ALFRED C. KOSEL D.D.S. P.C. PROFIT SHARING PLAN
|
2015
|
362812857
|
2016-05-02
|
KOSEL DENTAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7085320091
|
Plan sponsor’s
address |
17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477
|
Signature of
Role |
Plan administrator |
Date |
2016-05-02 |
Name of individual signing |
ALFRED C. KOSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-02 |
Name of individual signing |
ALFRED C. KOSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALFRED C KOSEL DDS PC PROFIT SHARING PLAN
|
2014
|
362812857
|
2015-06-08
|
KOSEL DENTAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7085320091
|
Plan sponsor’s
address |
17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477
|
Signature of
Role |
Plan administrator |
Date |
2015-06-08 |
Name of individual signing |
ALFRED C. KOSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-08 |
Name of individual signing |
ALFRED C. KOSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALFRED C. KOSEL D.D.S. P.C. PROFIT SHARING PLAN
|
2013
|
362812857
|
2014-06-06
|
KOSEL DENTAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7085320091
|
Plan sponsor’s
address |
17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477
|
Signature of
Role |
Plan administrator |
Date |
2014-06-06 |
Name of individual signing |
ALFRED C. KOSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-06 |
Name of individual signing |
ALFRED C. KOSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALFRED C. KOSEL D.D.S. P.C. PROFIT SHARING PLAN
|
2012
|
362812857
|
2013-06-07
|
KOSEL DENTAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7085320091
|
Plan sponsor’s
address |
17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477
|
Signature of
Role |
Plan administrator |
Date |
2013-06-07 |
Name of individual signing |
ALFRED C. KOSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-07 |
Name of individual signing |
ALFRED C. KOSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALFRED C. KOSEL D.D.S. P.C. PROFIT SHARING PLAN
|
2011
|
362812857
|
2012-06-12
|
KOSEL DENTAL P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7085320091
|
Plan sponsor’s
address |
17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477
|
Plan administrator’s name and address
Administrator’s EIN |
362812857 |
Plan administrator’s name |
KOSEL DENTAL P.C. |
Plan administrator’s
address |
17859 S. OAK PARK AVENUE, TINLEY PARK, IL, 60477 |
Administrator’s telephone number |
7085320091 |
Signature of
Role |
Plan administrator |
Date |
2012-06-12 |
Name of individual signing |
ALFRED C. KOSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-12 |
Name of individual signing |
ALFRED C. KOSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|