ROCKFORD DENTAL CARE, P.C. 401(K) PLAN
|
2012
|
363577795
|
2013-05-24
|
ROCKFORD DENTAL CARE, P.C.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153974280
|
Plan sponsor’s
address |
1301 N. ALPINE ROAD, ROCKFORD, IL, 61107
|
Signature of
Role |
Plan administrator |
Date |
2013-05-24 |
Name of individual signing |
HIPOLITO LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN
|
2011
|
363577795
|
2012-08-27
|
ROCKFORD DENTAL CARE, P.C.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153974280
|
Plan sponsor’s
address |
1301 N. ALPINE ROAD, ROCKFORD, IL, 61107
|
Plan administrator’s name and address
Administrator’s EIN |
363577795 |
Plan administrator’s name |
ROCKFORD DENTAL CARE, P.C. |
Plan administrator’s
address |
1301 N. ALPINE ROAD, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8153974280 |
Signature of
Role |
Plan administrator |
Date |
2012-08-27 |
Name of individual signing |
ALEX RAKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN
|
2010
|
363577795
|
2011-03-22
|
ROCKFORD DENTAL CARE, P.C.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153974280
|
Plan sponsor’s
address |
1301 N. ALPINE ROAD, ROCKFORD, IL, 61107
|
Plan administrator’s name and address
Administrator’s EIN |
363577795 |
Plan administrator’s name |
ROCKFORD DENTAL CARE, P.C. |
Plan administrator’s
address |
1301 N. ALPINE ROAD, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8153974280 |
Signature of
Role |
Plan administrator |
Date |
2011-03-22 |
Name of individual signing |
ALEX RAKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN
|
2010
|
363577795
|
2011-03-22
|
ROCKFORD DENTAL CARE, P.C.
|
67
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153974280
|
Plan sponsor’s
address |
1301 N. ALPINE ROAD, ROCKFORD, IL, 61107
|
Plan administrator’s name and address
Administrator’s EIN |
363577795 |
Plan administrator’s name |
ROCKFORD DENTAL CARE, P.C. |
Plan administrator’s
address |
1301 N. ALPINE ROAD, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8153974280 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-03-21 |
Name of individual signing |
ALEX RAKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKFORD DENTAL CARE, P.C. 401(K) PLAN
|
2009
|
363577795
|
2010-10-08
|
ROCKFORD DENTAL CARE, P.C.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153974280
|
Plan sponsor’s
address |
1301 N. ALPINE ROAD, ROCKFORD, IL, 61107
|
Plan administrator’s name and address
Administrator’s EIN |
363577795 |
Plan administrator’s name |
ROCKFORD DENTAL CARE, P.C. |
Plan administrator’s
address |
1301 N. ALPINE ROAD, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8153974280 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
ALEX RAKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|