KENNETH C. SZURGOT D.D.S., P.C. DEFINED BENEFIT PENSION PLAN
|
2011
|
364058049
|
2012-04-11
|
KENNETH C. SZURGOT D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7733487008
|
Plan sponsor’s
address |
2551 N. CLARK SUITE 700, CHICAGO, IL, 60614
|
Plan administrator’s name and address
Administrator’s EIN |
364058049 |
Plan administrator’s name |
KENNETH C. SZURGOT D.D.S., P.C. |
Plan administrator’s
address |
2551 N. CLARK SUITE 700, CHICAGO, IL, 60614 |
Administrator’s telephone number |
7733487008 |
Signature of
Role |
Plan administrator |
Date |
2012-04-11 |
Name of individual signing |
KENNETH C SZURGOT DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-11 |
Name of individual signing |
KENNETH C SZURGOT DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH C. SZURGOT D.D.S., P.C. DEFINED BENEFIT PENSION PLAN
|
2010
|
364058049
|
2011-03-21
|
KENNETH C. SZURGOT D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7733487008
|
Plan sponsor’s
address |
2551 N. CLARK SUITE 700, CHICAGO, IL, 60614
|
Plan administrator’s name and address
Administrator’s EIN |
364058049 |
Plan administrator’s name |
KENNETH C. SZURGOT D.D.S., P.C. |
Plan administrator’s
address |
2551 N. CLARK SUITE 700, CHICAGO, IL, 60614 |
Administrator’s telephone number |
7733487008 |
Signature of
Role |
Plan administrator |
Date |
2011-03-21 |
Name of individual signing |
KENNETH C SZURGOT DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-21 |
Name of individual signing |
KENNETH C SZURGOT DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH C. SZURGOT D.D.S., P.C. DEFINED BENEFIT PENSION PLAN
|
2010
|
364058049
|
2011-03-21
|
KENNETH C. SZURGOT D.D.S., P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7733487008
|
Plan sponsor’s
address |
2551 N. CLARK SUITE 700, CHICAGO, IL, 60614
|
Plan administrator’s name and address
Administrator’s EIN |
364058049 |
Plan administrator’s name |
KENNETH C. SZURGOT D.D.S., P.C. |
Plan administrator’s
address |
2551 N. CLARK SUITE 700, CHICAGO, IL, 60614 |
Administrator’s telephone number |
7733487008 |
Signature of
Role |
Plan administrator |
Date |
2011-03-21 |
Name of individual signing |
KENNETH C SZURGOT DDS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-21 |
Name of individual signing |
KENNETH C SZURGOT DDS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
KENNETH C. SZURGOT D.D.S., P.C. DEFINED BENEFIT PENSION PLAN
|
2010
|
364058049
|
2011-03-21
|
KENNETH C. SZURGOT D.D.S., P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7733487008
|
Plan sponsor’s
address |
2551 N. CLARK SUITE 700, CHICAGO, IL, 60614
|
Plan administrator’s name and address
Administrator’s EIN |
364058049 |
Plan administrator’s name |
KENNETH C. SZURGOT D.D.S., P.C. |
Plan administrator’s
address |
2551 N. CLARK SUITE 700, CHICAGO, IL, 60614 |
Administrator’s telephone number |
7733487008 |
Signature of
Role |
Plan administrator |
Date |
2011-03-21 |
Name of individual signing |
KENNETH C SZURGOT DDS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-21 |
Name of individual signing |
KENNETH C SZURGOT DDS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
KENNETH C. SZURGOT D.D.S., P.C. DEFINED BENEFIT PENSION PLAN
|
2009
|
364058049
|
2010-07-20
|
KENNETH C. SZURGOT D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7733487998
|
Plan sponsor’s
address |
2551 N. CLARK SUITE 700, CHICAGO, IL, 60614
|
Plan administrator’s name and address
Administrator’s EIN |
364058049 |
Plan administrator’s name |
KENNETH C. SZURGOT D.D.S., P.C. |
Plan administrator’s
address |
2551 N. CLARK SUITE 700, CHICAGO, IL, 60614 |
Administrator’s telephone number |
7733487998 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
KENNETH SZURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
KENNETH SZURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|