KISHWAUKEE DENTAL ASSOCIATES PROFIT SHARING / 401(K) PLAN
|
2011
|
364152287
|
2012-10-09
|
KISHWAUKEE DENTAL ASSOCIATES, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8157584431
|
Plan sponsor’s
address |
8 HEALTH SERVICES DRIVE, DEKALB, IL, 601159637
|
Plan administrator’s name and address
Administrator’s EIN |
364152287 |
Plan administrator’s name |
KISHWAUKEE DENTAL ASSOCIATES, LTD. |
Plan administrator’s
address |
8 HEALTH SERVICES DRIVE, DEKALB, IL, 601159637 |
Administrator’s telephone number |
8157584431 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
DANIEL M. SENDERAK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISHWAUKEE DENTAL ASSOCIATES PROFIT SHARING / 401(K) PLAN
|
2010
|
364152287
|
2011-09-22
|
KISHWAUKEE DENTAL ASSOCIATES, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8157584431
|
Plan sponsor’s
address |
8 HEALTH SERVICES DRIVE, DEKALB, IL, 601159637
|
Plan administrator’s name and address
Administrator’s EIN |
364152287 |
Plan administrator’s name |
KISHWAUKEE DENTAL ASSOCIATES, LTD. |
Plan administrator’s
address |
8 HEALTH SERVICES DRIVE, DEKALB, IL, 601159637 |
Administrator’s telephone number |
8157584431 |
Signature of
Role |
Plan administrator |
Date |
2011-09-22 |
Name of individual signing |
DANIEL M. SENDERAK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISHWAUKEE DENTAL ASSOCIATES PROFIT SHARING / 401(K) PLAN
|
2009
|
364152287
|
2010-09-30
|
KISHWAUKEE DENTAL ASSOCIATES, LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8157584431
|
Plan sponsor’s
address |
8 HEALTH SERVICES DRIVE, DEKALB, IL, 601159637
|
Plan administrator’s name and address
Administrator’s EIN |
364152287 |
Plan administrator’s name |
KISHWAUKEE DENTAL ASSOCIATES, LTD. |
Plan administrator’s
address |
8 HEALTH SERVICES DRIVE, DEKALB, IL, 601159637 |
Administrator’s telephone number |
8157584431 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
DANIEL M. SENDERAK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|