WE SMILE DENTAL 401(K) PROFIT SHARING PLAN
|
2012
|
364080600
|
2013-05-03
|
WE SMILE DENTAL
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7732378855
|
Plan sponsor’s
address |
7124 W DIVERSEY AVE, CHICAGO, IL, 60707
|
Signature of
Role |
Plan administrator |
Date |
2013-05-01 |
Name of individual signing |
GREGORY MATKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-01 |
Name of individual signing |
GREGORY MATKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WE SMILE DENTAL 401(K) PROFIT SHARING PLAN
|
2011
|
364080600
|
2012-06-20
|
WE SMILE DENTAL
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7732378855
|
Plan sponsor’s
address |
7124 W DIVERSEY AVE, CHICAGO, IL, 60707
|
Plan administrator’s name and address
Administrator’s EIN |
364080600 |
Plan administrator’s name |
WE SMILE DENTAL |
Plan administrator’s
address |
7124 W DIVERSEY AVE, CHICAGO, IL, 60707 |
Administrator’s telephone number |
7732378855 |
Signature of
Role |
Plan administrator |
Date |
2012-06-19 |
Name of individual signing |
BRIAN CARABA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-19 |
Name of individual signing |
BRIAN CARABA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|