SUBURBAN PERIODONTICS LTD. PROFIT SHARING PLAN
|
2023
|
363090381
|
2024-03-28
|
SUBURBAN PERIODONTICS LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472594000
|
Plan sponsor’s
address |
1900 HOLLISTER DRIVE #130, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2024-03-28 |
Name of individual signing |
SUBURBAN PERIODONTICS, LTD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PERIODONTICS LTD. PROFIT SHARING PLAN
|
2023
|
363090381
|
2024-10-24
|
SUBURBAN PERIODONTICS LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472594000
|
Plan sponsor’s
address |
1900 HOLLISTER DRIVE #130, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2024-10-24 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PERIODONTICS LTD. PROFIT SHARING PLAN
|
2022
|
363090381
|
2023-08-15
|
SUBURBAN PERIODONTICS LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472594000
|
Plan sponsor’s
address |
1900 HOLLISTER DRIVE #130, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2023-08-15 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PERIODONTICS LTD. PROFIT SHARING PLAN
|
2021
|
363090381
|
2022-09-06
|
SUBURBAN PERIODONTICS LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472594000
|
Plan sponsor’s
address |
1900 HOLLISTER DRIVE #130, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2022-09-06 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-06 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PERIODONTICS LTD. PROFIT SHARING PLAN
|
2020
|
363090381
|
2021-05-12
|
SUBURBAN PERIODONTICS LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472594000
|
Plan sponsor’s
address |
1900 HOLLISTER DRIVE #130, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2021-05-12 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-12 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PERIODONTICS LTD. PROFIT SHARING PLAN
|
2019
|
363090381
|
2020-05-28
|
SUBURBAN PERIODONTICS LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472594000
|
Plan sponsor’s
address |
1900 HOLLISTER DRIVE #130, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2020-05-28 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-28 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PERIODONTICS LTD. PROFIT SHARING PLAN
|
2018
|
363090381
|
2019-05-29
|
SUBURBAN PERIODONTICS LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472594000
|
Plan sponsor’s
address |
1900 HOLLISTER DRIVE #130, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2019-05-29 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-29 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PERIODONTICS LTD. PROFIT SHARING PLAN
|
2017
|
363090381
|
2018-04-12
|
SUBURBAN PERIODONTICS LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472594000
|
Plan sponsor’s
address |
1900 HOLLISTER DRIVE #130, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2018-04-12 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-12 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PERIODONTICS LTD. PROFIT SHARING PLAN
|
2016
|
363090381
|
2017-04-24
|
SUBURBAN PERIODONTICS LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472594000
|
Plan sponsor’s
address |
1900 HOLLISTER DRIVE #130, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2017-04-23 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PERIODONTICS LTD. PROFIT SHARING PLAN
|
2015
|
363090381
|
2016-06-23
|
SUBURBAN PERIODONTICS LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473627928
|
Plan sponsor’s
address |
1900 HOLLISTER DRIVE #130, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2016-06-23 |
Name of individual signing |
ALAN HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|