THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2023
|
364207741
|
2024-03-28
|
THERESA C. HAUCK, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214
|
Signature of
Role |
Plan administrator |
Date |
2024-03-28 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2022
|
364207741
|
2023-04-16
|
THERESA C. HAUCK, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214
|
Signature of
Role |
Plan administrator |
Date |
2023-04-16 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2021
|
364207741
|
2022-01-26
|
THERESA C. HAUCK, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214
|
Signature of
Role |
Plan administrator |
Date |
2022-01-26 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2020
|
364207741
|
2021-03-27
|
THERESA C. HAUCK, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214
|
Signature of
Role |
Plan administrator |
Date |
2021-03-27 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2019
|
364207741
|
2020-03-12
|
THERESA C. HAUCK, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214
|
Signature of
Role |
Plan administrator |
Date |
2020-03-12 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2018
|
364207741
|
2019-05-15
|
THERESA C. HAUCK, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214
|
Signature of
Role |
Plan administrator |
Date |
2019-05-15 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2017
|
364207741
|
2018-04-04
|
THERESA C. HAUCK, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214
|
Signature of
Role |
Plan administrator |
Date |
2018-04-04 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2016
|
364207741
|
2017-02-22
|
THERESA C. HAUCK, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214
|
Signature of
Role |
Plan administrator |
Date |
2017-02-22 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2015
|
364207741
|
2016-02-22
|
THERESA C. HAUCK, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214
|
Signature of
Role |
Plan administrator |
Date |
2016-02-22 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2014
|
364207741
|
2015-03-21
|
THERESA C. HAUCK, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, UNIT B, MC HENRY, IL, 600504214
|
Plan administrator’s name and address
Administrator’s EIN |
364207741 |
Plan administrator’s name |
THERESA C. HAUCK, D.D.S., P.C. |
Plan administrator’s
address |
4310 W CRYSTAL LAKE ROAD, MC HENRY, IL, 600504214 |
Administrator’s telephone number |
8153445430 |
Signature of
Role |
Plan administrator |
Date |
2015-03-21 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|