ROBERT E. PASSEHL, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2012
|
364317069
|
2013-01-30
|
ROBERT E. PASSEHL, D.D.S., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473820818
|
Plan sponsor’s
address |
1531 S. GROVE AVE., STE. 103, BARRINGTON, IL, 600105250
|
Signature of
Role |
Plan administrator |
Date |
2013-01-30 |
Name of individual signing |
ROBERT E. PASSEHL, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT E. PASSEHL, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2011
|
364317069
|
2012-08-09
|
ROBERT E. PASSEHL, D.D.S., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473820818
|
Plan sponsor’s
address |
1531 S. GROVE AVE., STE. 103, BARRINGTON, IL, 600105250
|
Plan administrator’s name and address
Administrator’s EIN |
364317069 |
Plan administrator’s name |
ROBERT E. PASSEHL, D.D.S., P.C. |
Plan administrator’s
address |
1531 S. GROVE AVE., STE. 103, BARRINGTON, IL, 600105250 |
Administrator’s telephone number |
8473820818 |
Signature of
Role |
Plan administrator |
Date |
2012-08-09 |
Name of individual signing |
ROBERT E. PASSEHL, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT E. PASSEHL, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2010
|
364317069
|
2011-08-19
|
ROBERT E. PASSEHL, D.D.S., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473820818
|
Plan sponsor’s
address |
1531 S. GROVE AVE., STE. 103, BARRINGTON, IL, 600105250
|
Plan administrator’s name and address
Administrator’s EIN |
364317069 |
Plan administrator’s name |
ROBERT E. PASSEHL, D.D.S., P.C. |
Plan administrator’s
address |
1531 S. GROVE AVE., STE. 103, BARRINGTON, IL, 600105250 |
Administrator’s telephone number |
8473820818 |
Signature of
Role |
Plan administrator |
Date |
2011-08-19 |
Name of individual signing |
ROBERT E. PASSEHL, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT E. PASSEHL, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2009
|
364317069
|
2010-07-13
|
ROBERT E. PASSEHL, D.D.S., P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473820818
|
Plan sponsor’s
address |
1531 S. GROVE AVE., STE. 103, BARRINGTON, IL, 600105250
|
Plan administrator’s name and address
Administrator’s EIN |
364317069 |
Plan administrator’s name |
ROBERT E. PASSEHL, D.D.S., P.C. |
Plan administrator’s
address |
1531 S. GROVE AVE., STE. 103, BARRINGTON, IL, 600105250 |
Administrator’s telephone number |
8473820818 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
ROBERT E. PASSEHL, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
ROBERT E. PASSEHL, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|