LADNER ORTHODONTICS, LTD. EMPLOYEES' RETIREMENT PLAN
|
2020
|
370962922
|
2021-08-17
|
LADNER ORTHODONTICS, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3093438727
|
Plan sponsor’s
address |
1171 N HENDERSON STREET, GALESBURG, IL, 61401
|
Signature of
Role |
Plan administrator |
Date |
2021-08-17 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-17 |
Name of individual signing |
PAUL LADNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES' RETIREMENT PLAN
|
2019
|
370962922
|
2020-07-15
|
LADNER ORTHODONTICS, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3093438727
|
Plan sponsor’s
address |
1171 N. HENDERSON, GALESBURG, IL, 61401
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES' RETIREMENT PLAN
|
2018
|
370962922
|
2019-07-11
|
LADNER ORTHODONTICS, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3093438727
|
Plan sponsor’s
address |
1171 N. HENDERSON, GALESBURG, IL, 61401
|
Signature of
Role |
Plan administrator |
Date |
2019-07-11 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES' RETIREMENT PLAN
|
2017
|
370962922
|
2018-06-26
|
LADNER ORTHODONTICS, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3093438727
|
Plan sponsor’s
address |
1171 N. HENDERSON, GALESBURG, IL, 61401
|
Signature of
Role |
Plan administrator |
Date |
2018-06-26 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES' RETIREMENT PLAN
|
2016
|
370962922
|
2017-06-20
|
LADNER ORTHODONTICS, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3093438727
|
Plan sponsor’s
address |
1171 N. HENDERSON, GALESBURG, IL, 61401
|
Signature of
Role |
Plan administrator |
Date |
2017-06-20 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES' RETIREMENT PLAN
|
2015
|
370962922
|
2016-07-19
|
LADNER ORTHODONTICS, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3093438727
|
Plan sponsor’s
address |
1171 N. HENDERSON, GALESBURG, IL, 61401
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES' RETIREMENT PLAN
|
2014
|
370962922
|
2015-07-07
|
LADNER ORTHODONTICS, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3093438727
|
Plan sponsor’s
address |
1171 N. HENDERSON, GALESBURG, IL, 61401
|
Signature of
Role |
Plan administrator |
Date |
2015-07-07 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES' RETIREMENT PLAN
|
2013
|
370962922
|
2014-07-03
|
LADNER ORTHODONTICS, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3093438727
|
Plan sponsor’s
address |
1171 N. HENDERSON, GALESBURG, IL, 61401
|
Signature of
Role |
Plan administrator |
Date |
2014-07-03 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES' RETIREMENT PLAN
|
2012
|
370962922
|
2013-07-03
|
LADNER ORTHODONTICS, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3093438727
|
Plan sponsor’s
address |
1171 N. HENDERSON, GALESBURG, IL, 61401
|
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES RETIREMENT PLAN
|
2011
|
370962922
|
2012-08-28
|
LADNER ORTHODONTICS, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-12-31
|
Business code |
621210
|
Sponsor’s telephone number |
3093438727
|
Plan sponsor’s
address |
1171 NORTH HENDERSON STREET, GALESBURG, IL, 614012523
|
Plan administrator’s name and address
Administrator’s EIN |
370962922 |
Plan administrator’s name |
LADNER ORTHODONTICS, LTD. |
Plan administrator’s
address |
1171 NORTH HENDERSON STREET, GALESBURG, IL, 614012523 |
Administrator’s telephone number |
3093438727 |
Signature of
Role |
Plan administrator |
Date |
2012-08-28 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-28 |
Name of individual signing |
LADNER ORTHODONTICS, LTD. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|