|
SHADY OAK DENTAL LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
464994418
|
2024-05-18
|
SHADY OAK DENTAL LLC
|
49
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8157326911
|
| Plan sponsor’s
address |
1342 S HARLEM AVE, FREEPORT, IL, 61032
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2024-05-18 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHADY OAK DENTAL, LLC 401(K) PLAN
|
2022
|
464994418
|
2023-09-18
|
SHADY OAK DENTAL, LLC
|
35
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8159382575
|
| Plan sponsor’s
address |
1342 S HARLEM AVE, FREEPORT, IL, 61032
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-18 |
| Name of individual signing |
BRADLEY BRUBAKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
