|
CHICAGO DENTAL SOCIETY 401(K) PLAN
|
2012
|
360898765
|
2013-05-31
|
CHICAGO DENTAL SOCIETY
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1998-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3128367300
|
| Plan sponsor’s mailing address |
401 N MICHIGAN AVE STE 200, CHICAGO, IL, 606115585
|
| Plan sponsor’s
address |
401 N MICHIGAN AVE STE 200, CHICAGO, IL, 606115585
|
Plan administrator’s name and address
| Administrator’s EIN |
360898765 |
| Plan administrator’s name |
CHICAGO DENTAL SOCIETY |
| Plan administrator’s
address |
401 N MICHIGAN AVE STE 200, CHICAGO, IL, 606115585 |
| Administrator’s telephone number |
3128367300 |
Number of participants as of the end of the plan year
| Active participants |
14 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
18 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2013-05-31 |
| Name of individual signing |
RANDALL GROVE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHICAGO DENTAL SOCIETY 401(K) PLAN
|
2011
|
360898765
|
2012-05-29
|
CHICAGO DENTAL SOCIETY
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1998-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3128367300
|
| Plan sponsor’s mailing address |
401 N MICHIGAN AVE STE 200, CHICAGO, IL, 60611
|
| Plan sponsor’s
address |
401 N MICHIGAN AVE STE 200, CHICAGO, IL, 60611
|
Plan administrator’s name and address
| Administrator’s EIN |
360898765 |
| Plan administrator’s name |
CHICAGO DENTAL SOCIETY |
| Plan administrator’s
address |
401 N MICHIGAN AVE STE 200, CHICAGO, IL, 60611 |
| Administrator’s telephone number |
3128367300 |
Number of participants as of the end of the plan year
| Active participants |
16 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
19 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-29 |
| Name of individual signing |
RANDALL GROVE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHICAGO DENTAL SOCIETY 401(K) PLAN
|
2010
|
360898765
|
2011-05-31
|
CHICAGO DENTAL SOCIETY
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1998-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3128367300
|
| Plan sponsor’s mailing address |
401 N. MICHIGAN AVENUE, SUITE 200, CHICAGO, IL, 60611
|
| Plan sponsor’s
address |
401 N. MICHIGAN AVENUE, SUITE 200, CHICAGO, IL, 60611
|
Plan administrator’s name and address
| Administrator’s EIN |
360898765 |
| Plan administrator’s name |
CHICAGO DENTAL SOCIETY |
| Plan administrator’s
address |
401 N. MICHIGAN AVENUE, SUITE 200, CHICAGO, IL, 60611 |
| Administrator’s telephone number |
3128367300 |
Number of participants as of the end of the plan year
| Active participants |
15 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
18 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-31 |
| Name of individual signing |
RANDALL GROVE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHICAGO DENTAL SOCIETY 401(K) PLAN
|
2009
|
360898765
|
2010-06-07
|
CHICAGO DENTAL SOCIETY
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1998-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3128367300
|
| Plan sponsor’s mailing address |
401 N MICHIGAN AVE STE 200, CHICAGO, IL, 606115585
|
| Plan sponsor’s
address |
401 N MICHIGAN AVE STE 200, CHICAGO, IL, 606115585
|
Plan administrator’s name and address
| Administrator’s EIN |
360898765 |
| Plan administrator’s name |
CHICAGO DENTAL SOCIETY |
| Plan administrator’s
address |
401 N MICHIGAN AVE STE 200, CHICAGO, IL, 606115585 |
| Administrator’s telephone number |
3128367300 |
Number of participants as of the end of the plan year
| Active participants |
16 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
19 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-07 |
| Name of individual signing |
RANDALL GROVE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
