EUGENE E. BRANDER, D.D.S., P.C. 401(K) PLAN & TRUST
|
2011
|
363219651
|
2012-10-10
|
EUGENE E. BRANDER, D.D.S., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8156331815
|
Plan sponsor’s
address |
309 E. RIVERSIDE BLVD., LOVES PARK, IL, 611114547
|
Plan administrator’s name and address
Administrator’s EIN |
363219651 |
Plan administrator’s name |
EUGENE E. BRANDER, D.D.S., P.C. |
Plan administrator’s
address |
309 E. RIVERSIDE BLVD., LOVES PARK, IL, 611114547 |
Administrator’s telephone number |
8156331815 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
EUGENE BRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
EUGENE BRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EUGENE E. BRANDER, D.D.S., P.C. 401(K) PLAN & TRUST
|
2010
|
363219651
|
2011-06-30
|
EUGENE E. BRANDER, D.D.S., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8156331815
|
Plan sponsor’s
address |
309 E. RIVERSIDE BLVD., LOVES PARK, IL, 611114547
|
Plan administrator’s name and address
Administrator’s EIN |
363219651 |
Plan administrator’s name |
EUGENE E. BRANDER, D.D.S., P.C. |
Plan administrator’s
address |
309 E. RIVERSIDE BLVD., LOVES PARK, IL, 611114547 |
Administrator’s telephone number |
8156331815 |
Signature of
Role |
Plan administrator |
Date |
2011-06-30 |
Name of individual signing |
EUGENE BRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-30 |
Name of individual signing |
EUGENE BRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EUGENE E. BRANDER, D.D.S., P.C. 401(K) PLAN & TRUST
|
2009
|
363219651
|
2010-09-28
|
EUGENE E. BRANDER, D.D.S., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8156331815
|
Plan sponsor’s
address |
309 E. RIVERSIDE BLVD., LOVES PARK, IL, 611114547
|
Plan administrator’s name and address
Administrator’s EIN |
363219651 |
Plan administrator’s name |
EUGENE E. BRANDER, D.D.S., P.C. |
Plan administrator’s
address |
309 E. RIVERSIDE BLVD., LOVES PARK, IL, 611114547 |
Administrator’s telephone number |
8156331815 |
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
EUGENE BRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-28 |
Name of individual signing |
EUGENE BRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|