ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN
|
2022
|
363981466
|
2023-12-20
|
ORLAND PARK DENTAL SERVICES, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
Signature of
Role |
Plan administrator |
Date |
2023-12-20 |
Name of individual signing |
CHAD CARROLL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN
|
2022
|
363981466
|
2023-05-08
|
ORLAND PARK DENTAL SERVICES, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
Signature of
Role |
Plan administrator |
Date |
2023-05-08 |
Name of individual signing |
CHAD CARROLL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN
|
2021
|
363981466
|
2022-07-19
|
ORLAND PARK DENTAL SERVICES, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
Signature of
Role |
Plan administrator |
Date |
2022-07-19 |
Name of individual signing |
AREL ONDOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN
|
2020
|
363981466
|
2021-07-23
|
ORLAND PARK DENTAL SERVICES, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
|
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN
|
2019
|
363981466
|
2020-09-30
|
ORLAND PARK DENTAL SERVICES, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
|
ORLAND PARK DENTAL SERVICES, LTD. DEFINED BENEFIT PLAN
|
2019
|
363981466
|
2020-02-19
|
ORLAND PARK DENTAL SERVICES LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
|
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN
|
2018
|
363981466
|
2019-10-03
|
ORLAND PARK DENTAL SERVICES, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
|
ORLAND PARK DENTAL SERVICES, LTD. DEFINED BENEFIT PLAN
|
2018
|
363981466
|
2019-10-03
|
ORLAND PARK DENTAL SERVICES LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
Plan administrator’s name and address
Administrator’s EIN |
363981466 |
Plan administrator’s name |
ORLAND PARK DENTAL SERVICES LTD. |
Plan administrator’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462 |
Administrator’s telephone number |
7082260091 |
|
ORLAND PARK DENTAL SERVICES, INC. 401(K) PLAN
|
2017
|
363981466
|
2018-08-23
|
ORLAND PARK DENTAL SERVICES, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
|
ORLAND PARK DENTAL SERVICES, LTD. DEFINED BENEFIT PLAN
|
2017
|
363981466
|
2018-08-23
|
ORLAND PARK DENTAL SERVICES LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
Plan administrator’s name and address
Administrator’s EIN |
363981466 |
Plan administrator’s name |
ORLAND PARK DENTAL SERVICES LTD. |
Plan administrator’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462 |
Administrator’s telephone number |
7082260091 |
|