ENDODONTIC & PERIODONTIC ASSOCIATES, LTD EMPLOYEES' RETIREMENT PLAN AND TRUST
|
2023
|
362686263
|
2024-08-19
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-28
|
Business code |
621210
|
Sponsor’s telephone number |
7087992556
|
Plan sponsor’s
address |
18130 SOUTH HALSTED, HOMEWOOD, IL, 60430
|
Signature of
Role |
Plan administrator |
Date |
2024-08-18 |
Name of individual signing |
LEE D. FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-08-18 |
Name of individual signing |
LEE D. FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD EMPLOYEES' RETIREMENT PLAN AND TRUST
|
2022
|
362686263
|
2023-07-31
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-28
|
Business code |
621210
|
Sponsor’s telephone number |
7089221165
|
Plan sponsor’s
address |
18130 S HALSTED, HOMEWOOD, IL, 60430
|
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
L DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD. CASH BALANCE PLAN & TRUST
|
2022
|
362686263
|
2023-05-24
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD.
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2014-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7087992556
|
Plan sponsor’s
address |
18130 SOUTH HALSTED, HOMEWOOD, IL, 60430
|
Signature of
Role |
Plan administrator |
Date |
2023-05-24 |
Name of individual signing |
L. DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-24 |
Name of individual signing |
L. DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD. CASH BALANCE PLAN & TRUST
|
2022
|
362686263
|
2023-05-24
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2014-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7087992556
|
Plan sponsor’s
address |
18130 SOUTH HALSTED, HOMEWOOD, IL, 60430
|
Signature of
Role |
Plan administrator |
Date |
2023-05-09 |
Name of individual signing |
L. DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-09 |
Name of individual signing |
L. DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD. CASH BALANCE PLAN & TRUST
|
2021
|
362686263
|
2022-06-08
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD.
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2014-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7087992556
|
Plan sponsor’s
address |
18130 SOUTH HALSTED, HOMEWOOD, IL, 60430
|
Signature of
Role |
Plan administrator |
Date |
2022-06-08 |
Name of individual signing |
L. DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-08 |
Name of individual signing |
L. DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD. CASH BALANCE PLAN & TRUST
|
2020
|
362686263
|
2021-07-22
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD.
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2014-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7087992556
|
Plan sponsor’s
address |
18130 SOUTH HALSTED, HOMEWOOD, IL, 60430
|
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
L DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-22 |
Name of individual signing |
L DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD. CASH BALANCE PLAN & TRUST
|
2019
|
362686263
|
2020-10-09
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD.
|
79
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2014-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7087992556
|
Plan sponsor’s
address |
18130 SOUTH HALSTED, HOMEWOOD, IL, 60430
|
Signature of
Role |
Plan administrator |
Date |
2020-10-09 |
Name of individual signing |
L. DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-09 |
Name of individual signing |
L. DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD EMPLOYEES' RETIREMENT PLAN AND TRUST
|
2019
|
362686263
|
2020-06-23
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-28
|
Business code |
621210
|
Sponsor’s telephone number |
7089221165
|
Plan sponsor’s
address |
18130 S HALSTED, HOMEWOOD, IL, 60430
|
Signature of
Role |
Plan administrator |
Date |
2020-06-23 |
Name of individual signing |
L DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD. CASH BALANCE PLAN & TRUST
|
2018
|
362686263
|
2019-08-20
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD.
|
77
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2014-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7087992556
|
Plan sponsor’s
address |
18130 SOUTH HALSTED, HOMEWOOD, IL, 60430
|
Signature of
Role |
Plan administrator |
Date |
2019-08-20 |
Name of individual signing |
L. DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-20 |
Name of individual signing |
L. DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD EMPLOYEES' RETIREMENT PLAN AND TRUST
|
2018
|
362686263
|
2019-06-06
|
ENDODONTIC & PERIODONTIC ASSOCIATES, LTD
|
79
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-28
|
Business code |
621210
|
Sponsor’s telephone number |
7089221165
|
Plan sponsor’s
address |
18130 S HALSTED, HOMEWOOD, IL, 60430
|
Signature of
Role |
Plan administrator |
Date |
2019-06-06 |
Name of individual signing |
L DOUGLAS FILLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|