PRAIRIE VIEW ORTHODONTICS, LTD. PROFIT SHARING PLAN
|
2011
|
363011639
|
2012-07-09
|
PRAIRIE VIEW ORTHODONTICS, LTD.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-05-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308965400
|
Plan sponsor’s
address |
70 S CONSTITUTION DR SUITE 102, AURORA, IL, 60506
|
Plan administrator’s name and address
Administrator’s EIN |
363011639 |
Plan administrator’s name |
PRAIRIE VIEW ORTHODONTICS, LTD. |
Plan administrator’s
address |
70 S CONSTITUTION DR SUITE 102, AURORA, IL, 60506 |
Administrator’s telephone number |
6308965400 |
Signature of
Role |
Plan administrator |
Date |
2012-07-09 |
Name of individual signing |
JACQUELINE ZIMMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE VIEW ORTHODONTICS, LTD. PROFIT SHARING PLAN
|
2010
|
363011639
|
2011-06-13
|
PRAIRIE VIEW ORTHODONTICS, LTD.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-05-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308965400
|
Plan sponsor’s
address |
70 S CONSTITUTION DR SUITE 102, AURORA, IL, 60506
|
Plan administrator’s name and address
Administrator’s EIN |
363011639 |
Plan administrator’s name |
PRAIRIE VIEW ORTHODONTICS, LTD. |
Plan administrator’s
address |
70 S CONSTITUTION DR SUITE 102, AURORA, IL, 60506 |
Administrator’s telephone number |
6308965400 |
Signature of
Role |
Plan administrator |
Date |
2011-06-13 |
Name of individual signing |
JACQUELINE ZIMMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-13 |
Name of individual signing |
JACQUELINE ZIMMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE VIEW ORTHODONTICS, LTD. PROFIT SHARING PLAN
|
2009
|
363011639
|
2010-07-30
|
PRAIRIE VIEW ORTHODONTICS, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-05-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308965400
|
Plan sponsor’s
address |
70 S CONSTITUTION DR SUITE 102, AURORA, IL, 60506
|
Plan administrator’s name and address
Administrator’s EIN |
363011639 |
Plan administrator’s name |
PRAIRIE VIEW ORTHODONTICS, LTD. |
Plan administrator’s
address |
70 S CONSTITUTION DR SUITE 102, AURORA, IL, 60506 |
Administrator’s telephone number |
6308965400 |
Signature of
Role |
Plan administrator |
Date |
2010-07-30 |
Name of individual signing |
JACQUELINE ZIMMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE VIEW ORTHODONTICS, LTD. PROFIT SHARING PLAN
|
2009
|
363011639
|
2010-06-21
|
PRAIRIE VIEW ORTHODONTICS, LTD.
|
12
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-05-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308965400
|
Plan sponsor’s
address |
70 S CONSTITUTION DR SUITE 102, AURORA, IL, 60506
|
Plan administrator’s name and address
Administrator’s EIN |
363011639 |
Plan administrator’s name |
PRAIRIE VIEW ORTHODONTICS, LTD. |
Plan administrator’s
address |
70 S CONSTITUTION DR SUITE 102, AURORA, IL, 60506 |
Administrator’s telephone number |
6308965400 |
Signature of
Role |
Plan administrator |
Date |
2010-06-21 |
Name of individual signing |
JACQUELINE ZIMMER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|