LEE & VERCELLOTTI D.D.S., PROFIT SHARING PLAN
|
2012
|
364410885
|
2013-07-15
|
LEE & VERCELLOTTI D.D.S., LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8157257900
|
Plan sponsor’s
address |
219 N. HAMMES AVE., JOLIET, IL, 60435
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
MARY LOU LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
MARY LOU LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE & VERCELLOTTI D.D.S., PROFIT SHARING PLAN
|
2011
|
364410885
|
2012-07-23
|
LEE & VERCELLOTTI D.D.S., LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8157257900
|
Plan sponsor’s
address |
219 N. HAMMES AVE., JOLIET, IL, 60435
|
Plan administrator’s name and address
Administrator’s EIN |
364410885 |
Plan administrator’s name |
LEE & VERCELLOTTI D.D.S., LLC |
Plan administrator’s
address |
219 N. HAMMES AVE., JOLIET, IL, 60435 |
Administrator’s telephone number |
8157257900 |
Signature of
Role |
Plan administrator |
Date |
2012-07-23 |
Name of individual signing |
MARY LOU LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE & VERCELLOTTI D.D.S., PROFIT SHARING PLAN
|
2010
|
364410885
|
2011-07-27
|
LEE & VERCELLOTTI, D.D.S., LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8157257900
|
Plan sponsor’s
address |
219 N. HAMMES AVE., JOLIET, IL, 60435
|
Plan administrator’s name and address
Administrator’s EIN |
364410885 |
Plan administrator’s name |
LEE & VERCELLOTTI, D.D.S., LLC |
Plan administrator’s
address |
219 N. HAMMES AVE., JOLIET, IL, 60435 |
Administrator’s telephone number |
8157257900 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
MARY LOU LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEE & VERCELLOTTI, D.D.S., LLC PROFIT SHARING PLAN
|
2009
|
364410885
|
2010-10-14
|
LEE & VERCELLOTTI, D.D.S., LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8157257900
|
Plan sponsor’s
address |
219 N. HAMMES AVE., JOLIET, IL, 60435
|
Plan administrator’s name and address
Administrator’s EIN |
364410885 |
Plan administrator’s name |
LEE & VERCELLOTTI, D.D.S., LLC |
Plan administrator’s
address |
219 N. HAMMES AVE., JOLIET, IL, 60435 |
Administrator’s telephone number |
8157257900 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
MARY LOU LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|