JAGMIN DENTAL CLINIC, LTD. EMPLOYEES ' PROFIT SHARING TRUST
|
2011
|
362952215
|
2012-05-29
|
JAGMIN DENTAL CLINIC, LTD.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-01-01
|
Business code |
493100
|
Plan sponsor’s
address |
1020 CHICAGO RD, CHICAGO HTS, IL, 604112600
|
Plan administrator’s name and address
Administrator’s EIN |
362952215 |
Plan administrator’s name |
JAGMIN DENTAL CLINIC, LTD. |
Plan administrator’s
address |
1020 CHICAGO RD, CHICAGO HTS, IL, 604112600 |
Administrator’s telephone number |
7087556700 |
Signature of
Role |
Plan administrator |
Date |
2012-05-29 |
Name of individual signing |
GARY JAGMIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAGMIN DENTAL CLINIC, LTD. EMPLOYEES ' PROFIT SHARING TRUST
|
2010
|
362952215
|
2011-07-29
|
JAGMIN DENTAL CLINIC, LTD.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
7087556700
|
Plan sponsor’s
address |
1020 CHICAGO RD, CHICAGO HTS, IL, 604112600
|
Plan administrator’s name and address
Administrator’s EIN |
362952215 |
Plan administrator’s name |
JAGMIN DENTAL CLINIC, LTD. |
Plan administrator’s
address |
1020 CHICAGO RD, CHICAGO HTS, IL, 604112600 |
Administrator’s telephone number |
7087556700 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
GARY JAGMIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAGMIN DENTAL CLINIC, LTD. EMPLOYEES ' PROFIT SHARING TRUST
|
2009
|
362992215
|
2010-07-14
|
JAGMIN DENTAL CLINIC, LTD.
|
19
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
7087556700
|
Plan sponsor’s
address |
1020 CHICAGO RD, CHICAGO HTS, IL, 60411
|
Plan administrator’s name and address
Administrator’s EIN |
362992215 |
Plan administrator’s name |
JAGMIN DENTAL CLINIC, LTD. |
Plan administrator’s
address |
1020 CHICAGO RD, CHICAGO HTS, IL, 60411 |
Administrator’s telephone number |
7087556700 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
GARY JAGMIN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JAGMIN DENTAL CLINIC, LTD. EMPLOYEES ' PROFIT SHARING TRUST
|
2009
|
362992215
|
2010-07-21
|
JAGMIN DENTAL CLINIC, LTD.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
7087556700
|
Plan sponsor’s
address |
1020 CHICAGO RD, CHICAGO HTS, IL, 60411
|
Plan administrator’s name and address
Administrator’s EIN |
362992215 |
Plan administrator’s name |
JAGMIN DENTAL CLINIC, LTD. |
Plan administrator’s
address |
1020 CHICAGO RD, CHICAGO HTS, IL, 60411 |
Administrator’s telephone number |
7087556700 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
GARY JAGMIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|