TIMOTHY J. SANDERS, D.D.S., LTD PROFIT SHARING PLAN & TRUST
|
2020
|
363109213
|
2021-10-13
|
TIMOTHY J. SANDERS, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472340344
|
Plan sponsor’s mailing address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-13 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMOTHY J. SANDERS, D.D.S., LTD PROFIT SHARING PLAN & TRUST
|
2019
|
363109213
|
2020-10-02
|
TIMOTHY J. SANDERS, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472340344
|
Plan sponsor’s mailing address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Active participants |
1 |
Other
retired or separated participants entitled to future benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2020-09-29 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-29 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMOTHY J. SANDERS, D.D.S., LTD PROFIT SHARING PLAN & TRUST
|
2018
|
363109213
|
2019-10-15
|
TIMOTHY J. SANDERS, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472340344
|
Plan sponsor’s mailing address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Active participants |
1 |
Other
retired or separated participants entitled to future benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-14 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMOTHY J. SANDERS, D.D.S., LTD PROFIT SHARING PLAN & TRUST
|
2017
|
363109213
|
2018-10-11
|
TIMOTHY J. SANDERS, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472340344
|
Plan sponsor’s mailing address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMOTHY J. SANDERS, D.D.S., LTD PROFIT SHARING PLAN & TRUST
|
2016
|
363109213
|
2017-10-24
|
TIMOTHY J. SANDERS, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472340344
|
Plan sponsor’s mailing address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2017-10-24 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-24 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMOTHY J. SANDERS, D.D.S., LTD PROFIT SHARING PLAN & TRUST
|
2015
|
363109213
|
2016-09-06
|
TIMOTHY J. SANDERS, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472340344
|
Plan sponsor’s mailing address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2016-09-06 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-06 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMOTHY J. SANDERS, D.D.S., LTD PROFIT SHARING PLAN & TRUST
|
2014
|
363109213
|
2015-10-14
|
TIMOTHY J. SANDERS, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472340344
|
Plan sponsor’s mailing address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMOTHY J. SANDERS, D.D.S., LTD PROFIT SHARING PLAN & TRUST
|
2013
|
363109213
|
2014-10-13
|
TIMOTHY J. SANDERS, D.D.S., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472340344
|
Plan sponsor’s mailing address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-13 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMOTHY J. SANDERS, D.D.S., LTD PROFIT SHARING PLAN & TRUST
|
2012
|
363109213
|
2013-10-15
|
TIMOTHY J. SANDERS, D.D.S., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472340344
|
Plan sponsor’s mailing address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMOTHY J. SANDERS, D.D.S., LTD PROFIT SHARING PLAN & TRUST
|
2011
|
363109213
|
2012-10-12
|
TIMOTHY J. SANDERS, D.D.S., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472340344
|
Plan sponsor’s mailing address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045
|
Plan administrator’s name and address
Administrator’s EIN |
363109213 |
Plan administrator’s name |
TIMOTHY J. SANDERS, D.D.S., LTD. |
Plan administrator’s
address |
950 N. WESTERN, #7, LAKE FOREST, IL, 60045 |
Administrator’s telephone number |
8472340344 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-12 |
Name of individual signing |
TIMOTHY SANDERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|