GODUCO FAMILY DENTISTRY LTD. 401(K) P/S PLAN
|
2011
|
363796520
|
2012-05-22
|
GODUCO FAMILY DENTISTRY, LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Plan sponsor’s
address |
281 EVERGREEN DRIVE, VERNON HILLS, IL, 60061
|
Plan administrator’s name and address
Administrator’s EIN |
363796520 |
Plan administrator’s name |
GODUCO FAMILY DENTISTRY, LTD. |
Plan administrator’s
address |
281 EVERGREEN DRIVE, VERNON HILLS, IL, 60061 |
Administrator’s telephone number |
8476158585 |
Signature of
Role |
Plan administrator |
Date |
2012-05-22 |
Name of individual signing |
SAJINI S. GODUCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GODUCO FAMILY DENTISTRY LTD. 401(K) P/S PLAN
|
2010
|
363796520
|
2011-04-08
|
GODUCO FAMILY DENTISTRY, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476158585
|
Plan sponsor’s
address |
281 EVERGREEN DRIVE, VERNON HILLS, IL, 60061
|
Plan administrator’s name and address
Administrator’s EIN |
363796520 |
Plan administrator’s name |
GODUCO FAMILY DENTISTRY, LTD. |
Plan administrator’s
address |
281 EVERGREEN DRIVE, VERNON HILLS, IL, 60061 |
Administrator’s telephone number |
8476158585 |
Signature of
Role |
Plan administrator |
Date |
2011-04-08 |
Name of individual signing |
SAJINI S. GODUCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GODUCO FAMILY DENTISTRY LTD. 401(K) P/S PLAN
|
2009
|
363796520
|
2010-05-26
|
GODUCO FAMILY DENTISTRY, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476158585
|
Plan sponsor’s
address |
281 EVERGREEN DRIVE, VERNON HILLS, IL, 60061
|
Plan administrator’s name and address
Administrator’s EIN |
363796520 |
Plan administrator’s name |
GODUCO FAMILY DENTISTRY, LTD. |
Plan administrator’s
address |
281 EVERGREEN DRIVE, VERNON HILLS, IL, 60061 |
Administrator’s telephone number |
8476158585 |
Signature of
Role |
Plan administrator |
Date |
2010-05-26 |
Name of individual signing |
SAJINI S. GODUCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|