PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
362728994
|
2024-09-18
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8154623030
|
Plan sponsor’s
address |
315 ALANA DR, NEW LENOX, IL, 604511766
|
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
GENERAND ALGENIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-18 |
Name of individual signing |
GENERAND ALGENIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
362728994
|
2023-08-21
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8154623030
|
Plan sponsor’s
address |
315 ALANA DR, NEW LENOX, IL, 604511766
|
Signature of
Role |
Plan administrator |
Date |
2023-08-19 |
Name of individual signing |
GENERAND ALGENIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
362728994
|
2022-03-16
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388
|
Signature of
Role |
Plan administrator |
Date |
2022-03-15 |
Name of individual signing |
GENERAND ALGENIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
362728994
|
2021-07-19
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388
|
Signature of
Role |
Plan administrator |
Date |
2021-07-19 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-19 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
362728994
|
2020-07-30
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388
|
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
GENERAND ALGENIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
362728994
|
2019-03-13
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388
|
Signature of
Role |
Plan administrator |
Date |
2019-03-13 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-13 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
362728994
|
2018-04-09
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388
|
Signature of
Role |
Plan administrator |
Date |
2018-04-08 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
362728994
|
2017-04-18
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388
|
Signature of
Role |
Plan administrator |
Date |
2017-04-18 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-18 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
362728994
|
2016-03-14
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HWY STE 4, FLOSSMOOR, IL, 604224388
|
Signature of
Role |
Plan administrator |
Date |
2016-03-11 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-03-11 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
362728994
|
2015-03-25
|
PEDIATRIC DENTAL SPECIALTY ASSOCIATES, LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1990-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087995437
|
Plan sponsor’s
address |
19815 GOVERNORS HIGHWAY, SUITE 4, FLOSSMOOR, IL, 60422
|
Signature of
Role |
Plan administrator |
Date |
2015-03-25 |
Name of individual signing |
RONALD TESTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|