ROSELAND DENTAL CLINIC LLC 401K PLAN
|
2012
|
262203570
|
2013-07-09
|
ROSELAND DENTAL CLINIC LLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7739953024
|
Plan sponsor’s
address |
134 W 111TH ST, CHICAGO, IL, 60628
|
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
DR AMIT SAPARIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSELAND DENTAL CLINIC LLC 401K PLAN
|
2011
|
262203570
|
2012-09-28
|
ROSELAND DENTAL CLINIC LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7739953024
|
Plan sponsor’s
address |
134 W 111TH ST, CHICAGO, IL, 60628
|
Plan administrator’s name and address
Administrator’s EIN |
262203570 |
Plan administrator’s name |
ROSELAND DENTAL CLINIC LLC |
Plan administrator’s
address |
134 W 111TH ST, CHICAGO, IL, 60628 |
Administrator’s telephone number |
7739953024 |
Signature of
Role |
Plan administrator |
Date |
2012-09-28 |
Name of individual signing |
DR AMIT SAPARIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSELAND DENTAL CLINIC LLC 401K PLAN
|
2011
|
262203570
|
2012-06-25
|
ROSELAND DENTAL CLINIC LLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7739953024
|
Plan sponsor’s
address |
134 W 111TH ST, CHICAGO, IL, 60628
|
Plan administrator’s name and address
Administrator’s EIN |
262203570 |
Plan administrator’s name |
ROSELAND DENTAL CLINIC LLC |
Plan administrator’s
address |
134 W 111TH ST, CHICAGO, IL, 60628 |
Administrator’s telephone number |
7739953024 |
Signature of
Role |
Plan administrator |
Date |
2012-06-25 |
Name of individual signing |
DR AMIT SAPARIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSELAND DENTAL CLINIC LLC 401K PLAN
|
2010
|
262203570
|
2011-09-28
|
ROSELAND DENTAL CLINIC LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7739953024
|
Plan sponsor’s
address |
134 W 111TH ST, CHICAGO, IL, 60628
|
Plan administrator’s name and address
Administrator’s EIN |
262203570 |
Plan administrator’s name |
ROSELAND DENTAL CLINIC LLC |
Plan administrator’s
address |
134 W 111TH ST, CHICAGO, IL, 60628 |
Administrator’s telephone number |
7739953024 |
Signature of
Role |
Plan administrator |
Date |
2011-09-28 |
Name of individual signing |
DR AMIT SAPARIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSELAND DENTAL CLINIC LLC 401K PLAN
|
2010
|
262203570
|
2011-09-23
|
ROSELAND DENTAL CLINIC LLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7739953024
|
Plan sponsor’s
address |
134 W 111TH ST, CHICAGO, IL, 60628
|
Plan administrator’s name and address
Administrator’s EIN |
262203570 |
Plan administrator’s name |
ROSELAND DENTAL CLINIC LLC |
Plan administrator’s
address |
134 W 111TH ST, CHICAGO, IL, 60628 |
Administrator’s telephone number |
7739953024 |
Signature of
Role |
Plan administrator |
Date |
2011-09-23 |
Name of individual signing |
DR AMIT SAPARIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROSELAND DENTAL CLINIC LLC 401K PLAN
|
2009
|
262203570
|
2010-10-12
|
ROSELAND DENTAL CLINIC LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7739953024
|
Plan sponsor’s
address |
134 W 111TH ST, CHICAGO, IL, 60628
|
Plan administrator’s name and address
Administrator’s EIN |
262203570 |
Plan administrator’s name |
ROSELAND DENTAL CLINIC LLC |
Plan administrator’s
address |
134 W 111TH ST, CHICAGO, IL, 60628 |
Administrator’s telephone number |
7739953024 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
FRANK HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|