ASSOCIATED DENTISTS, P.C. 401(K) PLAN & TRUST
|
2012
|
370959335
|
2013-06-11
|
ASSOCIATED DENTISTS, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-10-02
|
Business code |
621210
|
Sponsor’s telephone number |
8158446184
|
Plan sponsor’s
address |
519 NORTH PLUM STREET, PONTIAC, IL, 61764
|
Signature of
Role |
Plan administrator |
Date |
2013-06-11 |
Name of individual signing |
JAMES DAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-11 |
Name of individual signing |
JAMES DAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED DENTISTS, P.C. 401(K) PLAN & TRUST
|
2011
|
370959335
|
2012-09-12
|
ASSOCIATED DENTISTS, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-10-02
|
Business code |
621210
|
Sponsor’s telephone number |
8158446184
|
Plan sponsor’s
address |
519 NORTH PLUM STREET, PONTIAC, IL, 61764
|
Plan administrator’s name and address
Administrator’s EIN |
370959335 |
Plan administrator’s name |
ASSOCIATED DENTISTS, P.C. |
Plan administrator’s
address |
519 NORTH PLUM STREET, PONTIAC, IL, 61764 |
Administrator’s telephone number |
8158446184 |
Signature of
Role |
Plan administrator |
Date |
2012-09-12 |
Name of individual signing |
JAMES DAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED DENTISTS, P.C. 401(K) PLAN & TRUST
|
2010
|
370959335
|
2011-08-10
|
ASSOCIATED DENTISTS, P.C.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-10-02
|
Business code |
621210
|
Sponsor’s telephone number |
8158446184
|
Plan sponsor’s
address |
519 NORTH PLUM STREET, PONTIAC, IL, 61764
|
Plan administrator’s name and address
Administrator’s EIN |
370959335 |
Plan administrator’s name |
ASSOCIATED DENTISTS, P.C. |
Plan administrator’s
address |
519 NORTH PLUM STREET, PONTIAC, IL, 61764 |
Administrator’s telephone number |
8158446184 |
Signature of
Role |
Plan administrator |
Date |
2011-08-10 |
Name of individual signing |
JAMES DAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED DENTISTS, P.C. 401(K) PLAN & TRUST
|
2009
|
370959335
|
2010-08-17
|
ASSOCIATED DENTISTS, P.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-10-02
|
Business code |
621210
|
Sponsor’s telephone number |
8158446184
|
Plan sponsor’s
address |
519 NORTH PLUM STREET, PONTIAC, IL, 61764
|
Plan administrator’s name and address
Administrator’s EIN |
370959335 |
Plan administrator’s name |
ASSOCIATED DENTISTS, P.C. |
Plan administrator’s
address |
519 NORTH PLUM STREET, PONTIAC, IL, 61764 |
Administrator’s telephone number |
8158446184 |
Signature of
Role |
Plan administrator |
Date |
2010-08-17 |
Name of individual signing |
JAMES DAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|