ARTISTIC DENTAL CENTRE, INC. 401(K) PLAN
|
2015
|
364178551
|
2016-10-03
|
ARTISTIC DENTAL CENTRE, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083396800
|
Plan sponsor’s
address |
15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473
|
Signature of
Role |
Plan administrator |
Date |
2016-10-03 |
Name of individual signing |
ALBERT GRUBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTISTIC DENTAL CENTRE, INC. 401(K) PLAN
|
2014
|
364178551
|
2015-10-09
|
ARTISTIC DENTAL CENTRE, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083396800
|
Plan sponsor’s
address |
15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
ALBERT GRUBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTISTIC DENTAL CENTRE, INC. 401(K) PLAN
|
2013
|
364178551
|
2014-06-17
|
ARTISTIC DENTAL CENTRE, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083396800
|
Plan sponsor’s
address |
15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473
|
Signature of
Role |
Plan administrator |
Date |
2014-06-17 |
Name of individual signing |
ALBERT GRUBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTISTIC DENTAL CENTRE, INC. 401(K) PLAN
|
2012
|
364178551
|
2013-05-16
|
ARTISTIC DENTAL CENTRE, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083396800
|
Plan sponsor’s
address |
15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473
|
Signature of
Role |
Plan administrator |
Date |
2013-05-16 |
Name of individual signing |
ALBERT GRUBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTISTIC DENTAL CENTRE, INC. 401(K) PLAN
|
2011
|
364178551
|
2012-08-01
|
ARTISTIC DENTAL CENTRE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083396800
|
Plan sponsor’s
address |
15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473
|
Plan administrator’s name and address
Administrator’s EIN |
364178551 |
Plan administrator’s name |
ARTISTIC DENTAL CENTRE, INC. |
Plan administrator’s
address |
15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473 |
Administrator’s telephone number |
7083396800 |
Signature of
Role |
Plan administrator |
Date |
2012-08-01 |
Name of individual signing |
ALBERT GRUBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTISTIC DENTAL CENTRE, INC. 401K PLAN
|
2010
|
364178551
|
2011-10-12
|
ARTISTIC DENTAL CENTRE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083396800
|
Plan sponsor’s
address |
15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473
|
Plan administrator’s name and address
Administrator’s EIN |
364178551 |
Plan administrator’s name |
ARTISTIC DENTAL CENTRE, INC. |
Plan administrator’s
address |
15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473 |
Administrator’s telephone number |
7083396800 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
ALBERT GRUBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTISTIC DENTAL CENTRE, INC. 401K PLAN
|
2009
|
364178551
|
2010-09-13
|
ARTISTIC DENTAL CENTRE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083396800
|
Plan sponsor’s
address |
15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473
|
Plan administrator’s name and address
Administrator’s EIN |
364178551 |
Plan administrator’s name |
ARTISTIC DENTAL CENTRE, INC. |
Plan administrator’s
address |
15445 SOUTH PARK AVENUE, SOUTH HOLLAND, IL, 60473 |
Administrator’s telephone number |
7083396800 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
ALBERT GRUBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-13 |
Name of individual signing |
ALBERT GRUBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|