NORTHGATE DENTAL CENTER RETIREMENT TRUST
|
2023
|
364285330
|
2024-07-17
|
NORTHGATE DENTAL CENTER
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308186258
|
Plan sponsor’s
address |
330 N LAKE STREET, AURORA, IL, 60506
|
Signature of
Role |
Plan administrator |
Date |
2024-07-17 |
Name of individual signing |
SRINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHGATE DENTAL CENTER RETIREMENT TRUST
|
2022
|
364285330
|
2023-07-19
|
NORTHGATE DENTAL CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308186258
|
Plan sponsor’s
address |
330 N LAKE STREET, AURORA, IL, 60506
|
Signature of
Role |
Plan administrator |
Date |
2023-07-19 |
Name of individual signing |
SRINIVASA PASUPULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHGATE DENTAL CENTER RETIREMENT TRUST
|
2021
|
364285330
|
2022-07-22
|
NORTHGATE DENTAL CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308186258
|
Plan sponsor’s
address |
330 N LAKE STREET, AURORA, IL, 60506
|
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
SRINIVASA PASUPULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHGATE DENTAL CENTER RETIREMENT TRUST
|
2020
|
364285330
|
2021-07-29
|
NORTHGATE DENTAL CENTER
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308186258
|
Plan sponsor’s
address |
330 N LAKE STREET, AURORA, IL, 60506
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
SRINIVASA R PASUPULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHGATE DENTAL CENTER RETIREMENT TRUST
|
2019
|
364285330
|
2020-07-31
|
NORTHGATE DENTAL CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308186258
|
Plan sponsor’s
address |
330 N LAKE STREET, AURORA, IL, 60506
|
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
SUREKHA SAKALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHGATE DENTAL CENTER RETIREMENT TRUST
|
2018
|
364285330
|
2019-07-11
|
NORTHGATE DENTAL CENTER
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308186258
|
Plan sponsor’s
address |
330 N LAKE STREET, AURORA, IL, 60506
|
Signature of
Role |
Plan administrator |
Date |
2019-07-11 |
Name of individual signing |
SRINIVASA PASUPULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHGATE DENTAL CENTER RETIREMENT TRUST
|
2017
|
364285330
|
2018-07-16
|
NORTHGATE DENTAL CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308186258
|
Plan sponsor’s
address |
330 N LAKE STREET, AURORA, IL, 60506
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
SRINIVASA PASUPULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHGATE DENTAL CENTER RETIREMENT TRUST
|
2016
|
364285330
|
2017-07-28
|
NORTHGATE DENTAL CENTER
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308186258
|
Plan sponsor’s
address |
330 N LAKE STREET, AURORA, IL, 60506
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
SRINIVASA PASUPULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHGATE DENTAL CENTER RETIREMENT TRUST
|
2015
|
364285330
|
2016-07-14
|
NORTHGATE DENTAL CENTER
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6304308602
|
Plan sponsor’s
address |
900 N LAKE STREET, AURORA, IL, 60506
|
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
SRINI PASUPULA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHGATE DENTAL CENTER RETIREMENT TRUST
|
2014
|
364285330
|
2015-06-26
|
NORTHGATE DENTAL CENTER
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6304308602
|
Plan sponsor’s
address |
900 N LAKE STREET, AURORA, IL, 60506
|
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
SUREKHA SAKALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|