|
CAMELOT ENDODONTICS, LTD. 401(K) PROFIT SHARING PLAN
|
2011
|
362700162
|
2013-01-15
|
CAMELOT ENDODONTICS, LTD.
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1988-09-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8156361600
|
| Plan sponsor’s
address |
2902 MCFARLAND ROAD, SUITE B, ROCKFORD, IL, 61107
|
Plan administrator’s name and address
| Administrator’s EIN |
362700162 |
| Plan administrator’s name |
CAMELOT ENDODONTICS, LTD. |
| Plan administrator’s
address |
2902 MCFARLAND ROAD, SUITE B, ROCKFORD, IL, 61107 |
| Administrator’s telephone number |
8156361600 |
Signature of
| Role |
Plan administrator |
| Date |
2013-01-15 |
| Name of individual signing |
GARY BRANKIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CAMELOT ENDODONTICS, LTD. 401(K) PROFIT SHARING PLAN
|
2010
|
362700162
|
2012-06-19
|
CAMELOT ENDODONTICS, LTD.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1988-09-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8156361600
|
| Plan sponsor’s
address |
2902 MCFARLAND ROAD, SUITE B, ROCKFORD, IL, 61107
|
Plan administrator’s name and address
| Administrator’s EIN |
362700162 |
| Plan administrator’s name |
CAMELOT ENDODONTICS, LTD. |
| Plan administrator’s
address |
2902 MCFARLAND ROAD, SUITE B, ROCKFORD, IL, 61107 |
| Administrator’s telephone number |
8156361600 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-19 |
| Name of individual signing |
GARY BRANKIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CAMELOT ENDODONTICS, LTD. 401(K) PROFIT SHARING PLAN
|
2010
|
362700162
|
2012-03-05
|
CAMELOT ENDODONTICS, LTD.
|
22
|
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1988-09-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8156361600
|
| Plan sponsor’s
address |
2902 MCFARLAND ROAD, SUITE B, ROCKFORD, IL, 61107
|
Plan administrator’s name and address
| Administrator’s EIN |
362700162 |
| Plan administrator’s name |
CAMELOT ENDODONTICS, LTD. |
| Plan administrator’s
address |
2902 MCFARLAND ROAD, SUITE B, ROCKFORD, IL, 61107 |
| Administrator’s telephone number |
8156361600 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-05 |
| Name of individual signing |
GARY BRANKIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CAMELOT ENDODONTICS, LTD. 401(K) PROFIT SHARING PLAN
|
2009
|
362700162
|
2011-05-05
|
CAMELOT ENDODONTICS, LTD.
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1988-09-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8156361600
|
| Plan sponsor’s
address |
2902 MCFARLAND ROAD, SUITE B, ROCKFORD, IL, 61107
|
Plan administrator’s name and address
| Administrator’s EIN |
362700162 |
| Plan administrator’s name |
CAMELOT ENDODONTICS, LTD. |
| Plan administrator’s
address |
2902 MCFARLAND ROAD, SUITE B, ROCKFORD, IL, 61107 |
| Administrator’s telephone number |
8156361600 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-05 |
| Name of individual signing |
GARY BRANKIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
