SOUTHLAND SMILES LTD - 401(K)
|
2023
|
364321395
|
2024-05-23
|
SOUTHLAND SMILES LTD
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-05-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087997800
|
Plan sponsor’s
address |
19815 GOVERNORS HIGHWAY, FLOSSMOOR, IL, 60422
|
Signature of
Role |
Plan administrator |
Date |
2024-05-23 |
Name of individual signing |
RICHARD J MANTOAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHLAND SMILES LTD-401(K)
|
2022
|
364321395
|
2023-08-17
|
SOUTHLAND SMILES LTD
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087997800
|
Plan sponsor’s
address |
19815 GOVERNORS HIGHWAY, FLOSSMOOR, IL, 60422
|
Signature of
Role |
Plan administrator |
Date |
2023-08-17 |
Name of individual signing |
RICHARD J MANTOAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHLAND SMILES LTD-401(K)
|
2021
|
364321395
|
2022-12-29
|
SOUTHLAND SMILES LTD
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087997800
|
Plan sponsor’s
address |
19815 GOVERNORS HWY #7, FLOSSMOOR, IL, 60422
|
Signature of
Role |
Plan administrator |
Date |
2022-12-29 |
Name of individual signing |
SHIRLEY HORNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHLAND SMILES LTD-401(K)
|
2020
|
364321395
|
2021-06-22
|
SOUTHLAND SMILES LTD
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087997800
|
Plan sponsor’s
address |
19815 GOVERNORS HWY, FLOSSMOOR, IL, 60422
|
Signature of
Role |
Plan administrator |
Date |
2021-06-22 |
Name of individual signing |
SHIRLEY HORNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHLAND SMILES LTD-401(K)
|
2019
|
364321395
|
2020-07-06
|
SOUTHLAND SMILES LTD
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087997800
|
Plan sponsor’s
address |
19815 GOVERNORS HWY, FLOSSMOOR, IL, 60422
|
Signature of
Role |
Plan administrator |
Date |
2020-07-06 |
Name of individual signing |
DRRICHARD MANTOAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHLAND SMILES LTD-401(K)
|
2018
|
364321395
|
2019-06-03
|
SOUTHLAND SMILES LTD
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087997800
|
Plan sponsor’s
address |
19815 GOVERNORS HWY, FLOSSMOOR, IL, 60422
|
Signature of
Role |
Plan administrator |
Date |
2019-06-03 |
Name of individual signing |
DRRICHARD MANTOAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHLAND SMILES LTD-401(K)
|
2017
|
364321395
|
2018-10-07
|
SOUTHLAND SMILES LTD
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-03-01
|
Business code |
621210
|
Sponsor’s telephone number |
7087997800
|
Plan sponsor’s
address |
19815 GOVERNORS HWY, FLOSSMOOR, IL, 60422
|
Signature of
Role |
Plan administrator |
Date |
2018-10-07 |
Name of individual signing |
DRRICHARD MANTOAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|