|
ROBERT G. METCALF D.D.S. LTD. PROFIT SHARING PLAN & TRUST
|
2012
|
201151846
|
2013-10-11
|
ROBERT G. METCALF D.D.S. LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6309280049
|
| Plan sponsor’s mailing address |
120 OAKBROOK CENTER, SUITE 618, OAKBROOK, IL, 60523
|
| Plan sponsor’s
address |
120 OAKBROOK CENTER, SUITE 618, OAKBROOK, IL, 60523
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-11 |
| Name of individual signing |
EDWIN BLITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROBERT G. METCALF D.D.S. LTD. PROFIT SHARING PLAN & TRUST
|
2011
|
201151846
|
2012-04-13
|
ROBERT G. METCALF D.D.S. LTD.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6309280049
|
| Plan sponsor’s mailing address |
120 OAKBROOK CENTER, SUITE 618, OAKBROOK, IL, 60523
|
| Plan sponsor’s
address |
120 OAKBROOK CENTER, SUITE 618, OAKBROOK, IL, 60523
|
Plan administrator’s name and address
| Administrator’s EIN |
201151846 |
| Plan administrator’s name |
ROBERT G. METCALF D.D.S. LTD. |
| Plan administrator’s
address |
120 OAKBROOK CENTER, SUITE 618, OAKBROOK, IL, 60523 |
| Administrator’s telephone number |
6309280049 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
3 |
| 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 |
2012-04-13 |
| Name of individual signing |
EDWIN BLITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROBERT G. METCALF D.D.S. LTD. PROFIT SHARING PLAN & TRUST
|
2010
|
201151846
|
2011-09-09
|
ROBERT G. METCALF D.D.S. LTD.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6309280247
|
| Plan sponsor’s mailing address |
120 OAKBROOK CENTER, SUITE 618, OAKBROOK, IL, 60523
|
| Plan sponsor’s
address |
120 OAKBROOK CENTER, SUITE 618, OAKBROOK, IL, 60523
|
Plan administrator’s name and address
| Administrator’s EIN |
201151846 |
| Plan administrator’s name |
ROBERT G. METCALF D.D.S. LTD. |
| Plan administrator’s
address |
120 OAKBROOK CENTER, SUITE 618, OAKBROOK, IL, 60523 |
| Administrator’s telephone number |
6309280247 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
2 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-09 |
| Name of individual signing |
EDWIN BLITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROBERT G. METCALF D.D.S. LTD. PROFIT SHARING PLAN AND TRUST
|
2009
|
201151846
|
2010-10-08
|
ROBERT G. METCALF D.D.S. LTD.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6309280049
|
| Plan sponsor’s mailing address |
120 OAK BROOK CENTER, SUITE 618, OAK BROOK, IL, 60523
|
| Plan sponsor’s
address |
120 OAK BROOK CENTER, SUITE 618, OAK BROOK, IL, 60523
|
Plan administrator’s name and address
| Administrator’s EIN |
201151846 |
| Plan administrator’s name |
ROBERT G. METCALF D.D.S. LTD. |
| Plan administrator’s
address |
120 OAK BROOK CENTER, SUITE 618, OAK BROOK, IL, 60523 |
| Administrator’s telephone number |
6309280049 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Other
retired or separated participants entitled to future benefits |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-08 |
| Name of individual signing |
EDWIN BLITZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
