RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN
|
2023
|
363387069
|
2024-07-07
|
RICHARD S. NICKLAS, DDS
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152168366
|
Plan sponsor’s
address |
497 S. WALL STREET, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2024-07-07 |
Name of individual signing |
RICHARD S NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN
|
2022
|
363387069
|
2023-07-14
|
RICHARD S. NICKLAS, DDS
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152168366
|
Plan sponsor’s
address |
497 S. WALL STREET, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2023-07-14 |
Name of individual signing |
RICHARD S NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN
|
2021
|
363387069
|
2022-08-23
|
RICHARD S. NICKLAS, DDS
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152168366
|
Plan sponsor’s
address |
497 S. WALL STREET, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2022-08-23 |
Name of individual signing |
RICHARD S NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN
|
2020
|
363387069
|
2021-06-22
|
RICHARD S. NICKLAS, DDS
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159326251
|
Plan sponsor’s
address |
497 S. WALL STREET, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2021-06-22 |
Name of individual signing |
RICHARD S NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN
|
2019
|
363387069
|
2020-06-18
|
RICHARD S. NICKLAS, DDS
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159326251
|
Plan sponsor’s
address |
497 S. WALL STREET, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2020-06-18 |
Name of individual signing |
RICHARD S NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN
|
2018
|
363387069
|
2019-06-10
|
RICHARD S. NICKLAS, DDS
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159326251
|
Plan sponsor’s
address |
497 S. WALL STREET, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2019-06-10 |
Name of individual signing |
RICHARD S NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN
|
2017
|
363387069
|
2019-06-10
|
RICHARD S. NICKLAS, DDS
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159326251
|
Plan sponsor’s
address |
497 S. WALL STREET, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2019-06-10 |
Name of individual signing |
RICHARD S NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN
|
2016
|
363387069
|
2017-07-05
|
RICHARD S. NICKLAS, DDS
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159326251
|
Plan sponsor’s
address |
497 S. WALL STREET, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2017-07-05 |
Name of individual signing |
RICHARD S NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN
|
2015
|
363387069
|
2016-07-10
|
RICHARD S. NICKLAS, DDS
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159326251
|
Plan sponsor’s
address |
497 S. WALL STREET, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2016-07-10 |
Name of individual signing |
RICHARD S NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. NICKLAS, DDS PROFIT SHARING PLAN
|
2014
|
363387069
|
2015-09-01
|
RICHARD S NICKLAS, DDS
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159326251
|
Plan sponsor’s
address |
497 S WALL STREET, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2015-09-01 |
Name of individual signing |
RICHARD S. NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-01 |
Name of individual signing |
RICHARD S. NICKLAS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|