THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2011
|
364207741
|
2012-04-05
|
THERESA C. HAUCK, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, MC HENRY, IL, 600504214
|
Plan administrator’s name and address
Administrator’s EIN |
364207741 |
Plan administrator’s name |
THERESA C. HAUCK, D.D.S., P.C. |
Plan administrator’s
address |
4310 W CRYSTAL LAKE ROAD, MC HENRY, IL, 600504214 |
Administrator’s telephone number |
8153445430 |
Signature of
Role |
Plan administrator |
Date |
2012-04-05 |
Name of individual signing |
THERESA HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2010
|
364207741
|
2011-04-29
|
THERESA C. HAUCK, D.D.S., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, MC HENRY, IL, 600504214
|
Plan administrator’s name and address
Administrator’s EIN |
364207741 |
Plan administrator’s name |
THERESA C. HAUCK, D.D.S., P.C. |
Plan administrator’s
address |
4310 W CRYSTAL LAKE ROAD, MC HENRY, IL, 600504214 |
Administrator’s telephone number |
8153445430 |
Signature of
Role |
Plan administrator |
Date |
2011-04-29 |
Name of individual signing |
THERESA C HAUCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THERESA C. HAUCK, D.D.S., P.C. 401K PLAN AND TRUST
|
2009
|
364207741
|
2010-07-14
|
THERESA C. HAUCK, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8153445430
|
Plan sponsor’s
address |
4310 W CRYSTAL LAKE ROAD, MC HENRY, IL, 600504214
|
Plan administrator’s name and address
Administrator’s EIN |
364207741 |
Plan administrator’s name |
THERESA C. HAUCK, D.D.S., P.C. |
Plan administrator’s
address |
4310 W CRYSTAL LAKE ROAD, MC HENRY, IL, 600504214 |
Administrator’s telephone number |
8153445430 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
THERESA C HAUCK, D.D.S., P.C. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|