AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN
|
2012
|
363694404
|
2013-07-22
|
AUSTIN FAMILY DENTAL CENTER
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7732330600
|
Plan sponsor’s
address |
1532 WEST 99TH STREET, ATTN RUSSEL J. AUSTIN,DDS, CHICAGO, IL, 60643
|
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
RUSSEL J AUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN FAMILY DENTAL CENTER 401K PROFIT SHARING PLAN
|
2011
|
363694404
|
2012-07-25
|
AUSTIN FAMILY DENTAL CENTER
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7732330600
|
Plan sponsor’s
address |
1532 WEST 99TH STREET, ATTN RUSSEL J. AUSTIN, DDS, CHICAGO, IL, 60643
|
Plan administrator’s name and address
Administrator’s EIN |
363694404 |
Plan administrator’s name |
AUSTIN FAMILY DENTAL CENTER |
Plan administrator’s
address |
1532 WEST 99TH STREET, ATTN RUSSEL J. AUSTIN, DDS, CHICAGO, IL, 60643 |
Administrator’s telephone number |
7732330600 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
RUSSEL J AUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN FAMILY DENTAL CENTER PROFIT SHARING PLAN
|
2010
|
363694404
|
2011-10-03
|
AUSTIN FAMILY DENTAL CENTER
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7732330600
|
Plan sponsor’s
address |
1532 WEST 99TH STREET, CHICAGO, IL, 60643
|
Plan administrator’s name and address
Administrator’s EIN |
363694404 |
Plan administrator’s name |
AUSTIN FAMILY DENTAL CENTER |
Plan administrator’s
address |
1532 WEST 99TH STREET, CHICAGO, IL, 60643 |
Administrator’s telephone number |
7732330600 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
RUSSELL J AUSTIN,DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN FAMILY DENTAL CENTER PROFIT SHARING PLAN
|
2009
|
363694404
|
2010-08-02
|
AUSTIN FAMILY DENTAL CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7732330600
|
Plan sponsor’s
address |
1532 WEST 99TH STREET, CHICAGO, IL, 60643
|
Plan administrator’s name and address
Administrator’s EIN |
363694404 |
Plan administrator’s name |
AUSTIN FAMILY DENTAL CENTER |
Plan administrator’s
address |
1532 WEST 99TH STREET, CHICAGO, IL, 60643 |
Administrator’s telephone number |
7732330600 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
RUSSELL J.AUSTIN,D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|