GABRIEL SIM, D.D.S., LTD. EMPLOYEES'S PROFIT SHARING PLAN AND TRUST
|
2012
|
364296011
|
2013-07-23
|
GABRIEL SIM, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7738712161
|
Plan sponsor’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729
|
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
GABRIEL SIM, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GABRIEL SIM, D.D.S., LTD. CASH BALANCE PLAN AND TRUST
|
2012
|
364296011
|
2013-07-23
|
GABRIEL SIM, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7738712161
|
Plan sponsor’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729
|
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
GABRIEL SIM, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GABRIEL SIM, D.D.S., LTD. EMPLOYEES'S PROFIT SHARING PLAN AND TRUST
|
2011
|
364296011
|
2012-03-08
|
GABRIEL SIM, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7738712161
|
Plan sponsor’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729
|
Plan administrator’s name and address
Administrator’s EIN |
364296011 |
Plan administrator’s name |
GABRIEL SIM, D.D.S., LTD. |
Plan administrator’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729 |
Administrator’s telephone number |
7738712161 |
Signature of
Role |
Plan administrator |
Date |
2012-03-08 |
Name of individual signing |
GABRIEL SIM, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GABRIEL SIM, D.D.S., LTD. CASH BALANCE PLAN AND TRUST
|
2011
|
364296011
|
2012-03-08
|
GABRIEL SIM, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7738712161
|
Plan sponsor’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729
|
Plan administrator’s name and address
Administrator’s EIN |
364296011 |
Plan administrator’s name |
GABRIEL SIM, D.D.S., LTD. |
Plan administrator’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729 |
Administrator’s telephone number |
7738712161 |
Signature of
Role |
Plan administrator |
Date |
2012-03-08 |
Name of individual signing |
GABRIEL SIM, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GABRIEL SIM, D.D.S., LTD. CASH BALANCE PLAN AND TRUST
|
2010
|
364296011
|
2011-04-08
|
GABRIEL SIM, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7738712161
|
Plan sponsor’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729
|
Plan administrator’s name and address
Administrator’s EIN |
364296011 |
Plan administrator’s name |
GABRIEL SIM, D.D.S., LTD. |
Plan administrator’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729 |
Administrator’s telephone number |
7738712161 |
Signature of
Role |
Plan administrator |
Date |
2011-04-08 |
Name of individual signing |
GABRIEL SIM, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GABRIEL SIM, D.D.S., LTD. EMPLOYEES'S PROFIT SHARING PLAN AND TRUST
|
2010
|
364296011
|
2011-04-08
|
GABRIEL SIM, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7738712161
|
Plan sponsor’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729
|
Plan administrator’s name and address
Administrator’s EIN |
364296011 |
Plan administrator’s name |
GABRIEL SIM, D.D.S., LTD. |
Plan administrator’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729 |
Administrator’s telephone number |
7738712161 |
Signature of
Role |
Plan administrator |
Date |
2011-04-08 |
Name of individual signing |
GABRIEL SIM, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GABRIEL SIM, D.D.S., LTD. CASH BALANCE PLAN AND TRUST
|
2009
|
364296011
|
2010-09-03
|
GABRIEL SIM, D.D.S., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7738712161
|
Plan sponsor’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729
|
Plan administrator’s name and address
Administrator’s EIN |
364296011 |
Plan administrator’s name |
GABRIEL SIM, D.D.S., LTD. |
Plan administrator’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729 |
Administrator’s telephone number |
7738712161 |
Signature of
Role |
Plan administrator |
Date |
2010-09-03 |
Name of individual signing |
GABRIEL SIM, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GABRIEL SIM, D.D.S., LTD. EMPLOYEES'S PROFIT SHARING PLAN AND TRUST
|
2009
|
364296011
|
2010-09-03
|
GABRIEL SIM, D.D.S., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7738712161
|
Plan sponsor’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729
|
Plan administrator’s name and address
Administrator’s EIN |
364296011 |
Plan administrator’s name |
GABRIEL SIM, D.D.S., LTD. |
Plan administrator’s
address |
2551 N. CLARK ST., STE. 404, CHICAGO, IL, 606147729 |
Administrator’s telephone number |
7738712161 |
Signature of
Role |
Plan administrator |
Date |
2010-09-03 |
Name of individual signing |
GABRIEL SIM, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|