WILLIAM E. GIPSON, D.D.S., P.C. PROFIT SHARING PLAN
|
2015
|
362905836
|
2016-04-20
|
WILLIAM E. GIPSON
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083521495
|
Plan sponsor’s
address |
6 SOUTH 6TH AVENUE, LA GRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2016-04-13 |
Name of individual signing |
WILLIAM GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-13 |
Name of individual signing |
WILLIAM GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM E. GIPSON, D.D.S., P.C. PROFIT SHARING PLAN
|
2014
|
362905836
|
2015-10-30
|
WILLIAM E. GIPSON
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083521495
|
Plan sponsor’s
address |
6 SOUTH 6TH AVENUE, LA GRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2015-10-29 |
Name of individual signing |
WILLIAM GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-29 |
Name of individual signing |
WILLIAM GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM E. GIPSON, D.D.S., P.C. PROFIT SHARING PLAN
|
2013
|
362905836
|
2014-03-12
|
WILLIAM E. GIPSON
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083521495
|
Plan sponsor’s
address |
6 SOUTH 6TH AVENUE, LA GRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2014-03-11 |
Name of individual signing |
WILLIAM E. GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-11 |
Name of individual signing |
WILLIAM E. GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM E. GIPSON, D.D.S., P.C. PROFIT SHARING PLAN
|
2012
|
362905836
|
2013-04-30
|
WILLIAM E. GIPSON
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083521495
|
Plan sponsor’s
address |
6 SOUTH 6TH AVENUE, LA GRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2013-04-26 |
Name of individual signing |
WILLIAM E. GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-26 |
Name of individual signing |
WILLIAM E. GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM E. GIPSON, D.D.S., P.C. PROFIT SHARING PLAN
|
2011
|
362905836
|
2012-04-11
|
WILLIAM E. GIPSON
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083521495
|
Plan sponsor’s
address |
6 SOUTH 6TH AVENUE, LA GRANGE, IL, 60525
|
Plan administrator’s name and address
Administrator’s EIN |
362905836 |
Plan administrator’s name |
WILLIAM E. GIPSON |
Plan administrator’s
address |
6 SOUTH 6TH AVENUE, LA GRANGE, IL, 60525 |
Administrator’s telephone number |
7083521495 |
Signature of
Role |
Plan administrator |
Date |
2012-04-09 |
Name of individual signing |
WILLIAM E. GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-09 |
Name of individual signing |
WILLIAM E. GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM E. GIPSON, D.D.S., P.C. PROFIT SHARING PLAN
|
2010
|
362905836
|
2011-03-16
|
WILLIAM E. GIPSON
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083521495
|
Plan sponsor’s
address |
6 SOUTH 6TH AVENUE, LA GRANGE, IL, 60525
|
Plan administrator’s name and address
Administrator’s EIN |
362905836 |
Plan administrator’s name |
WILLIAM E. GIPSON |
Plan administrator’s
address |
6 SOUTH 6TH AVENUE, LA GRANGE, IL, 60525 |
Administrator’s telephone number |
7083521495 |
Signature of
Role |
Plan administrator |
Date |
2011-03-15 |
Name of individual signing |
WILLIAM E. GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-15 |
Name of individual signing |
WILLIAM E. GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM E. GIPSON, D.D.S., P.C. PROFIT SHARING PLAN
|
2009
|
362905836
|
2010-07-27
|
WILLIAM E. GIPSON
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083521495
|
Plan sponsor’s
address |
6 SOUTH 6TH AVENUE, LA GRANGE, IL, 60525
|
Plan administrator’s name and address
Administrator’s EIN |
362905836 |
Plan administrator’s name |
WILLIAM E. GIPSON |
Plan administrator’s
address |
6 SOUTH 6TH AVENUE, LA GRANGE, IL, 60525 |
Administrator’s telephone number |
7083521495 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
WILLIAM GIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|