SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN
|
2012
|
371262887
|
2013-04-18
|
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6182338080
|
Plan sponsor’s
address |
2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
|
Plan administrator’s name and address
Administrator’s EIN |
371262887 |
Plan administrator’s name |
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD |
Plan administrator’s
address |
2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010 |
Administrator’s telephone number |
6182338080 |
Signature of
Role |
Plan administrator |
Date |
2013-04-18 |
Name of individual signing |
MICHAEL HESTERBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN
|
2011
|
371262887
|
2012-05-30
|
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6182338080
|
Plan sponsor’s
address |
2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
|
Plan administrator’s name and address
Administrator’s EIN |
371262887 |
Plan administrator’s name |
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD |
Plan administrator’s
address |
2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010 |
Administrator’s telephone number |
6182338080 |
Signature of
Role |
Plan administrator |
Date |
2012-05-30 |
Name of individual signing |
MICHAEL HESTERBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN
|
2010
|
371262887
|
2011-07-05
|
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6182338080
|
Plan sponsor’s
address |
2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
|
Plan administrator’s name and address
Administrator’s EIN |
371262887 |
Plan administrator’s name |
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD |
Plan administrator’s
address |
2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010 |
Administrator’s telephone number |
6182338080 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
MICHAEL HESTERBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY LTD 401K PROFIT SHARING PLAN
|
2009
|
371262887
|
2010-09-24
|
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6182338080
|
Plan sponsor’s
address |
2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010
|
Plan administrator’s name and address
Administrator’s EIN |
371262887 |
Plan administrator’s name |
SOUTHERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD |
Plan administrator’s
address |
2900 FRANK SCOTT PKWY W., SUITE 960, BELLEVILLE, IL, 622235010 |
Administrator’s telephone number |
6182338080 |
Signature of
Role |
Plan administrator |
Date |
2010-09-24 |
Name of individual signing |
MICHAEL R. HESTERBERG, DMD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|