DEER RUN DENTAL P.C. 401(K) PLAN
|
2012
|
203071399
|
2013-07-29
|
DEER RUN DENTAL P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
6182776550
|
Plan sponsor’s
address |
2127 LEBANON AVENUE, BELLEVILLE, IL, 62221
|
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
ALEX J. SCHILLINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
ALEX J. SCHILLINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEER RUN DENTAL P.C. 401(K) PLAN
|
2011
|
203071399
|
2012-07-10
|
DEER RUN DENTAL P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
6182776550
|
Plan sponsor’s
address |
2127 LEBANON AVENUE, BELLEVILLE, IL, 62221
|
Plan administrator’s name and address
Administrator’s EIN |
203071399 |
Plan administrator’s name |
DEER RUN DENTAL P.C. |
Plan administrator’s
address |
2127 LEBANON AVENUE, BELLEVILLE, IL, 62221 |
Administrator’s telephone number |
6182776550 |
Signature of
Role |
Plan administrator |
Date |
2012-07-10 |
Name of individual signing |
ALEX J. SCHILLINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-10 |
Name of individual signing |
ALEX J. SCHILLINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|