MIDWEST INTEGRATIVE DENTISTRY, LTD. PROFIT SHARING PLAN & TRUST
|
2017
|
363136415
|
2018-06-25
|
MIDWEST INTEGRATIVE DENTISTRY, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476598500
|
Plan sponsor’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 60142
|
Signature of
Role |
Plan administrator |
Date |
2018-06-23 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-23 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST INTEGRATIVE DENTISTRY, LTD. PROFIT SHARING PLAN & TRUST
|
2017
|
363136415
|
2018-06-27
|
MIDWEST INTEGRATIVE DENTISTRY, LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476598500
|
Plan sponsor’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 60142
|
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-27 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST INTEGRATIVE DENTISTRY, LTD PROFIT SHARING PLAN
|
2016
|
363136415
|
2017-02-17
|
MIDWEST INTEGRATIVE DENTISTRY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476598500
|
Plan sponsor’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 601426728
|
Signature of
Role |
Plan administrator |
Date |
2017-02-14 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-14 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST INTEGRATIVE DENTISTRY, LTD PROFIT SHARING PLAN
|
2015
|
363136415
|
2016-05-16
|
MIDWEST INTEGRATIVE DENTISTRY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476598500
|
Plan sponsor’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 601426728
|
Signature of
Role |
Plan administrator |
Date |
2016-05-16 |
Name of individual signing |
PHILLIP P SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-16 |
Name of individual signing |
PHILLIP P SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST INTEGRATIVE DENTISTRY, LTD PROFIT SHARING PLAN
|
2014
|
363136415
|
2015-04-29
|
MIDWEST INTEGRATIVE DENTISTRY, LTD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476598500
|
Plan sponsor’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 601426728
|
Signature of
Role |
Plan administrator |
Date |
2015-04-29 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-29 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST INTEGRATIVE DENTISTRY, LTD PROFIT SHARING PLAN
|
2013
|
363136415
|
2014-09-08
|
MIDWEST INTEGRATIVE DENTISTRY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476598500
|
Plan sponsor’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 601426728
|
Signature of
Role |
Plan administrator |
Date |
2014-09-07 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-07 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST INTEGRATIVE DENTISTRY, LTD PROFIT SHARING PLAN
|
2012
|
363136415
|
2014-09-08
|
MIDWEST INTEGRATIVE DENTISTRY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476598500
|
Plan sponsor’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 601426728
|
Signature of
Role |
Plan administrator |
Date |
2014-09-07 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-07 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST INTEGRATIVE DENTISTRY, LTD PROFIT SHARING PLAN
|
2012
|
363136415
|
2013-07-31
|
MIDWEST INTEGRATIVE DENTISTRY, LTD
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476598500
|
Plan sponsor’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 601426728
|
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-31 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST INTEGRATIVE DENTISTRY, LTD PROFIT SHARING PLAN
|
2011
|
363136415
|
2012-07-30
|
MIDWEST INTEGRATIVE DENTISTRY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476598500
|
Plan sponsor’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 601426728
|
Plan administrator’s name and address
Administrator’s EIN |
363136415 |
Plan administrator’s name |
MIDWEST INTEGRATIVE DENTISTRY, LTD |
Plan administrator’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 601426728 |
Administrator’s telephone number |
8476598500 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
PHILLIP P SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
PHILLIP P SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST INTEGRATIVE DENTISTRY, LTD PROFIT SHARING PLAN
|
2010
|
363136415
|
2011-09-06
|
MIDWEST INTEGRATIVE DENTISTRY, LTD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476598500
|
Plan sponsor’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 601426728
|
Plan administrator’s name and address
Administrator’s EIN |
363136415 |
Plan administrator’s name |
MIDWEST INTEGRATIVE DENTISTRY, LTD |
Plan administrator’s
address |
11952 OAK CREEK PARKWAY, HUNTLEY, IL, 601426728 |
Administrator’s telephone number |
8476598500 |
Signature of
Role |
Plan administrator |
Date |
2011-09-04 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-04 |
Name of individual signing |
PHILLIP SUKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|