HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2020
|
320378328
|
2021-09-25
|
HAWTHORN WOODS FAMILY DENTAL CARE
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2021-09-25 |
Name of individual signing |
DR. JEFFREY COPELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2019
|
320378328
|
2020-09-15
|
HAWTHORN WOODS FAMILY DENTAL CARE
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2020-09-15 |
Name of individual signing |
DR. JEFFREY COPELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2018
|
320378328
|
2019-05-24
|
HAWTHORN WOODS FAMILY DENTAL CARE
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2019-05-24 |
Name of individual signing |
DR. JEFFREY COPELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2017
|
320378328
|
2018-06-20
|
HAWTHORN WOODS FAMILY DENTAL CARE
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2018-06-20 |
Name of individual signing |
DR. JEFFREY COPELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2016
|
320378328
|
2017-08-15
|
HAWTHORN WOODS FAMILY DENTAL CARE
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2017-08-15 |
Name of individual signing |
DR. JEFFREY COPELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2015
|
320378328
|
2016-06-29
|
HAWTHORN WOODS FAMILY DENTAL CARE
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2016-06-29 |
Name of individual signing |
DR. JEFFREY COPELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2014
|
320378328
|
2015-07-23
|
HAWTHORN WOODS FAMILY DENTAL CARE
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
DR. JEFFREY COPELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAWTHORN WOODS FAMILY DENTAL CARE 401(K) PROFIT SHARING PLAN
|
2013
|
320378328
|
2014-09-16
|
HAWTHORN WOODS FAMILY DENTAL CARE
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2014-09-16 |
Name of individual signing |
DR. JEFFREY COPELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|