PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS 401(K) PS
|
2011
|
363835597
|
2012-03-28
|
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153982323
|
Plan sponsor’s
address |
4903 E. STATE STREET, ROCKFORD, IL, 61108
|
Plan administrator’s name and address
Administrator’s EIN |
363835597 |
Plan administrator’s name |
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD |
Plan administrator’s
address |
4903 E. STATE STREET, ROCKFORD, IL, 61108 |
Administrator’s telephone number |
8153982323 |
Signature of
Role |
Plan administrator |
Date |
2012-03-28 |
Name of individual signing |
JEFFREY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS 401(K) PS
|
2010
|
363835597
|
2011-03-15
|
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153982323
|
Plan sponsor’s
address |
4903 E. STATE STREET, ROCKFORD, IL, 61108
|
Plan administrator’s name and address
Administrator’s EIN |
363835597 |
Plan administrator’s name |
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD |
Plan administrator’s
address |
4903 E. STATE STREET, ROCKFORD, IL, 61108 |
Administrator’s telephone number |
8153982323 |
Signature of
Role |
Plan administrator |
Date |
2011-03-15 |
Name of individual signing |
JEFFREY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS 401(K) PS
|
2010
|
363835597
|
2011-03-14
|
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153982323
|
Plan sponsor’s
address |
4903 E. STATE STREET, ROCKFORD, IL, 61108
|
Plan administrator’s name and address
Administrator’s EIN |
363835597 |
Plan administrator’s name |
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD |
Plan administrator’s
address |
4903 E. STATE STREET, ROCKFORD, IL, 61108 |
Administrator’s telephone number |
8153982323 |
Signature of
Role |
Plan administrator |
Date |
2011-03-14 |
Name of individual signing |
JEFFREY JOHNSON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS 401(K) PS
|
2009
|
363835597
|
2010-05-25
|
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153982323
|
Plan sponsor’s
address |
4903 E. STATE STREET, ROCKFORD, IL, 61108
|
Plan administrator’s name and address
Administrator’s EIN |
363835597 |
Plan administrator’s name |
PEDIATRIC DENTISTRY OF NORTHERN ILLINOIS, LTD |
Plan administrator’s
address |
4903 E. STATE STREET, ROCKFORD, IL, 61108 |
Administrator’s telephone number |
8153982323 |
Signature of
Role |
Plan administrator |
Date |
2010-05-25 |
Name of individual signing |
JEFFREY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|