KEVIN E. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN
|
2011
|
371109544
|
2013-04-30
|
KEVIN E. COLLINS, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083545575
|
Plan sponsor’s
address |
475 W 55TH ST, LAGRANGE, IL, 60525
|
Plan administrator’s name and address
Administrator’s EIN |
371109544 |
Plan administrator’s name |
KEVIN E. COLLINS, D.D.S., P.C. |
Plan administrator’s
address |
475 W 55TH ST, LAGRANGE, IL, 60525 |
Administrator’s telephone number |
7083545575 |
Signature of
Role |
Plan administrator |
Date |
2013-04-30 |
Name of individual signing |
KEVIN E. COLLINS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEVIN E. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN
|
2010
|
371109544
|
2012-04-24
|
KEVIN E. COLLINS, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083545575
|
Plan sponsor’s
address |
475 W 55TH ST, LAGRANGE, IL, 60525
|
Plan administrator’s name and address
Administrator’s EIN |
371109544 |
Plan administrator’s name |
KEVIN E. COLLINS, D.D.S., P.C. |
Plan administrator’s
address |
475 W 55TH ST, LAGRANGE, IL, 60525 |
Administrator’s telephone number |
7083545575 |
Signature of
Role |
Plan administrator |
Date |
2012-04-24 |
Name of individual signing |
KEVIN E. COLLINS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEVIN E. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN
|
2009
|
371109544
|
2011-05-12
|
KEVIN E. COLLINS, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083545575
|
Plan sponsor’s
address |
475 W 55TH ST, LAGRANGE, IL, 60525
|
Plan administrator’s name and address
Administrator’s EIN |
371109544 |
Plan administrator’s name |
KEVIN E. COLLINS, D.D.S., P.C. |
Plan administrator’s
address |
475 W 55TH ST, LAGRANGE, IL, 60525 |
Administrator’s telephone number |
7083545575 |
Signature of
Role |
Plan administrator |
Date |
2011-05-12 |
Name of individual signing |
KEVIN E. COLLINS, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|