PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
363712583
|
2013-07-26
|
WEGLARZ & PARKHURST, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309070330
|
Plan sponsor’s
address |
2424 W. INDIAN TRAIL STE D, AURORA, IL, 605061588
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
LINDA WEGLARZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-26 |
Name of individual signing |
LINDA WEGLARZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
363712583
|
2012-07-10
|
WEGLARZ & PARKHURST, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309070330
|
Plan sponsor’s
address |
2424 W. INDIAN TRAIL STE D, AURORA, IL, 605061588
|
Plan administrator’s name and address
Administrator’s EIN |
363712583 |
Plan administrator’s name |
WEGLARZ & PARKHURST, D.D.S., P.C. |
Plan administrator’s
address |
2424 W. INDIAN TRAIL STE D, AURORA, IL, 605061588 |
Administrator’s telephone number |
6309070330 |
Signature of
Role |
Plan administrator |
Date |
2012-07-10 |
Name of individual signing |
LINDA WEGLARZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
363712583
|
2011-07-02
|
WEGLARZ & PARKHURST, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309070330
|
Plan sponsor’s
address |
2424 W. INDIAN TRAIL STE D, AURORA, IL, 605061588
|
Plan administrator’s name and address
Administrator’s EIN |
363712583 |
Plan administrator’s name |
WEGLARZ & PARKHURST, D.D.S., P.C. |
Plan administrator’s
address |
2424 W. INDIAN TRAIL STE D, AURORA, IL, 605061588 |
Administrator’s telephone number |
6309070330 |
Signature of
Role |
Plan administrator |
Date |
2011-07-01 |
Name of individual signing |
LINDA WEGLARZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
363712583
|
2011-07-01
|
WEGLARZ & PARKHURST, D.D.S., P.C.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309070330
|
Plan sponsor’s
address |
2424 W. INDIAN TRAIL STE D, AURORA, IL, 605061588
|
Plan administrator’s name and address
Administrator’s EIN |
363712583 |
Plan administrator’s name |
WEGLARZ & PARKHURST, D.D.S., P.C. |
Plan administrator’s
address |
2424 W. INDIAN TRAIL STE D, AURORA, IL, 605061588 |
Administrator’s telephone number |
6309070330 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-06-30 |
Name of individual signing |
LINDA WEGLARZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|