing |
MARYALIEE STEER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|