LAURIE. S. GORDON, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2011
|
362558436
|
2012-10-11
|
LAURIE. S. GORDON, D.D.S., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083880001
|
Plan sponsor’s
address |
2310 YORK STREET, SUITE 4B, BLUE ISLAND, IL, 60406
|
Plan administrator’s name and address
Administrator’s EIN |
362558436 |
Plan administrator’s name |
LAURIE. S. GORDON, D.D.S., LTD. |
Plan administrator’s
address |
2310 YORK STREET, SUITE 4B, BLUE ISLAND, IL, 60406 |
Administrator’s telephone number |
7083880001 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
LAURIE GORDON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-11 |
Name of individual signing |
LAURIE GORDON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAURIE. S. GORDON, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2010
|
362558436
|
2011-08-31
|
LAURIE. S. GORDON, D.D.S., LTD.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083880001
|
Plan sponsor’s
address |
2310 YORK STREET, SUITE 4B, BLUE ISLAND, IL, 60406
|
Plan administrator’s name and address
Administrator’s EIN |
362558436 |
Plan administrator’s name |
LAURIE. S. GORDON, D.D.S., LTD. |
Plan administrator’s
address |
2310 YORK STREET, SUITE 4B, BLUE ISLAND, IL, 60406 |
Administrator’s telephone number |
7083880001 |
Signature of
Role |
Plan administrator |
Date |
2011-08-31 |
Name of individual signing |
LAURIE GORDON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-31 |
Name of individual signing |
LAURIE GORDON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LAURIE. S. GORDON, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2010
|
362558436
|
2011-10-03
|
LAURIE. S. GORDON, D.D.S., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083880001
|
Plan sponsor’s
address |
2310 YORK STREET, SUITE 4B, BLUE ISLAND, IL, 60406
|
Plan administrator’s name and address
Administrator’s EIN |
362558436 |
Plan administrator’s name |
LAURIE. S. GORDON, D.D.S., LTD. |
Plan administrator’s
address |
2310 YORK STREET, SUITE 4B, BLUE ISLAND, IL, 60406 |
Administrator’s telephone number |
7083880001 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
LAURIE S. GORDON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-03 |
Name of individual signing |
LAURIE S. GORDON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAURIE. S. GORDON, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2010
|
362558436
|
2011-07-19
|
LAURIE. S. GORDON, D.D.S., LTD.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083880001
|
Plan sponsor’s
address |
2310 YORK STREET, SUITE 4B, BLUE ISLAND, IL, 60406
|
Plan administrator’s name and address
Administrator’s EIN |
362558436 |
Plan administrator’s name |
LAURIE. S. GORDON, D.D.S., LTD. |
Plan administrator’s
address |
2310 YORK STREET, SUITE 4B, BLUE ISLAND, IL, 60406 |
Administrator’s telephone number |
7083880001 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
LAURIE GORDON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
LAURIE GORDON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LAURIE. S. GORDON, D.D.S., LTD. PROFIT SHARING PLAN & TRUST
|
2010
|
362558436
|
2011-07-25
|
LAURIE. S. GORDON, D.D.S., LTD.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083880001
|
Plan sponsor’s
address |
2310 YORK STREET, SUITE 4B, BLUE ISLAND, IL, 60406
|
Plan administrator’s name and address
Administrator’s EIN |
362558436 |
Plan administrator’s name |
LAURIE. S. GORDON, D.D.S., LTD. |
Plan administrator’s
address |
2310 YORK STREET, SUITE 4B, BLUE ISLAND, IL, 60406 |
Administrator’s telephone number |
7083880001 |
Signature of
Role |
Plan administrator |
Date |
2011-07-23 |
Name of individual signing |
LAURIE GORDON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-23 |
Name of individual signing |
LAURIE GORDON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|