RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
364423165
|
2024-10-03
|
RUSSELL S. POLLINA, D.D.S., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-03
|
Business code |
621210
|
Sponsor’s telephone number |
8473922457
|
Plan sponsor’s
address |
601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379
|
Signature of
Role |
Plan administrator |
Date |
2024-10-03 |
Name of individual signing |
RUSSELL S POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
364423165
|
2023-07-03
|
RUSSELL S. POLLINA, D.D.S., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-03
|
Business code |
621210
|
Sponsor’s telephone number |
8473922457
|
Plan sponsor’s
address |
601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379
|
Signature of
Role |
Plan administrator |
Date |
2023-07-03 |
Name of individual signing |
RUSSELL S POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
364423165
|
2022-06-28
|
RUSSELL S. POLLINA, D.D.S., P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-03
|
Business code |
621210
|
Sponsor’s telephone number |
8473922457
|
Plan sponsor’s
address |
601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379
|
Signature of
Role |
Plan administrator |
Date |
2022-06-28 |
Name of individual signing |
RUSSELL S. POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
364423165
|
2021-08-29
|
RUSSELL S. POLLINA, D.D.S., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-03
|
Business code |
621210
|
Sponsor’s telephone number |
8473922457
|
Plan sponsor’s
address |
601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379
|
Signature of
Role |
Plan administrator |
Date |
2021-08-29 |
Name of individual signing |
RUSSELL S. POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
364423165
|
2020-10-02
|
RUSSELL S. POLLINA, D.D.S., P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-03
|
Business code |
621210
|
Sponsor’s telephone number |
8473922457
|
Plan sponsor’s
address |
601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379
|
Signature of
Role |
Plan administrator |
Date |
2020-10-02 |
Name of individual signing |
RUSSELL S. POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-02 |
Name of individual signing |
RUSSELL S. POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RUSSELL S. POLLINA, D.D.S., P.C. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2019
|
364423165
|
2020-10-02
|
RUSSELL S. POLLINA, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473922457
|
Plan sponsor’s
address |
601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379
|
Signature of
Role |
Plan administrator |
Date |
2020-10-02 |
Name of individual signing |
RUSSELL S. POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-02 |
Name of individual signing |
RUSSELL S. POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RUSSELL S. POLLINA, D.D.S., P.C. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2018
|
364423165
|
2019-10-11
|
RUSSELL S. POLLINA, D.D.S., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473922457
|
Plan sponsor’s
address |
601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
RUSSELL S. POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
364423165
|
2019-10-11
|
RUSSELL S. POLLINA, D.D.S., P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-03
|
Business code |
621210
|
Sponsor’s telephone number |
8473922457
|
Plan sponsor’s
address |
601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
RUSSELL S. POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RUSSELL S. POLLINA, D.D.S., P.C. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2017
|
364423165
|
2018-09-03
|
RUSSELL S. POLLINA, D.D.S., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473922457
|
Plan sponsor’s
address |
601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379
|
Signature of
Role |
Plan administrator |
Date |
2018-09-03 |
Name of individual signing |
RUSSELL S. POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-03 |
Name of individual signing |
RUSSELL S POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RUSSELL S. POLLINA, D.D.S., P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
364423165
|
2018-09-03
|
RUSSELL S. POLLINA, D.D.S., P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-03
|
Business code |
621210
|
Sponsor’s telephone number |
8473922457
|
Plan sponsor’s
address |
601 WEST CENTRAL, SUITE 4, MOUNT PROSPECT, IL, 600562379
|
Signature of
Role |
Plan administrator |
Date |
2018-09-03 |
Name of individual signing |
RUSSELL S. POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-03 |
Name of individual signing |
RUSSELL S POLLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|