DAVID P. POTTS, D.D.S. LTD. PROFIT SHARING PLAN
|
2023
|
362877910
|
2024-04-11
|
DAVID P. POTTS, D.D.S. LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1986-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473626540
|
Plan sponsor’s
address |
1298 S. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2024-04-12 |
Name of individual signing |
DAVID P. POTTS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID P. POTTS, D.D.S. LTD. PROFIT SHARING PLAN
|
2022
|
362877910
|
2023-04-25
|
DAVID P. POTTS, D.D.S. LTD.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1986-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473626540
|
Plan sponsor’s
address |
1298 S. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2023-04-25 |
Name of individual signing |
DAVID P. POTTS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID P. POTTS, D.D.S. LTD. PROFIT SHARING PLAN
|
2021
|
362877910
|
2022-04-30
|
DAVID P. POTTS, D.D.S. LTD.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1986-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473626540
|
Plan sponsor’s
address |
1298 S. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2022-04-29 |
Name of individual signing |
DAVID P. POTTS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID P. POTTS, D.D.S. LTD. PROFIT SHARING PLAN
|
2020
|
362877910
|
2021-06-18
|
DAVID P. POTTS, D.D.S. LTD.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1986-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473626540
|
Plan sponsor’s
address |
1298 S. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2021-06-18 |
Name of individual signing |
DAVID P. POTTS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID P. POTTS, DDS, LTD DEFINED BENEFIT PENSION PLAN & TRUST
|
2020
|
362877910
|
2021-05-06
|
DAVID P. POTTS, D.D.S., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473626540
|
Plan sponsor’s
address |
908 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2021-05-06 |
Name of individual signing |
DAVID P. POTTS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID P. POTTS, D.D.S. LTD. PROFIT SHARING PLAN
|
2019
|
362877910
|
2020-05-15
|
DAVID P. POTTS, D.D.S. LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1986-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473626540
|
Plan sponsor’s
address |
1298 S. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2020-05-15 |
Name of individual signing |
DAVID P. POTTS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID P. POTTS, DDS, LTD DEFINED BENEFIT PENSION PLAN & TRUST
|
2019
|
362877910
|
2020-10-01
|
DAVID P. POTTS, D.D.S., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473626540
|
Plan sponsor’s
address |
908 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2020-10-01 |
Name of individual signing |
DAVID P. POTTS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID P. POTTS, DDS, LTD DEFINED BENEFIT PENSION PLAN & TRUST
|
2018
|
362877910
|
2019-10-08
|
DAVID P. POTTS, D.D.S., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473626540
|
Plan sponsor’s
address |
908 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2019-10-08 |
Name of individual signing |
DAVID P. POTTS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID P. POTTS, D.D.S., LTD. PROFIT SHARING PLAN
|
2018
|
362877910
|
2019-09-16
|
DAVID P. POTTS, D.D.S., LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1986-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473626540
|
Plan sponsor’s
address |
908 S. MILWAUKEE AVE., LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2019-09-16 |
Name of individual signing |
DAVID P. POTTS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|