PEDIATRIC DENTAL ASSOCIATES, P.C., 401(K) PLAN
|
2012
|
363336666
|
2013-07-09
|
PEDIATRIC DENTAL ASSOCIATES, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475377695
|
Plan sponsor’s
address |
195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089
|
Plan administrator’s name and address
Administrator’s EIN |
363336666 |
Plan administrator’s name |
PEDIATRIC DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089 |
Administrator’s telephone number |
8475377695 |
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
GEORGE LIN, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL ASSOCIATES, P.C., 401(K) PLAN
|
2011
|
363336666
|
2012-07-23
|
PEDIATRIC DENTAL ASSOCIATES, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475377695
|
Plan sponsor’s
address |
195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089
|
Plan administrator’s name and address
Administrator’s EIN |
363336666 |
Plan administrator’s name |
PEDIATRIC DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089 |
Administrator’s telephone number |
8475377695 |
Signature of
Role |
Plan administrator |
Date |
2012-07-23 |
Name of individual signing |
GEORGE LIN, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-29 |
Name of individual signing |
ANJALI TALATI, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL ASSOCIATES, P.C., 401(K) PLAN
|
2010
|
363336666
|
2011-04-22
|
PEDIATRIC DENTAL ASSOCIATES, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475377695
|
Plan sponsor’s
address |
195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089
|
Plan administrator’s name and address
Administrator’s EIN |
363336666 |
Plan administrator’s name |
PEDIATRIC DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089 |
Administrator’s telephone number |
8475377695 |
Signature of
Role |
Plan administrator |
Date |
2011-04-22 |
Name of individual signing |
FRED MARGOLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTAL ASSOCIATES, P.C., 401(K) PLAN
|
2010
|
363336666
|
2011-04-22
|
PEDIATRIC DENTAL ASSOCIATES, P.C.
|
19
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475377695
|
Plan sponsor’s
address |
195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089
|
Plan administrator’s name and address
Administrator’s EIN |
363336666 |
Plan administrator’s name |
PEDIATRIC DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089 |
Administrator’s telephone number |
8475377695 |
Signature of
Role |
Plan administrator |
Date |
2011-04-22 |
Name of individual signing |
FRED MARGOLIS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PEDIATRIC DENTAL ASSOCIATES, P.C., 401(K) PLAN
|
2009
|
363336666
|
2010-07-27
|
PEDIATRIC DENTAL ASSOCIATES, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475377695
|
Plan sponsor’s
address |
195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089
|
Plan administrator’s name and address
Administrator’s EIN |
363336666 |
Plan administrator’s name |
PEDIATRIC DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
195 N. ARLINGTON HEIGHTS ROAD, BUFFALOGROVE, IL, 60089 |
Administrator’s telephone number |
8475377695 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
FRED MARGOLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
FRED MARGOLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|