MICHAEL C. MOON, D.D.S., P.C. 401(K) PLAN
|
2012
|
364173796
|
2013-10-02
|
MICHAEL C. MOON, D.D.S., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3094443207
|
Plan sponsor’s
address |
1762 WASHINGTON ROAD, WASHINGTON, IL, 61571
|
Plan administrator’s name and address
Administrator’s EIN |
364173796 |
Plan administrator’s name |
MICHAEL C. MOON, D.D.S., P.C. |
Plan administrator’s
address |
1762 WASHINGTON ROAD, WASHINGTON, IL, 61571 |
Administrator’s telephone number |
3094443207 |
Signature of
Role |
Plan administrator |
Date |
2013-10-02 |
Name of individual signing |
MICHAEL C. MOON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL C. MOON, D.D.S., P.C. 401(K) PLAN
|
2011
|
364173796
|
2013-10-02
|
MICHAEL C. MOON, D.D.S., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3094443207
|
Plan sponsor’s
address |
1762 WASHINGTON ROAD, WASHINGTON, IL, 61571
|
Plan administrator’s name and address
Administrator’s EIN |
364173796 |
Plan administrator’s name |
MICHAEL C. MOON, D.D.S., P.C. |
Plan administrator’s
address |
1762 WASHINGTON ROAD, WASHINGTON, IL, 61571 |
Administrator’s telephone number |
3094443207 |
Signature of
Role |
Plan administrator |
Date |
2013-10-02 |
Name of individual signing |
MICHAEL C. MOON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL C. MOON, D.D.S., P.C. 401(K) PLAN
|
2011
|
364173796
|
2012-10-08
|
MICHAEL C. MOON, D.D.S., P.C.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3094443207
|
Plan sponsor’s
address |
1762 WASHINGTON ROAD, WASHINGTON, IL, 61571
|
Plan administrator’s name and address
Administrator’s EIN |
364173796 |
Plan administrator’s name |
MICHAEL C. MOON, D.D.S., P.C. |
Plan administrator’s
address |
1762 WASHINGTON ROAD, WASHINGTON, IL, 61571 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
MICHAEL C MOON DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-08 |
Name of individual signing |
MICHAEL C MOON DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL C. MOON, D.D.S., P.C. 401(K) PLAN
|
2010
|
364173796
|
2011-09-28
|
MICHAEL C. MOON, D.D.S., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3094443207
|
Plan sponsor’s
address |
1762 WASHINGTON ROAD, WASHINGTON, IL, 61571
|
Plan administrator’s name and address
Administrator’s EIN |
364173796 |
Plan administrator’s name |
MICHAEL C. MOON, D.D.S., P.C. |
Plan administrator’s
address |
1762 WASHINGTON ROAD, WASHINGTON, IL, 61571 |
Administrator’s telephone number |
3094443207 |
Signature of
Role |
Plan administrator |
Date |
2011-09-28 |
Name of individual signing |
MICHAEL MOON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL C. MOON, D.D.S., P.C. 401(K) PLAN
|
2009
|
364173796
|
2010-09-13
|
MICHAEL C. MOON, D.D.S., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3094443207
|
Plan sponsor’s
address |
1762 WASHINGTON ROAD, WASHINGTON, IL, 61571
|
Plan administrator’s name and address
Administrator’s EIN |
364173796 |
Plan administrator’s name |
MICHAEL C. MOON, D.D.S., P.C. |
Plan administrator’s
address |
1762 WASHINGTON ROAD, WASHINGTON, IL, 61571 |
Administrator’s telephone number |
3094443207 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
MICHAEL MOON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|