DAZZLING DENTISTRY 401(K) PLAN
|
2021
|
201867893
|
2022-09-29
|
DAZZLING DENTISTRY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
7734564855
|
Plan sponsor’s
address |
6941 WEST ARCHER AVE, CHICAGO, IL, 60638
|
Signature of
Role |
Plan administrator |
Date |
2022-09-29 |
Name of individual signing |
ROBERT RADZISZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-29 |
Name of individual signing |
ROBERT RADZISZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAZZLING DENTISTRY 401(K) PLAN
|
2020
|
201867893
|
2022-10-07
|
DAZZLING DENTISTRY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
7734564855
|
Plan sponsor’s
address |
6941 WEST ARCHER AVE, CHICAGO, IL, 60638
|
Signature of
Role |
Plan administrator |
Date |
2022-10-07 |
Name of individual signing |
ROBERT RADZISZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAZZLING DENTISTRY 401(K) PLAN
|
2019
|
201867893
|
2020-09-23
|
DAZZLING DENTISTRY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
7734564855
|
Plan sponsor’s
address |
6941 WEST ARCHER AVE, CHICAGO, IL, 60638
|
Signature of
Role |
Plan administrator |
Date |
2020-09-23 |
Name of individual signing |
ROBERT RADZISZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAZZLING DENTISTRY 401(K) PLAN
|
2018
|
201867893
|
2019-09-18
|
DAZZLING DENTISTRY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
7734564855
|
Plan sponsor’s
address |
6941 WEST ARCHER AVE, CHICAGO, IL, 60638
|
Signature of
Role |
Plan administrator |
Date |
2019-09-18 |
Name of individual signing |
ROBERT RADZISZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-18 |
Name of individual signing |
ROBERT RADZISZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAZZLING DENTISTRY 401(K) PLAN
|
2017
|
201867893
|
2018-08-29
|
DAZZLING DENTISTRY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
7734564855
|
Plan sponsor’s
address |
6941 WEST ARCHER AVE, CHICAGO, IL, 60638
|
Signature of
Role |
Plan administrator |
Date |
2018-08-29 |
Name of individual signing |
ROBERT RADZISZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAZZLING DENTISTRY 401(K) PLAN
|
2016
|
201867893
|
2017-07-05
|
DAZZLING DENTISTRY, INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
7734564855
|
Plan sponsor’s
address |
6941 WEST ARCHER AVE, CHICAGO, IL, 60638
|
Signature of
Role |
Plan administrator |
Date |
2017-07-05 |
Name of individual signing |
ROBERT RADZISZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAZZLING DENTISTRY 401(K) PLAN
|
2015
|
201867893
|
2016-07-19
|
DAZZLING DENTISTRY, INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-04-01
|
Business code |
621210
|
Sponsor’s telephone number |
7734564855
|
Plan sponsor’s
address |
6941 WEST ARCHER AVE, CHICAGO, IL, 60638
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
ROBERT RADZISZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|