JORDAN J. TILDEN DEFINED BENEFIT TRUST
|
2012
|
362967157
|
2013-09-26
|
JORDAN J. TILDEN, D.D.S. P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3126646616
|
Plan sponsor’s mailing address |
33 E. ONTARIO, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
33 E. ONTARIO, CHICAGO, IL, 60611
|
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
EDWIN BLITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JORDAN J. TILDEN DEFINED BENEFIT TRUST
|
2011
|
362967157
|
2012-10-11
|
JORDAN J. TILDEN, D.D.S. P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3126646616
|
Plan sponsor’s mailing address |
33 E. ONTARIO, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
33 E. ONTARIO, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362967157 |
Plan administrator’s name |
JORDAN J. TILDEN, D.D.S. P.C. |
Plan administrator’s
address |
33 E. ONTARIO, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3126646616 |
Number of participants as of the end of the plan year
Active participants |
7 |
Other
retired or separated participants entitled to future benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
EDWIN BLITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JORDAN J. TILDEN DEFINED BENEFIT TRUST
|
2010
|
362967157
|
2011-10-03
|
JORDAN J. TILDEN, D.D.S. P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3126646616
|
Plan sponsor’s mailing address |
33 E. ONTARIO, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
33 E. ONTARIO, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362967157 |
Plan administrator’s name |
JORDAN J. TILDEN, D.D.S. P.C. |
Plan administrator’s
address |
33 E. ONTARIO, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3126646616 |
Number of participants as of the end of the plan year
Active participants |
7 |
Other
retired or separated participants entitled to future benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
EDWIN BLITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JORDAN J. TILDEN DEFINED BENEFIT TRUST
|
2009
|
362967157
|
2010-09-27
|
JORDAN J. TILDEN, D.D.S. P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3126646616
|
Plan sponsor’s mailing address |
33 E. ONTARIO, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
33 E. ONTARIO, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362967157 |
Plan administrator’s name |
JORDAN J. TILDEN, D.D.S. P.C. |
Plan administrator’s
address |
33 E. ONTARIO, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3126646616 |
Number of participants as of the end of the plan year
Active participants |
8 |
Other
retired or separated participants entitled to future benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
EDWIN BLITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|