COTTAGE HILL DENTAL CARE LTD 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
363145242
|
2020-10-14
|
COTTAGE HILL DENTAL CARE LTD
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305307998
|
Plan sponsor’s
address |
360 WEST BUTTERFIELD ROAD, SUITE 33, ELMHURST, IL, 60126
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
RICHARD STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-14 |
Name of individual signing |
RICHARD STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COTTAGE HILL DENTAL CARE LTD 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
363145242
|
2019-10-14
|
COTTAGE HILL DENTAL CARE LTD
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305307998
|
Plan sponsor’s
address |
360 WEST BUTTERFIELD ROAD, SUITE 33, ELMHURST, IL, 60126
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
RICHARD A. STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-14 |
Name of individual signing |
RICHARD A. STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COTTAGE HILL DENTAL CARE 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
363145242
|
2018-07-30
|
COTTAGE HILL DENTAL CARE LTD
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305307998
|
Plan sponsor’s
address |
360 WEST BUTTERFIELD ROAD, SUITE 330, ELMHURST, IL, 60126
|
|
COTTAGE HILL DENTAL CARE 401 K PROFIT SHARING PLAN TRUST
|
2016
|
363145242
|
2017-06-05
|
COTTAGE HILL DENTAL CARE LTD
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305308002
|
Plan sponsor’s
address |
360 W BUTTERFIELD RD, ELMHURST, IL, 60126
|
Signature of
Role |
Plan administrator |
Date |
2017-06-05 |
Name of individual signing |
RICHARD A. STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COTTAGE HILL DENTAL CARE, LTD 401(K) PROFIT SHARING PLAN
|
2014
|
363145242
|
2015-05-12
|
COTTAGE HILL DENTAL CARE, LTD
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305307998
|
Plan sponsor’s
address |
360 W. BUTTERFIELD RD., SUITE 330, ELMHURST, IL, 601265040
|
Signature of
Role |
Plan administrator |
Date |
2015-05-12 |
Name of individual signing |
RICHARD A. STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-12 |
Name of individual signing |
RICHARD A. STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COTTAGE HILL DENTAL CARE, LTD 401(K) PROFIT SHARING PLAN
|
2013
|
363145242
|
2014-09-04
|
COTTAGE HILL DENTAL CARE, LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305308002
|
Plan sponsor’s
address |
360 W. BUTTERFIELD RD., SUITE 330, ELMHURST, IL, 601265040
|
Signature of
Role |
Plan administrator |
Date |
2014-08-11 |
Name of individual signing |
RICHARD A. STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-11 |
Name of individual signing |
RICHARD A. STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COTTAGE HILL DENTAL CARE, LTD 401(K) PROFIT SHARING PLAN
|
2012
|
363145242
|
2013-06-17
|
COTTAGE HILL DENTAL CARE, LTD
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305308002
|
Plan sponsor’s
address |
360 W. BUTTERFIELD RD., SUITE 330, ELMHURST, IL, 601265040
|
Signature of
Role |
Plan administrator |
Date |
2013-06-17 |
Name of individual signing |
RICHARD A. STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-17 |
Name of individual signing |
RICHARD A. STEFFENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COTTAGE HILL DENTAL CARE, LTD 401(K) PROFIT SHARING PLAN
|
2011
|
363145242
|
2012-08-03
|
COTTAGE HILL DENTAL CARE, LTD
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305308002
|
Plan sponsor’s
address |
360 W. BUTTERFIELD RD., SUITE 330, ELMHURST, IL, 601265040
|
Plan administrator’s name and address
Administrator’s EIN |
363145242 |
Plan administrator’s name |
COTTAGE HILL DENTAL CARE, LTD |
Plan administrator’s
address |
360 W. BUTTERFIELD RD., SUITE 330, ELMHURST, IL, 601265040 |
Administrator’s telephone number |
6305308002 |
Signature of
Role |
Plan administrator |
Date |
2012-08-03 |
Name of individual signing |
RICHARD A. STEFFENS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COTTAGE HILL DENTAL CARE, LTD 401(K) PROFIT SHARING PLAN
|
2010
|
363145242
|
2011-10-12
|
COTTAGE HILL DENTAL CARE, LTD
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305308002
|
Plan sponsor’s
address |
135 B ADDISON AVE., ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
363145242 |
Plan administrator’s name |
COTTAGE HILL DENTAL CARE, LTD |
Plan administrator’s
address |
135 B ADDISON AVE., ELMHURST, IL, 60126 |
Administrator’s telephone number |
6305308002 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
RICHARD A. STEFFENS, DDS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
COTTAGE HILL DENTAL CARE, LTD 401(K) PROFIT SHARING PLAN
|
2010
|
363145242
|
2011-10-12
|
COTTAGE HILL DENTAL CARE, LTD
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6305308002
|
Plan sponsor’s
address |
135 B ADDISON AVE., ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
363145242 |
Plan administrator’s name |
COTTAGE HILL DENTAL CARE, LTD |
Plan administrator’s
address |
135 B ADDISON AVE., ELMHURST, IL, 60126 |
Administrator’s telephone number |
6305308002 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
RICHARD A. STEFFENS, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|