ORLAND PARK DENTAL SERVICES, LTD. DEFINED BENEFIT PLAN
|
2012
|
363981466
|
2013-08-20
|
ORLAND PARK DENTAL SERVICES, LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
Plan administrator’s name and address
Administrator’s EIN |
363981466 |
Plan administrator’s name |
ORLAND PARK DENTAL SERVICES, LTD. |
Plan administrator’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462 |
Administrator’s telephone number |
7082260091 |
Signature of
Role |
Plan administrator |
Date |
2013-08-20 |
Name of individual signing |
AREL ONDOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLAND PARK DENTAL SERVICES, LTD. DEFINED BENEFIT PLAN
|
2011
|
363981466
|
2012-08-09
|
ORLAND PARK DENTAL SERVICES, LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
Plan administrator’s name and address
Administrator’s EIN |
363981466 |
Plan administrator’s name |
ORLAND PARK DENTAL SERVICES, LTD. |
Plan administrator’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462 |
Administrator’s telephone number |
7082260091 |
Signature of
Role |
Plan administrator |
Date |
2012-08-09 |
Name of individual signing |
ERIC ONDOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLAND PARK DENTAL SERVICES, INC. DEFINED BENEFIT PLAN
|
2009
|
363981466
|
2010-07-08
|
ORLAND PARK DENTAL SERVICES, LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7082260091
|
Plan sponsor’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462
|
Plan administrator’s name and address
Administrator’s EIN |
363981466 |
Plan administrator’s name |
ORLAND PARK DENTAL SERVICES, LTD. |
Plan administrator’s
address |
8120 KATY LANE, ORLAND PARK, IL, 60462 |
Administrator’s telephone number |
7082260091 |
Signature of
Role |
Plan administrator |
Date |
2010-07-08 |
Name of individual signing |
AREL ONDOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|