ORTICELLI RETIREMENT PLAN
|
2012
|
363767215
|
2013-10-08
|
JAMES P. ORTICELLI, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473952010
|
Plan sponsor’s
address |
487 ORCHARD STREET, ANTIOCH, IL, 60002
|
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
JAMES P. ORTICELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTICELLI RETIREMENT PLAN
|
2011
|
363767215
|
2012-10-08
|
JAMES P. ORTICELLI, D.D.S., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473952010
|
Plan sponsor’s
address |
487 ORCHARD STREET, ANTIOCH, IL, 60002
|
Plan administrator’s name and address
Administrator’s EIN |
363767215 |
Plan administrator’s name |
JAMES P. ORTICELLI, D.D.S., P.C. |
Plan administrator’s
address |
487 ORCHARD STREET, ANTIOCH, IL, 60002 |
Administrator’s telephone number |
8473952010 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
JAMES P. ORTICELLI DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTICELLI RETIREMENT PLAN
|
2010
|
363767215
|
2011-11-01
|
JAMES P. ORTICELLI, 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 |
8473952010
|
Plan sponsor’s
address |
487 ORCHARD STREET, ANTIOCH, IL, 60002
|
Plan administrator’s name and address
Administrator’s EIN |
363767215 |
Plan administrator’s name |
JAMES P. ORTICELLI, D.D.S., P.C. |
Plan administrator’s
address |
487 ORCHARD STREET, ANTIOCH, IL, 60002 |
Administrator’s telephone number |
8473952010 |
Signature of
Role |
Plan administrator |
Date |
2011-11-01 |
Name of individual signing |
JAMES P. ORTICELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTICELLI RETIREMENT PLAN
|
2009
|
363767215
|
2010-10-12
|
JAMES P. ORTICELLI, 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 |
8473952010
|
Plan sponsor’s
address |
487 ORCHARD STREET, ANTIOCH, IL, 60002
|
Plan administrator’s name and address
Administrator’s EIN |
363767215 |
Plan administrator’s name |
JAMES P. ORTICELLI, D.D.S., P.C. |
Plan administrator’s
address |
487 ORCHARD STREET, ANTIOCH, IL, 60002 |
Administrator’s telephone number |
8473952010 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
ROSALIND YOVOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTICELLI RETIREMENT PLAN
|
2009
|
363767215
|
2010-10-08
|
JAMES P. ORTICELLI, 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 |
8473952010
|
Plan sponsor’s
address |
487 ORCHARD STREET, ANTIOCH, IL, 60002
|
Plan administrator’s name and address
Administrator’s EIN |
363767215 |
Plan administrator’s name |
JAMES P. ORTICELLI, D.D.S., P.C. |
Plan administrator’s
address |
487 ORCHARD STREET, ANTIOCH, IL, 60002 |
Administrator’s telephone number |
8473952010 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
JAMES ORTICELLI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|