ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
2023
|
362946173
|
2024-04-30
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473810106
|
Plan sponsor’s
address |
21660 WEST FIELD PARKWAY, SUITE 220, DEER PARK, IL, 60010
|
Signature of
Role |
Plan administrator |
Date |
2024-04-30 |
Name of individual signing |
JOHN THOMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
2022
|
362946173
|
2023-07-24
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473810106
|
Plan sponsor’s
address |
21660 WEST FIELD PARKWAY, SUITE 220, DEER PARK, IL, 60010
|
Signature of
Role |
Plan administrator |
Date |
2023-07-24 |
Name of individual signing |
JOHN THOMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
2021
|
362946173
|
2022-08-26
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473810106
|
Plan sponsor’s
address |
21660 WEST FIELD PARKWAY, SUITE 220, DEER PARK, IL, 60010
|
Signature of
Role |
Plan administrator |
Date |
2022-08-26 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-26 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
2020
|
362946173
|
2021-05-24
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473810106
|
Plan sponsor’s
address |
21660 WEST FIELD PARKWAY, SUITE 220, DEER PARK, IL, 60010
|
Signature of
Role |
Plan administrator |
Date |
2021-05-24 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-24 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
2019
|
362946173
|
2020-08-31
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473810106
|
Plan sponsor’s
address |
21660 WEST FIELD PARKWAY, SUITE 220, DEER PARK, IL, 60010
|
Signature of
Role |
Plan administrator |
Date |
2020-08-31 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-31 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
2018
|
362946173
|
2019-08-19
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473810106
|
Plan sponsor’s
address |
21660 WEST FIELD PARKWAY, SUITE 220, DEER PARK, IL, 60010
|
Signature of
Role |
Plan administrator |
Date |
2019-08-19 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-19 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
2017
|
362946173
|
2018-10-09
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473810106
|
Plan sponsor’s
address |
21660 WEST FIELD PARKWAY, SUITE 220, DEER PARK, IL, 60010
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-09 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
2016
|
362946173
|
2017-10-10
|
ORAL FACIAL AND IMPLANT SPECIALISTS , P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473810106
|
Plan sponsor’s
address |
21660 WEST FIELD PARKWAY, SUITE 220, DEER PARK, IL, 60010
|
Signature of
Role |
Plan administrator |
Date |
2017-10-10 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-10 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P. C.
|
2015
|
362946173
|
2016-10-07
|
ORAL FACIAL AND IMPLANT SPECIALISTS , P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473810106
|
Plan sponsor’s
address |
21660 WEST FIELD PARKWAY, SUITE 220, DEER PARK, IL, 60010
|
Signature of
Role |
Plan administrator |
Date |
2016-10-07 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORAL FACIAL AND IMPLANT SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
362946173
|
2015-08-27
|
ORAL FACIAL AND IMPLANT SPECIALISTS , P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473810106
|
Plan sponsor’s
address |
21660 WEST FIELD PARKWAY, SUITE 220, DEER PARK, IL, 60010
|
Signature of
Role |
Plan administrator |
Date |
2015-08-27 |
Name of individual signing |
MARTIN ZIDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|