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 |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES RETIREMENT PLAN
|
2010
|
370962922
|
2011-09-20
|
LADNER ORTHODONTICS, LTD.
|
12
|
|
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 |
2011-09-20 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LADNER ORTHODONTICS, LTD. EMPLOYEES RETIREMENT PLAN
|
2009
|
370962922
|
2010-10-01
|
LADNER ORTHODONTICS, LTD.
|
11
|
|
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 |
2010-09-30 |
Name of individual signing |
PAUL LADNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|