NORTHBROOK COURT DENTAL ASSOCIATES, P.C. 401(K) PLAN
|
2018
|
364039196
|
2019-04-17
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8477071032
|
Plan sponsor’s
address |
2364 GLEN EAGLES LANE, RIVERWOODS, IL, 600153895
|
Signature of
Role |
Plan administrator |
Date |
2019-04-16 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-16 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. 401(K) PLAN
|
2018
|
364039196
|
2019-06-25
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8477071032
|
Plan sponsor’s
address |
2364 GLEN EAGLES LANE, RIVERWOODS, IL, 600153895
|
Signature of
Role |
Plan administrator |
Date |
2019-06-23 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-23 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. 401(K) PLAN
|
2017
|
364039196
|
2018-05-17
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472722900
|
Plan sponsor’s
address |
1535 LAKE COOK ROAD SUITE 602, NORTHBROOK, IL, 600621455
|
Signature of
Role |
Plan administrator |
Date |
2018-05-15 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-15 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. 401(K) PLAN
|
2016
|
364039196
|
2017-07-18
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472722900
|
Plan sponsor’s
address |
1535 LAKE COOK ROAD SUITE 602, NORTHBROOK, IL, 600621455
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. 401(K) PLAN
|
2015
|
364039196
|
2016-07-14
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472722900
|
Plan sponsor’s
address |
1535 LAKE COOK RD STE 602, NORTHBROOK, IL, 600621455
|
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. 401(K) PLAN
|
2014
|
364039196
|
2015-07-29
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472722900
|
Plan sponsor’s
address |
1535 LAKE COOK ROAD SUITE 602, NORTHBROOK, IL, 600621455
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. 401(K) PLAN
|
2013
|
364039196
|
2014-05-14
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472722900
|
Plan sponsor’s
address |
1535 LAKE COOK ROAD SUITE 602, NORTHBROOK, IL, 600621455
|
Signature of
Role |
Plan administrator |
Date |
2014-05-14 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-14 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. 401(K) PLAN
|
2012
|
364039196
|
2013-04-07
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472722900
|
Plan sponsor’s
address |
1535 LAKE COOK ROAD SUITE 602, NORTHBROOK, IL, 600621455
|
Signature of
Role |
Plan administrator |
Date |
2013-03-21 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. 401(K) PLAN
|
2011
|
364039196
|
2012-02-26
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472722900
|
Plan sponsor’s
address |
1535 LAKE COOK ROAD SUITE 602, NORTHBROOK, IL, 600621455
|
Plan administrator’s name and address
Administrator’s EIN |
364039196 |
Plan administrator’s name |
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
1535 LAKE COOK ROAD SUITE 602, NORTHBROOK, IL, 600621455 |
Administrator’s telephone number |
8472722900 |
Signature of
Role |
Plan administrator |
Date |
2012-02-18 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. 401(K) PLAN
|
2010
|
364039196
|
2011-04-13
|
NORTHBROOK COURT DENTAL ASSOCIATES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472722900
|
Plan sponsor’s
address |
1535 LAKE COOK ROAD SUITE 602, NORTHBROOK, IL, 600621455
|
Plan administrator’s name and address
Administrator’s EIN |
364039196 |
Plan administrator’s name |
NORTHBROOK COURT DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
1535 LAKE COOK ROAD SUITE 602, NORTHBROOK, IL, 600621455 |
Administrator’s telephone number |
8472722900 |
Signature of
Role |
Plan administrator |
Date |
2011-04-13 |
Name of individual signing |
MICHAEL VOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|