SCOTT W. CLINTON, D.D.S., P.C. 401(K) PLAN
|
2012
|
363153597
|
2013-03-13
|
SCOTT W. CLINTON, D.D.S., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-15
|
Business code |
621210
|
Sponsor’s telephone number |
8473768824
|
Plan sponsor’s
address |
1011 EAST TOUHY AVENUE, SUITE 125, DES PLAINES, IL, 60018
|
Signature of
Role |
Plan administrator |
Date |
2013-03-13 |
Name of individual signing |
SCOTT CLINTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-13 |
Name of individual signing |
SCOTT CLINTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTT W. CLINTON, D.D.S., P.C. 401(K) PLAN
|
2011
|
363153597
|
2012-04-09
|
SCOTT W. CLINTON, D.D.S., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-15
|
Business code |
621210
|
Sponsor’s telephone number |
8473768824
|
Plan sponsor’s
address |
1011 EAST TOUHY AVENUE, SUITE 125, DES PLAINES, IL, 60018
|
Plan administrator’s name and address
Administrator’s EIN |
363153597 |
Plan administrator’s name |
SCOTT W. CLINTON, D.D.S., P.C. |
Plan administrator’s
address |
1011 EAST TOUHY AVENUE, SUITE 125, DES PLAINES, IL, 60018 |
Administrator’s telephone number |
8473768824 |
Signature of
Role |
Plan administrator |
Date |
2012-04-09 |
Name of individual signing |
SCOTT W CLINTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-09 |
Name of individual signing |
SCOTT W CLINTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTT W. CLINTON, D.D.S., P.C. 401(K) PLAN
|
2010
|
363153597
|
2011-06-13
|
SCOTT W. CLINTON, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-15
|
Business code |
621210
|
Sponsor’s telephone number |
8476982060
|
Plan sponsor’s
address |
1011 EAST TOUGHY AVENUE, SUITE 125, DES PLAINES, IL, 60018
|
Plan administrator’s name and address
Administrator’s EIN |
363153597 |
Plan administrator’s name |
SCOTT W. CLINTON, D.D.S., P.C. |
Plan administrator’s
address |
1011 EAST TOUGHY AVENUE, SUITE 125, DES PLAINES, IL, 60018 |
Administrator’s telephone number |
8476982060 |
Signature of
Role |
Plan administrator |
Date |
2011-06-13 |
Name of individual signing |
SCOTT W. CLINTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-13 |
Name of individual signing |
SCOTT W. CLINTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTT W. CLINTON, D.D.S., P.C. 401(K) PLAN
|
2009
|
363153597
|
2010-07-14
|
SCOTT W. CLINTON, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-15
|
Business code |
621210
|
Sponsor’s telephone number |
8476982060
|
Plan sponsor’s
address |
2024 OAKTON STREET, PARK RIDGE, IL, 60068
|
Plan administrator’s name and address
Administrator’s EIN |
363153597 |
Plan administrator’s name |
SCOTT W. CLINTON, D.D.S., P.C. |
Plan administrator’s
address |
2024 OAKTON STREET, PARK RIDGE, IL, 60068 |
Administrator’s telephone number |
8476982060 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
SCOTT W. CLINTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-14 |
Name of individual signing |
SCOTT W. CLINTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|