NORTHWESTERN DENTAL CENTER, P.C. EMPLOYEES PROFIT SHARING PLAN AND TRUST
|
2023
|
364474557
|
2024-07-16
|
NORTHWESTERN DENTAL CENTER, P.C.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3129263264
|
Plan sponsor’s
address |
737 N. MICHIGAN AVENUE, SUITE 1450, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
MARY RIPLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-16 |
Name of individual signing |
MARY RIPLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN DENTAL CENTER, P.C. EMPLOYEES PROFIT SHARING PLAN AND TRUST
|
2022
|
364474557
|
2023-09-14
|
NORTHWESTERN DENTAL CENTER, P.C.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3129263264
|
Plan sponsor’s
address |
201 E. HURON STREET, GALTER 2-246, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2023-09-14 |
Name of individual signing |
ANN MOTTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-14 |
Name of individual signing |
ANN MOTTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN DENTAL CENTER, P.C. EMPLOYEES PROFIT SHARING PLAN AND TRUST
|
2021
|
364474557
|
2022-09-19
|
NORTHWESTERN DENTAL CENTER, P.C.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3129263264
|
Plan sponsor’s
address |
201 E. HURON STREET, GALTER 2-246, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2022-09-19 |
Name of individual signing |
MIMI RIPLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-19 |
Name of individual signing |
MIMI RIPLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN DENTAL CENTER, P.C. EMPLOYEES PROFIT SHARING PLAN AND TRUST
|
2012
|
364474557
|
2013-08-28
|
NORTHWESTERN DENTAL CENTER, P.C.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3129263264
|
Plan sponsor’s mailing address |
201 E. HURON STREET, GALTER 2-246, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
201 E. HURON STREET, GALTER 2-246, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
364474557 |
Plan administrator’s name |
NORTHWESTERN DENTAL CENTER, P.C. |
Plan administrator’s
address |
201 E. HURON STREET, GALTER 2-246, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129263264 |
Number of participants as of the end of the plan year
Active participants |
23 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
7 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
27 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-08-28 |
Name of individual signing |
WILLIAM FRIEDRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN DENTAL CENTER
|
2011
|
364474557
|
2012-07-02
|
NORTHWESTERN DENTAL CENTER, P.C.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3129263264
|
Plan sponsor’s
address |
201 EAST HURON STREET, SUITE 2-246, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
364474557 |
Plan administrator’s name |
NORTHWESTERN DENTAL CENTER, P.C. |
Plan administrator’s
address |
201 EAST HURON STREET, SUITE 2-246, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129263264 |
Signature of
Role |
Plan administrator |
Date |
2012-07-02 |
Name of individual signing |
MEG MURPHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN DENTAL CENTER
|
2010
|
364474557
|
2011-05-23
|
NORTHWESTERN DENTAL CENTER, P.C.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3129263264
|
Plan sponsor’s
address |
201 EAST HURON STREET, SUITE 2-246, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
364474557 |
Plan administrator’s name |
NORTHWESTERN DENTAL CENTER, P.C. |
Plan administrator’s
address |
201 EAST HURON STREET, SUITE 2-246, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129263264 |
Signature of
Role |
Plan administrator |
Date |
2011-05-23 |
Name of individual signing |
MEG MURPHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN DENTAL CENTER
|
2009
|
364474557
|
2010-07-23
|
NORTHWESTERN DENTAL CENTER, P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
3129263264
|
Plan sponsor’s
address |
201 EAST HURON STREET, SUITE 2-246, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
364474557 |
Plan administrator’s name |
NORTHWESTERN DENTAL CENTER, P.C. |
Plan administrator’s
address |
201 EAST HURON STREET, SUITE 2-246, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129263264 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
WILLIAM J. FRIEDRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|