DR. JOVAN CUPIC P.C. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2016
|
362735102
|
2017-01-20
|
DR. JOVAN CUPIC P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-03-23
|
Business code |
621210
|
Sponsor’s telephone number |
8472724540
|
Plan sponsor’s
address |
2335 IROQUOIS DRIVE, GLENVIEW, IL, 60026
|
Signature of
Role |
Plan administrator |
Date |
2017-01-20 |
Name of individual signing |
JOVAN CUPIC D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-20 |
Name of individual signing |
JOVAN CUPIC D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. JOVAN CUPIC P.C. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2015
|
362735102
|
2016-04-27
|
DR. JOVAN CUPIC P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-03-23
|
Business code |
621210
|
Sponsor’s telephone number |
8472724540
|
Plan sponsor’s
address |
2335 IROQUOIS DRIVE, GLENVIEW, IL, 60026
|
Signature of
Role |
Plan administrator |
Date |
2016-04-27 |
Name of individual signing |
JOVAN CUPIC, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-27 |
Name of individual signing |
JOVAN CUPIC, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. JOVAN CUPIC P.C. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2014
|
362735102
|
2015-03-09
|
DR. JOVAN CUPIC P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-03-23
|
Business code |
621210
|
Sponsor’s telephone number |
8472724540
|
Plan sponsor’s
address |
8800 LOCKWOOD AVENUE, SKOKIE, IL, 600771500
|
Signature of
Role |
Plan administrator |
Date |
2015-03-09 |
Name of individual signing |
JOVAN CUPIC DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-09 |
Name of individual signing |
JOVAN CUPIC DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. JOVAN CUPIC P.C. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2013
|
362735102
|
2014-05-20
|
DR. JOVAN CUPIC P.C.
|
8
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-03-23
|
Business code |
621210
|
Sponsor’s telephone number |
8472724540
|
Plan sponsor’s
address |
8800 LOCKWOOD AVENUE, SKOKIE, IL, 600771500
|
Signature of
Role |
Plan administrator |
Date |
2014-05-20 |
Name of individual signing |
JOVAN CUPIC DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-20 |
Name of individual signing |
JOVAN CUPIC DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. JOVAN CUPIC P.C. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2013
|
362735102
|
2014-05-20
|
DR. JOVAN CUPIC P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-03-23
|
Business code |
621210
|
Sponsor’s telephone number |
8472724540
|
Plan sponsor’s
address |
8800 LOCKWOOD AVENUE, SKOKIE, IL, 600771500
|
Signature of
Role |
Plan administrator |
Date |
2014-05-20 |
Name of individual signing |
JOVAN CUPIC DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-20 |
Name of individual signing |
JOVAN CUPIC DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. JOVAN CUPIC P.C. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2012
|
362735102
|
2013-04-19
|
DR. JOVAN CUPIC P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-03-23
|
Business code |
621210
|
Sponsor’s telephone number |
8472724540
|
Plan sponsor’s
address |
8800 LOCKWOOD AVENUE, SKOKIE, IL, 600771500
|
Signature of
Role |
Plan administrator |
Date |
2013-04-19 |
Name of individual signing |
JOVAN CUPIC DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-19 |
Name of individual signing |
JOVAN CUPIC DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. JOVAN CUPIC P.C. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2011
|
362735102
|
2012-08-16
|
DR. JOVAN CUPIC P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-03-23
|
Business code |
621210
|
Sponsor’s telephone number |
8472724540
|
Plan sponsor’s
address |
8800 LOCKWOOD AVENUE, SKOKIE, IL, 600771500
|
Plan administrator’s name and address
Administrator’s EIN |
362735102 |
Plan administrator’s name |
DR. JOVAN CUPIC P.C. |
Plan administrator’s
address |
8800 LOCKWOOD AVENUE, SKOKIE, IL, 600771500 |
Administrator’s telephone number |
8472724540 |
Signature of
Role |
Plan administrator |
Date |
2012-08-16 |
Name of individual signing |
JOVAN CUPIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-16 |
Name of individual signing |
JOVAN CUPIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. JOVAN CUPIC P.C. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2010
|
362735102
|
2011-09-28
|
DR. JOVAN CUPIC P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-03-23
|
Business code |
621210
|
Sponsor’s telephone number |
8472724540
|
Plan sponsor’s
address |
8800 LOCKWOOD AVENUE, SKOKIE, IL, 600771500
|
Plan administrator’s name and address
Administrator’s EIN |
362735102 |
Plan administrator’s name |
DR. JOVAN CUPIC P.C. |
Plan administrator’s
address |
8800 LOCKWOOD AVENUE, SKOKIE, IL, 600771500 |
Administrator’s telephone number |
8472724540 |
Signature of
Role |
Plan administrator |
Date |
2011-09-28 |
Name of individual signing |
JOVAN CUPIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-28 |
Name of individual signing |
JOVAN CUPIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. JOVAN CUPIC P.C. PROFIT-SHARING AND SAVINGS PLAN AND TRUST
|
2009
|
362735102
|
2010-10-12
|
DR. JOVAN CUPIC P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-03-23
|
Business code |
621210
|
Sponsor’s telephone number |
8472724540
|
Plan sponsor’s
address |
8800 LOCKWOOD AVENUE, SKOKIE, IL, 600771500
|
Plan administrator’s name and address
Administrator’s EIN |
362735102 |
Plan administrator’s name |
DR. JOVAN CUPIC P.C. |
Plan administrator’s
address |
8800 LOCKWOOD AVENUE, SKOKIE, IL, 600771500 |
Administrator’s telephone number |
8472724540 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
JOVAN CUPIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
JOVAN CUPIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|