CATON CROSSING DENTAL CARE, LTD. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2013
|
364293313
|
2014-06-20
|
CATON CROSSING DENTAL CARE, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152548550
|
Plan sponsor’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756
|
Signature of
Role |
Plan administrator |
Date |
2014-06-20 |
Name of individual signing |
DOUGLAS C. SHINDOLLAR, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CATON CROSSING DENTAL CARE, LTD. EMPLOYEES PROFIT SHARING PLAN AND TRUST
|
2013
|
364293313
|
2014-02-14
|
CATON CROSSING DENTAL CARE, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152548550
|
Plan sponsor’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756
|
Signature of
Role |
Plan administrator |
Date |
2014-02-14 |
Name of individual signing |
DOUGLAS C. SHINDOLLAR, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CATON CROSSING DENTAL CARE, LTD. EMPLOYEES PROFIT SHARING PLAN AND TRUST
|
2012
|
364293313
|
2013-02-18
|
CATON CROSSING DENTAL CARE, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152548550
|
Plan sponsor’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756
|
Signature of
Role |
Plan administrator |
Date |
2013-02-18 |
Name of individual signing |
DOUGLAS C. SHINDOLLAR, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CATON CROSSING DENTAL CARE, LTD. EMPLOYEES PROFIT SHARING PLAN AND TRUST
|
2011
|
364293313
|
2012-02-13
|
CATON CROSSING DENTAL CARE, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152548550
|
Plan sponsor’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756
|
Plan administrator’s name and address
Administrator’s EIN |
364293313 |
Plan administrator’s name |
CATON CROSSING DENTAL CARE, LTD. |
Plan administrator’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756 |
Administrator’s telephone number |
8152548550 |
Signature of
Role |
Plan administrator |
Date |
2012-02-13 |
Name of individual signing |
DOUGLAS C. SHINDOLLAR, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CATON CROSSING DENTAL CARE, LTD. EMPLOYEES PROFIT SHARING PLAN AND TRUST
|
2010
|
364293313
|
2011-03-28
|
CATON CROSSING DENTAL CARE, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152548550
|
Plan sponsor’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756
|
Plan administrator’s name and address
Administrator’s EIN |
364293313 |
Plan administrator’s name |
CATON CROSSING DENTAL CARE, LTD. |
Plan administrator’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756 |
Administrator’s telephone number |
8152548550 |
Signature of
Role |
Plan administrator |
Date |
2011-03-28 |
Name of individual signing |
DOUGLAS C. SHINDOLLAR, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CATON CROSSING DENTAL CARE, LTD. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2009
|
364293313
|
2010-07-23
|
CATON CROSSING DENTAL CARE, LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152548550
|
Plan sponsor’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756
|
Plan administrator’s name and address
Administrator’s EIN |
364293313 |
Plan administrator’s name |
CATON CROSSING DENTAL CARE, LTD. |
Plan administrator’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756 |
Administrator’s telephone number |
8152548550 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
DOUGLAS C. SHINDOLLAR, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CATON CROSSING DENTAL CARE, LTD. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2009
|
364293313
|
2010-07-18
|
CATON CROSSING DENTAL CARE, LTD.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8152548550
|
Plan sponsor’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756
|
Plan administrator’s name and address
Administrator’s EIN |
364293313 |
Plan administrator’s name |
CATON CROSSING DENTAL CARE, LTD. |
Plan administrator’s
address |
2318 ILLINOIS ROUTE 59, PLAINFIELD, IL, 605867756 |
Administrator’s telephone number |
8152548550 |
Signature of
Role |
Plan administrator |
Date |
2010-07-18 |
Name of individual signing |
DOUGLAS C SHINDOLLAR |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-18 |
Name of individual signing |
DOUGLAS C SHINDOLLAR |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|