PERIODONTICS & IMPLANTS, LTD. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2012
|
362689985
|
2013-09-24
|
PERIODONTICS & IMPLANTS, LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-03-02
|
Business code |
621210
|
Plan sponsor’s
address |
636 CHURCH STREET, EVANSTON, IL, 60201
|
Signature of
Role |
Plan administrator |
Date |
2013-09-23 |
Name of individual signing |
RICHARD PRENDERGAST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-23 |
Name of individual signing |
RICHARD PRENDERGAST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTICS & IMPLANTS, LTD. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2011
|
362689985
|
2012-07-19
|
PERIODONTICS & IMPLANTS, LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-03-02
|
Business code |
621210
|
Plan sponsor’s
address |
636 CHURCH STREET, EVANSTON, IL, 60201
|
Plan administrator’s name and address
Administrator’s EIN |
362689985 |
Plan administrator’s name |
PERIODONTICS & IMPLANTS, LTD. |
Plan administrator’s
address |
636 CHURCH STREET, EVANSTON, IL, 60201 |
Signature of
Role |
Plan administrator |
Date |
2012-07-17 |
Name of individual signing |
RICHARD PRENDERGAST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-17 |
Name of individual signing |
RICHARD PRENDERGAST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTICS & IMPLANTS, LTD. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2010
|
362689985
|
2011-06-09
|
PERIODONTICS & IMPLANTS, LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-03-02
|
Business code |
621210
|
Plan sponsor’s
address |
636 CHURCH STREET, EVANSTON, IL, 60201
|
Plan administrator’s name and address
Administrator’s EIN |
362689985 |
Plan administrator’s name |
PERIODONTICS & IMPLANTS, LTD. |
Plan administrator’s
address |
636 CHURCH STREET, EVANSTON, IL, 60201 |
Signature of
Role |
Plan administrator |
Date |
2011-06-03 |
Name of individual signing |
RICHARD PRENDERGAST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-03 |
Name of individual signing |
RICHARD PRENDERGAST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|