ROBERT D. HORENKAMP, D.D.S., P.C. 401(K) PLAN AND TRUST
|
2018
|
371036235
|
2019-04-13
|
ROBERT D. HORENKAMP, D.D.S., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3098300672
|
Plan sponsor’s
address |
9 OXFORD COURT, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2019-04-13 |
Name of individual signing |
ROBERT HORENKAMP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT D. HORENKAMP, D.D.S., P.C. 401(K) PLAN AND TRUST
|
2017
|
371036235
|
2018-04-20
|
ROBERT D. HORENKAMP, D.D.S., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3098300672
|
Plan sponsor’s
address |
9 OXFORD COURT, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2018-04-20 |
Name of individual signing |
ROBERT HORENKAMP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT D. HORENKAMP, D.D.S., P.C. 401(K) PLAN AND TRUST
|
2016
|
371036235
|
2017-04-18
|
ROBERT D. HORENKAMP, D.D.S., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096622833
|
Plan sponsor’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704
|
Signature of
Role |
Plan administrator |
Date |
2017-04-18 |
Name of individual signing |
ROBERT HORENKAMP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT D. HORENKAMP, D.D.S., P.C. 401(K) PLAN AND TRUST
|
2015
|
371036235
|
2016-04-15
|
ROBERT D. HORENKAMP, D.D.S., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096622833
|
Plan sponsor’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704
|
Plan administrator’s name and address
Administrator’s EIN |
371036235 |
Plan administrator’s name |
ROBERT D. HORENKAMP, D.D.S., P.C. |
Plan administrator’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704 |
Administrator’s telephone number |
3096622833 |
Signature of
Role |
Plan administrator |
Date |
2016-04-15 |
Name of individual signing |
ROBERT HORENKAMP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT D. HORENKAMP, D.D.S., P.C. CASH BALANCE PENSION PLAN
|
2014
|
371036235
|
2015-06-15
|
ROBERT D. HORENKAMP, D.D.S., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096622833
|
Plan sponsor’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 617044900
|
Signature of
Role |
Plan administrator |
Date |
2015-06-15 |
Name of individual signing |
ROBERT HORENKAMP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT D. HORENKAMP, D.D.S., P.C. 401(K) PLAN AND TRUST
|
2014
|
371036235
|
2015-05-11
|
ROBERT D. HORENKAMP, D.D.S., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096622833
|
Plan sponsor’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704
|
Plan administrator’s name and address
Administrator’s EIN |
371036235 |
Plan administrator’s name |
ROBERT D. HORENKAMP, D.D.S., P.C. |
Plan administrator’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704 |
Administrator’s telephone number |
3096622833 |
Signature of
Role |
Plan administrator |
Date |
2015-05-11 |
Name of individual signing |
ROBERT HORENKAMP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT D. HORENKAMP, D.D.S., P.C. CASH BALANCE PENSION PLAN
|
2013
|
371036235
|
2014-05-29
|
ROBERT D. HORENKAMP, D.D.S., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096622833
|
Plan sponsor’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 617044900
|
Signature of
Role |
Plan administrator |
Date |
2014-05-29 |
Name of individual signing |
ROBERT HORENKAMP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT D. HORENKAMP, D.D.S., P.C. 401(K) PLAN AND TRUST
|
2013
|
371036235
|
2014-03-05
|
ROBERT D. HORENKAMP, D.D.S., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096622833
|
Plan sponsor’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704
|
Plan administrator’s name and address
Administrator’s EIN |
371036235 |
Plan administrator’s name |
ROBERT D. HORENKAMP, D.D.S., P.C. |
Plan administrator’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704 |
Administrator’s telephone number |
3096622833 |
Signature of
Role |
Plan administrator |
Date |
2014-03-05 |
Name of individual signing |
ROBERT HORENKAMP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT D. HORENKAMP, D.D.S., P.C. CASH BALANCE PENSION PLAN
|
2012
|
371036235
|
2013-06-12
|
ROBERT D. HORENKAMP, D.D.S., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096622833
|
Plan sponsor’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 617044900
|
Plan administrator’s name and address
Administrator’s EIN |
371036235 |
Plan administrator’s name |
ROBERT D. HORENKAMP, D.D.S., P.C. |
Plan administrator’s
address |
405 S. PROSPECT RD, BLOOMINGTON, IL, 617044900 |
Administrator’s telephone number |
3096622833 |
Signature of
Role |
Plan administrator |
Date |
2013-06-12 |
Name of individual signing |
ROBERT HORENKAMP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT D. HORENKAMP, D.D.S., P.C. 401(K) PLAN AND TRUST
|
2012
|
371036235
|
2013-03-14
|
ROBERT D. HORENKAMP, D.D.S., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096622833
|
Plan sponsor’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704
|
Plan administrator’s name and address
Administrator’s EIN |
371036235 |
Plan administrator’s name |
ROBERT D. HORENKAMP, D.D.S., P.C. |
Plan administrator’s
address |
405 SOUTH PROSPECT ROAD, BLOOMINGTON, IL, 61704 |
Administrator’s telephone number |
3096622833 |
Signature of
Role |
Plan administrator |
Date |
2013-03-14 |
Name of individual signing |
ROBERT HORENKAMP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|