FREDERICK GUSTAVE, D.D.S., P.C. CASH BALANCE PLAN
|
2011
|
371106175
|
2012-10-11
|
FREDERICK GUSTAVE, D.D.S., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6185292571
|
Plan sponsor’s
address |
1111 B E WALNUT STREET, CARBONDALE, IL, 629015006
|
Plan administrator’s name and address
Administrator’s EIN |
371106175 |
Plan administrator’s name |
FREDERICK GUSTAVE, D.D.S., P.C. |
Plan administrator’s
address |
1111 B E WALNUT STREET, CARBONDALE, IL, 629015006 |
Administrator’s telephone number |
6185292571 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
FREDERICK GUSTAVE, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREDERICK GUSTAVE, D.D.S., P.C. CASH BALANCE PLAN
|
2010
|
371106175
|
2011-10-14
|
FREDERICK GUSTAVE, D.D.S., P.C.
|
12
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6185292571
|
Plan sponsor’s
address |
1111 B E WALNUT STREET, CARBONDALE, IL, 629015006
|
Plan administrator’s name and address
Administrator’s EIN |
371106175 |
Plan administrator’s name |
FREDERICK GUSTAVE, D.D.S., P.C. |
Plan administrator’s
address |
1111 B E WALNUT STREET, CARBONDALE, IL, 629015006 |
Administrator’s telephone number |
6185292571 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
FREDERICK GUSTAVE, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
FREDERICK GUSTAVE, D.D.S., P.C. CASH BALANCE PLAN
|
2010
|
371106175
|
2011-10-20
|
FREDERICK GUSTAVE, D.D.S., P.C.
|
12
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6185292571
|
Plan sponsor’s
address |
1111 B E WALNUT STREET, CARBONDALE, IL, 629015006
|
Plan administrator’s name and address
Administrator’s EIN |
371106175 |
Plan administrator’s name |
FREDERICK GUSTAVE, D.D.S., P.C. |
Plan administrator’s
address |
1111 B E WALNUT STREET, CARBONDALE, IL, 629015006 |
Administrator’s telephone number |
6185292571 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
FREDERICK GUSTAVE, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-20 |
Name of individual signing |
FREDERICK GUSTAVE, D.D.S. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
FREDERICK GUSTAVE, D.D.S., P.C. CASH BALANCE PLAN
|
2010
|
371106175
|
2011-10-21
|
FREDERICK GUSTAVE, D.D.S., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6185292571
|
Plan sponsor’s
address |
1111 B E WALNUT STREET, CARBONDALE, IL, 629015006
|
Plan administrator’s name and address
Administrator’s EIN |
371106175 |
Plan administrator’s name |
FREDERICK GUSTAVE, D.D.S., P.C. |
Plan administrator’s
address |
1111 B E WALNUT STREET, CARBONDALE, IL, 629015006 |
Administrator’s telephone number |
6185292571 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
FREDERICK GUSTAVE, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-20 |
Name of individual signing |
FREDERICK GUSTAVE, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREDERICK GUSTAVE, D.D.S., P.C. CASH BALANCE PLAN
|
2009
|
371106175
|
2010-10-15
|
FREDERICK GUSTAVE, D.D.S., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6185292571
|
Plan sponsor’s
address |
1111 B E WALNUT STREET, CARBONDALE, IL, 629015006
|
Plan administrator’s name and address
Administrator’s EIN |
371106175 |
Plan administrator’s name |
FREDERICK GUSTAVE, D.D.S., P.C. |
Plan administrator’s
address |
1111 B E WALNUT STREET, CARBONDALE, IL, 629015006 |
Administrator’s telephone number |
6185292571 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
FREDERICK GUSTAVE, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
FREDERICK GUSTAVE, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|