DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC RETIREMENT SAVINGS PLAN
|
2011
|
261484979
|
2012-10-09
|
DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
6303577273
|
Plan sponsor’s
address |
405 S. MAIN ST., NAPERVILLE, IL, 60540
|
Plan administrator’s name and address
Administrator’s EIN |
261484979 |
Plan administrator’s name |
DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC |
Plan administrator’s
address |
405 S. MAIN ST., NAPERVILLE, IL, 60540 |
Administrator’s telephone number |
6303577273 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
JEROME A. BERGAMINI, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC RETIREMENT SAVINGS PLAN
|
2010
|
261484979
|
2011-10-14
|
DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
6303577273
|
Plan sponsor’s
address |
405 S. MAIN ST., NAPERVILLE, IL, 60540
|
Plan administrator’s name and address
Administrator’s EIN |
261484979 |
Plan administrator’s name |
DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC |
Plan administrator’s
address |
405 S. MAIN ST., NAPERVILLE, IL, 60540 |
Administrator’s telephone number |
6303577273 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
JEROME A. BERGAMINI, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC RETIREMENT SAVINGS PLAN
|
2009
|
261484979
|
2010-10-12
|
DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
6303577273
|
Plan sponsor’s
address |
405 S. MAIN ST., NAPERVILLE, IL, 60540
|
Plan administrator’s name and address
Administrator’s EIN |
261484979 |
Plan administrator’s name |
DR JEROME A BERGAMINI ORAL & MAXILLOFACIAL SURGERY LLC |
Plan administrator’s
address |
405 S. MAIN ST., NAPERVILLE, IL, 60540 |
Administrator’s telephone number |
6303577273 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
JEROME A. BERGAMINI, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|