EWALD AND WROBEL 401(K) PLAN
|
2016
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363031854
|
2017-09-29
|
RICHARD A.EWALD. D.D.S AND WILLIAM L. WROBEL. D.D.S. LTD.,
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18
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|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8154346447
|
Plan sponsor’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773
|
|
EWALD AND WROBEL 401(K) PLAN
|
2010
|
363031854
|
2011-05-26
|
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD.
|
21
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|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8154346447
|
Plan sponsor’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773
|
Plan administrator’s name and address
Administrator’s EIN |
363031854 |
Plan administrator’s name |
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD. |
Plan administrator’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773 |
Administrator’s telephone number |
8154346447 |
Signature of
Role |
Plan administrator |
Date |
2011-05-26 |
Name of individual signing |
WILLIAM WROBEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EWALD AND WROBEL 401(K) PLAN
|
2009
|
363031854
|
2010-05-12
|
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD.
|
22
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8154346447
|
Plan sponsor’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773
|
Plan administrator’s name and address
Administrator’s EIN |
363031854 |
Plan administrator’s name |
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD. |
Plan administrator’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773 |
Administrator’s telephone number |
8154346447 |
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
WILLIAM WROBEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-11 |
Name of individual signing |
WILLIAM WROBEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
EWALD AND WROBEL 401(K) PLAN
|
2009
|
363031854
|
2010-05-10
|
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD.
|
22
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8154346447
|
Plan sponsor’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773
|
Plan administrator’s name and address
Administrator’s EIN |
363031854 |
Plan administrator’s name |
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD. |
Plan administrator’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773 |
Administrator’s telephone number |
8154346447 |
Signature of
Role |
Plan administrator |
Date |
2010-05-10 |
Name of individual signing |
WILLIAM L. WROBEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-10 |
Name of individual signing |
WILLIAM L. WROBEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
EWALD AND WROBEL 401(K) PLAN
|
2009
|
363031854
|
2010-05-12
|
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8154346447
|
Plan sponsor’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773
|
Plan administrator’s name and address
Administrator’s EIN |
363031854 |
Plan administrator’s name |
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD. |
Plan administrator’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773 |
Administrator’s telephone number |
8154346447 |
Signature of
Role |
Plan administrator |
Date |
2010-05-12 |
Name of individual signing |
WILLIAM WROBEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-12 |
Name of individual signing |
WILLIAM WROBEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EWALD AND WROBEL 401(K) PLAN
|
2009
|
363031854
|
2010-05-12
|
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD.
|
22
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8154346447
|
Plan sponsor’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773
|
Plan administrator’s name and address
Administrator’s EIN |
363031854 |
Plan administrator’s name |
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD. |
Plan administrator’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773 |
Administrator’s telephone number |
8154346447 |
Signature of
Role |
Plan administrator |
Date |
2010-05-12 |
Name of individual signing |
WILLIAM WROBEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-12 |
Name of individual signing |
WILLIAM WROBEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
EWALD AND WROBEL 401(K) PLAN
|
2009
|
363031854
|
2010-05-11
|
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD.
|
22
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
8154346447
|
Plan sponsor’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773
|
Plan administrator’s name and address
Administrator’s EIN |
363031854 |
Plan administrator’s name |
RICHARD A. EWALD, D.D.S. AND WILLIAM L. WROBEL, D.D.S., LTD. |
Plan administrator’s
address |
1704 POLARIS CIRCLE, OTTAWA, IL, 613501773 |
Administrator’s telephone number |
8154346447 |
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
WILLIAM WROBEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-11 |
Name of individual signing |
WILLIAM WROBEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|