NORTHWEST PERIODONTICS & IMPLANTS, LTD. 401(K) PROFIT SHARING PLAN
|
2012
|
362719418
|
2013-09-06
|
NORTHWEST PERIODONTICS & IMPLANTS, LTD.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1986-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473583939
|
Plan sponsor’s
address |
553 N. NORTH COURT, SUITE 200, PALATINE, IL, 60067
|
Signature of
Role |
Plan administrator |
Date |
2013-09-06 |
Name of individual signing |
MARC PESCHERET |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-06 |
Name of individual signing |
MARC PESCHERET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST PERIODONTICS & IMPLANTS, LTD. 401(K) PROFIT SHARING PLAN
|
2011
|
362719418
|
2012-09-10
|
NORTHWEST PERIODONTICS & IMPLANTS, LTD.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1986-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473583939
|
Plan sponsor’s
address |
553 N. NORTH COURT, SUITE 200, PALATINE, IL, 60067
|
Plan administrator’s name and address
Administrator’s EIN |
362719418 |
Plan administrator’s name |
NORTHWEST PERIODONTICS & IMPLANTS, LTD. |
Plan administrator’s
address |
553 N. NORTH COURT, SUITE 200, PALATINE, IL, 60067 |
Administrator’s telephone number |
8473583939 |
Signature of
Role |
Plan administrator |
Date |
2012-09-10 |
Name of individual signing |
MARC PESCHERET |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-10 |
Name of individual signing |
MARC PESCHERET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST PERIODONTICS & IMPLANTS, LTD. 401(K) PROFIT SHARING PLAN
|
2010
|
362719418
|
2011-08-16
|
NORTHWEST PERIODONTICS & IMPLANTS, LTD.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1986-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473583939
|
Plan sponsor’s
address |
553 N. NORTH COURT, SUITE 200, PALATINE, IL, 60067
|
Plan administrator’s name and address
Administrator’s EIN |
362719418 |
Plan administrator’s name |
NORTHWEST PERIODONTICS & IMPLANTS, LTD. |
Plan administrator’s
address |
553 N. NORTH COURT, SUITE 200, PALATINE, IL, 60067 |
Administrator’s telephone number |
8473583939 |
Signature of
Role |
Plan administrator |
Date |
2011-08-15 |
Name of individual signing |
MARC PESCHERET |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-15 |
Name of individual signing |
MARC PESCHERET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST PERIODONTICS & IMPLANTS, LTD. 401(K) PROFIT SHARING PLAN
|
2009
|
362719418
|
2010-08-24
|
NORTHWEST PERIODONTICS & IMPLANTS, LTD.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1986-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473583939
|
Plan sponsor’s
address |
553 N. NORTH COURT, SUITE 200, PALATINE, IL, 60067
|
Plan administrator’s name and address
Administrator’s EIN |
362719418 |
Plan administrator’s name |
NORTHWEST PERIODONTICS & IMPLANTS, LTD. |
Plan administrator’s
address |
553 N. NORTH COURT, SUITE 200, PALATINE, IL, 60067 |
Administrator’s telephone number |
8473583939 |
Signature of
Role |
Plan administrator |
Date |
2010-08-24 |
Name of individual signing |
MARC G. PESCHERET |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-24 |
Name of individual signing |
MARC G. PESCHERET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|