|
ROBERT A. OAK D.D.S. LTD. PROFIT SHARING PLAN
|
2014
|
363057120
|
2015-07-30
|
ROBERT A. OAK D.D.S. LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1998-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7087492607
|
| Plan sponsor’s mailing address |
6903 WEST CERMAK ROAD, BERWYN, IL, 60402
|
| Plan sponsor’s
address |
6903 WEST CERMAK ROAD, BERWYN, IL, 60402
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
3 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2015-07-30 |
| Name of individual signing |
ROBERT OAK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROBERT A. OAK D.D.S. LTD. PROFIT SHARING PLAN
|
2013
|
363057120
|
2014-07-21
|
ROBERT A. OAK D.D.S. LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1998-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7087492607
|
| Plan sponsor’s mailing address |
6903 WEST CERMAK ROAD, BERWYN, IL, 60402
|
| Plan sponsor’s
address |
6903 WEST CERMAK ROAD, BERWYN, IL, 60402
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
3 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2014-07-21 |
| Name of individual signing |
ROBERT OAK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROBERT A. OAK D.D.S. LTD. PROFIT SHARING PLAN
|
2012
|
363057120
|
2013-07-17
|
ROBERT A. OAK D.D.S. LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1998-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7087492607
|
| Plan sponsor’s mailing address |
6903 WEST CERMAK ROAD, BERWYN, IL, 60402
|
| Plan sponsor’s
address |
6903 WEST CERMAK ROAD, BERWYN, IL, 60402
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
3 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-17 |
| Name of individual signing |
ROBERT OAK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROBERT A. OAK D.D.S. LTD. PROFIT SHARING PLAN
|
2011
|
363057120
|
2012-07-28
|
ROBERT A. OAK D.D.S. LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1998-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7087492607
|
| Plan sponsor’s mailing address |
6903 CERMAK ROAD, BERWYN, IL, 60402
|
| Plan sponsor’s
address |
6903 CERMAK ROAD, BERWYN, IL, 60402
|
Plan administrator’s name and address
| Administrator’s EIN |
363057120 |
| Plan administrator’s name |
ROBERT A. OAK D.D.S. LTD. |
| Plan administrator’s
address |
6903 CERMAK ROAD, BERWYN, IL, 60402 |
| Administrator’s telephone number |
7087492607 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
3 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-28 |
| Name of individual signing |
ROBERT OAK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROBERT A. OAK D.D.S. LTD. PROFIT SHARING PLAN
|
2010
|
363057120
|
2011-07-26
|
ROBERT A. OAK D.D.S. LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1998-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
7087492607
|
| Plan sponsor’s mailing address |
6903 WEST CERMAK, BERWYN, IL, 60402
|
| Plan sponsor’s
address |
6903 WEST CERMAK, BERWYN, IL, 60402
|
Plan administrator’s name and address
| Administrator’s EIN |
363057120 |
| Plan administrator’s name |
ROBERT A. OAK D.D.S. LTD. |
| Plan administrator’s
address |
6903 WEST CERMAK, BERWYN, IL, 60402 |
| Administrator’s telephone number |
7087492607 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
3 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-26 |
| Name of individual signing |
ROBERT OAK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
