ROBERT J. SKOPEK, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
364328401
|
2013-10-02
|
ROBERT J. SKOPEK, D.D.S., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472771212
|
Plan sponsor’s
address |
110 S. WYNSTONE PARK DR., NORTH BARRINGTON, IL, 600101401
|
Plan administrator’s name and address
Administrator’s EIN |
364328401 |
Plan administrator’s name |
ROBERT J. SKOPEK, D.D.S., P.C. |
Plan administrator’s
address |
110 S. WYNSTONE PARK DR., NORTH BARRINGTON, IL, 600101401 |
Administrator’s telephone number |
8472771212 |
Signature of
Role |
Plan administrator |
Date |
2013-10-02 |
Name of individual signing |
STEPHANIE SKOPEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J. SKOPEK, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
364328401
|
2012-09-14
|
ROBERT J. SKOPEK, D.D.S., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472771212
|
Plan sponsor’s
address |
110 S. WYNSTONE PARK DR., NORTH BARRINGTON, IL, 600101401
|
Plan administrator’s name and address
Administrator’s EIN |
364328401 |
Plan administrator’s name |
ROBERT J. SKOPEK, D.D.S., P.C. |
Plan administrator’s
address |
110 S. WYNSTONE PARK DR., NORTH BARRINGTON, IL, 600101401 |
Administrator’s telephone number |
8472771212 |
Signature of
Role |
Plan administrator |
Date |
2012-09-14 |
Name of individual signing |
STEPHANIE SKOPEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J. SKOPEK, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
364328401
|
2011-07-05
|
ROBERT J. SKOPEK, D.D.S., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472771212
|
Plan sponsor’s
address |
110 S. WYNSTONE PARK DR., NORTH BARRINGTON, IL, 600101401
|
Plan administrator’s name and address
Administrator’s EIN |
364328401 |
Plan administrator’s name |
ROBERT J. SKOPEK, D.D.S., P.C. |
Plan administrator’s
address |
110 S. WYNSTONE PARK DR., NORTH BARRINGTON, IL, 600101401 |
Administrator’s telephone number |
8472771212 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
ROBERT J. SKOPEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-05 |
Name of individual signing |
ROBERT J SKOPEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J. SKOPEK, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
364328401
|
2011-07-05
|
ROBERT J. SKOPEK, D.D.S., P.C.
|
16
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472771212
|
Plan sponsor’s
address |
110 S. WYNSTONE PARK DR., NORTH BARRINGTON, IL, 600101401
|
Plan administrator’s name and address
Administrator’s EIN |
364328401 |
Plan administrator’s name |
ROBERT J. SKOPEK, D.D.S., P.C. |
Plan administrator’s
address |
110 S. WYNSTONE PARK DR., NORTH BARRINGTON, IL, 600101401 |
Administrator’s telephone number |
8472771212 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
ROBERT J. SKOPEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J. SKOPEK, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
364328401
|
2011-07-05
|
ROBERT J. SKOPEK, D.D.S., P.C.
|
16
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472771212
|
Plan sponsor’s
address |
110 S. WYNSTONE PARK DR., NORTH BARRINGTON, IL, 600101401
|
Plan administrator’s name and address
Administrator’s EIN |
364328401 |
Plan administrator’s name |
ROBERT J. SKOPEK, D.D.S., P.C. |
Plan administrator’s
address |
110 S. WYNSTONE PARK DR., NORTH BARRINGTON, IL, 600101401 |
Administrator’s telephone number |
8472771212 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-07-05 |
Name of individual signing |
DR SKOPEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J. SKOPEK, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
364328401
|
2010-10-14
|
ROBERT J. SKOPEK, D.D.S., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472771212
|
Plan sponsor’s
address |
444 N. RAND ROAD, BARRINGTON, IL, 600101401
|
Plan administrator’s name and address
Administrator’s EIN |
364328401 |
Plan administrator’s name |
ROBERT J. SKOPEK, D.D.S., P.C. |
Plan administrator’s
address |
444 N. RAND ROAD, BARRINGTON, IL, 600101401 |
Administrator’s telephone number |
8472771212 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
STEPHANIE SKOPEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT J. SKOPEK, D.D.S., P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
364328401
|
2010-10-13
|
ROBERT J. SKOPEK, D.D.S., P.C.
|
16
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472771212
|
Plan sponsor’s
address |
444 N. RAND ROAD, BARRINGTON, IL, 600101401
|
Plan administrator’s name and address
Administrator’s EIN |
364328401 |
Plan administrator’s name |
ROBERT J. SKOPEK, D.D.S., P.C. |
Plan administrator’s
address |
444 N. RAND ROAD, BARRINGTON, IL, 600101401 |
Administrator’s telephone number |
8472771212 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
STEPHANIE SKOPEK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|