PEDIATRIC DENTISTRY OF NORTHBROOK, LTD. PROFIT-SHARING PLAN & TRUST
|
2012
|
363063573
|
2013-08-22
|
PEDIATRIC DENTISTRY OF NORTHBROOK LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-04-01
|
Business code |
621210
|
Plan sponsor’s
address |
1707 SHERMER ROAD STE 202, NORTHBROOK, IL, 60062
|
Signature of
Role |
Plan administrator |
Date |
2013-08-22 |
Name of individual signing |
PAUL EGGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-22 |
Name of individual signing |
PAUL EGGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTISTRY OF NORTHBROOK, LTD. PROFIT-SHARING PLAN & TRUST
|
2011
|
363063573
|
2012-07-19
|
PEDIATRIC DENTISTRY OF NORTHBROOK LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1980-04-01
|
Business code |
621210
|
Plan sponsor’s
address |
1707 SHERMER ROAD STE 202, NORTHBROOK, IL, 60062
|
Plan administrator’s name and address
Administrator’s EIN |
363063573 |
Plan administrator’s name |
PEDIATRIC DENTISTRY OF NORTHBROOK L |
Plan administrator’s
address |
1707 SHERMER ROAD STE 202, NORTHBROOK, IL, 60062 |
Signature of
Role |
Plan administrator |
Date |
2012-07-18 |
Name of individual signing |
PAUL EGGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-18 |
Name of individual signing |
PAUL EGGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|