EDWARD H. SEGAL, D.D.S., LTD. 401(K) SAVINGS PLAN AND TRUST
|
2012
|
364201896
|
2013-08-06
|
EDWARD H. SEGAL, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474985630
|
Plan sponsor’s
address |
1500 SHERMER ROAD, SUITE 340W, NORTHBROOK, IL, 60062
|
Signature of
Role |
Plan administrator |
Date |
2013-08-06 |
Name of individual signing |
EDWARD H. SEGAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-06 |
Name of individual signing |
EDWARD SEGAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD H. SEGAL, D.D.S., LTD. 401(K) SAVINGS PLAN AND TRUST
|
2011
|
364201896
|
2012-09-23
|
EDWARD H. SEGAL, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474985630
|
Plan sponsor’s
address |
1500 SHERMER ROAD, SUITE 340W, NORTHBROOK, IL, 60062
|
Plan administrator’s name and address
Administrator’s EIN |
364201896 |
Plan administrator’s name |
EDWARD H. SEGAL, D.D.S., LTD. |
Plan administrator’s
address |
1500 SHERMER ROAD, SUITE 340W, NORTHBROOK, IL, 60062 |
Administrator’s telephone number |
8474985630 |
Signature of
Role |
Plan administrator |
Date |
2012-09-23 |
Name of individual signing |
EDWARD H. SEGAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD H. SEGAL, D.D.S., LTD. 401(K) SAVINGS PLAN AND TRUST
|
2010
|
364201896
|
2011-09-16
|
EDWARD H. SEGAL, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474985630
|
Plan sponsor’s
address |
1500 SHERMER ROAD, SUITE 340W, NORTHBROOK, IL, 60062
|
Plan administrator’s name and address
Administrator’s EIN |
364201896 |
Plan administrator’s name |
EDWARD H. SEGAL, D.D.S., LTD. |
Plan administrator’s
address |
1500 SHERMER ROAD, SUITE 340W, NORTHBROOK, IL, 60062 |
Administrator’s telephone number |
8474985630 |
Signature of
Role |
Plan administrator |
Date |
2011-09-16 |
Name of individual signing |
EDWARD H. SEGAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD H. SEGAL, D.D.S., LTD. 401(K) SAVINGS PLAN AND TRUST
|
2009
|
364201896
|
2010-09-01
|
EDWARD H. SEGAL, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474985630
|
Plan sponsor’s
address |
1500 SHERMER ROAD, SUITE 340W, NORTHBROOK, IL, 60062
|
Plan administrator’s name and address
Administrator’s EIN |
364201896 |
Plan administrator’s name |
EDWARD H. SEGAL, D.D.S., LTD. |
Plan administrator’s
address |
1500 SHERMER ROAD, SUITE 340W, NORTHBROOK, IL, 60062 |
Administrator’s telephone number |
8474985630 |
Signature of
Role |
Plan administrator |
Date |
2010-09-01 |
Name of individual signing |
EDWARD H. SEGAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|