SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN
|
2023
|
364083838
|
2024-05-29
|
SBA DENTAL, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8478558228
|
Plan sponsor’s
address |
36100 BROOKSIDE DRIVE, SUITE LL40, GURNEE, IL, 60031
|
|
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN
|
2022
|
364083838
|
2023-05-01
|
SBA DENTAL, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8478558228
|
Plan sponsor’s
address |
36100 BROOKSIDE DRIVE, SUITE LL40, GURNEE, IL, 60031
|
Signature of
Role |
Plan administrator |
Date |
2023-03-14 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-03-14 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN
|
2021
|
364083838
|
2022-06-13
|
SBA DENTAL, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
C/O CARNOW AND ASSOCIATES, LTD., 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693
|
Signature of
Role |
Plan administrator |
Date |
2022-06-13 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-13 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN
|
2020
|
364083838
|
2021-05-25
|
SBA DENTAL, LTD.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
C/O CARNOW AND ASSOCIATES, LTD., 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693
|
Signature of
Role |
Plan administrator |
Date |
2021-05-24 |
Name of individual signing |
STEVEN PLUCIENNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-24 |
Name of individual signing |
STEVEN PLUCIENNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN
|
2020
|
364083838
|
2021-06-01
|
SBA DENTAL, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
C/O CARNOW AND ASSOCIATES, LTD., 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693
|
Signature of
Role |
Plan administrator |
Date |
2021-06-01 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-01 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN
|
2019
|
364083838
|
2020-06-27
|
SBA DENTAL, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
C/O CARNOW AND ASSOCIATES, LTD., 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-24 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN
|
2018
|
364083838
|
2019-04-17
|
SBA DENTAL, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
C/O CARNOW AND ASSOCIATES, LTD., 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693
|
Signature of
Role |
Plan administrator |
Date |
2019-04-16 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-16 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SBA DENTAL, LTD. PROFIT SHARING/401(K) PLAN
|
2017
|
364083838
|
2018-04-16
|
SBA DENTAL, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60693
|
Signature of
Role |
Plan administrator |
Date |
2018-04-09 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-09 |
Name of individual signing |
STEVEN BRUCKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|