|
VILLAGE DENTAL P.C.
|
2009
|
364041996
|
2010-07-23
|
VILLAGE DENTAL P.C.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8472518990
|
| Plan sponsor’s mailing address |
523 PARK AVENUE, KENILWORTH, IL, 60043
|
| Plan sponsor’s
address |
523 PARK AVENUE, KENILWORTH, IL, 60043
|
Plan administrator’s name and address
| Administrator’s EIN |
364041996 |
| Plan administrator’s name |
VILLAGE DENTAL P.C. |
| Plan administrator’s
address |
523 PARK AVENUE, KENILWORTH, IL, 60043 |
| Administrator’s telephone number |
8472518990 |
Number of participants as of the end of the plan year
| Active participants |
7 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
2 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
8 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-23 |
| Name of individual signing |
CATHY WATERLOO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VILLAGE DENTAL P.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
364041996
|
2010-07-23
|
VILLAGE DENTAL P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8472518990
|
| Plan sponsor’s mailing address |
523 PARK DRIVE, KENILWORTH, IL, 60043
|
| Plan sponsor’s
address |
523 PARK DRIVE, KENILWORTH, IL, 60043
|
Plan administrator’s name and address
| Administrator’s EIN |
364041996 |
| Plan administrator’s name |
VILLAGE DENTAL P.C. |
| Plan administrator’s
address |
523 PARK DRIVE, KENILWORTH, IL, 60043 |
| Administrator’s telephone number |
8472518990 |
Number of participants as of the end of the plan year
| Active participants |
7 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-23 |
| Name of individual signing |
CATHY WATERLOO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
