JAMES KENT GUEBERT, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
363504200
|
2013-04-12
|
JAMES KENT GUEBERT, D.D.S., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159392520
|
Plan sponsor’s
address |
498 BROWN BLVD, BOURBONNAIS, IL, 609142324
|
Plan administrator’s name and address
Administrator’s EIN |
363504200 |
Plan administrator’s name |
JAMES KENT GUEBERT, D.D.S., P.C. |
Plan administrator’s
address |
498 BROWN BLVD, BOURBONNAIS, IL, 609142324 |
Administrator’s telephone number |
8159392520 |
Signature of
Role |
Plan administrator |
Date |
2013-04-12 |
Name of individual signing |
JAMES KENT GUEBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES KENT GUEBERT, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
363504200
|
2012-07-04
|
JAMES KENT GUEBERT, D.D.S., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159392520
|
Plan sponsor’s
address |
498 BROWN BLVD, BOURBONNAIS, IL, 609142324
|
Plan administrator’s name and address
Administrator’s EIN |
363504200 |
Plan administrator’s name |
JAMES KENT GUEBERT, D.D.S., P.C. |
Plan administrator’s
address |
498 BROWN BLVD, BOURBONNAIS, IL, 609142324 |
Administrator’s telephone number |
8159392520 |
Signature of
Role |
Plan administrator |
Date |
2012-07-04 |
Name of individual signing |
JAMES KENT GUEBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES KENT GUEBERT, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
363504200
|
2011-05-02
|
JAMES KENT GUEBERT, D.D.S., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159392520
|
Plan sponsor’s
address |
498 BROWN BLVD, BOURBONNAIS, IL, 609142324
|
Plan administrator’s name and address
Administrator’s EIN |
363504200 |
Plan administrator’s name |
JAMES KENT GUEBERT, D.D.S., P.C. |
Plan administrator’s
address |
498 BROWN BLVD, BOURBONNAIS, IL, 609142324 |
Administrator’s telephone number |
8159392520 |
Signature of
Role |
Plan administrator |
Date |
2011-05-02 |
Name of individual signing |
JAMES KENT GUEBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-02 |
Name of individual signing |
JAMES KENT GUEBERT DDS PC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES KENT GUEBERT, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
363504200
|
2010-06-15
|
JAMES KENT GUEBERT, D.D.S., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8159392520
|
Plan sponsor’s
address |
498 BROWN BLVD, BOURBONNAIS, IL, 609142324
|
Plan administrator’s name and address
Administrator’s EIN |
363504200 |
Plan administrator’s name |
JAMES KENT GUEBERT, D.D.S., P.C. |
Plan administrator’s
address |
498 BROWN BLVD, BOURBONNAIS, IL, 609142324 |
Administrator’s telephone number |
8159392520 |
Signature of
Role |
Plan administrator |
Date |
2010-06-15 |
Name of individual signing |
JAMES KENT GUEBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|