HOMETOWN DENTAL CARE SAVINGS & RETIREMENT PLAN
|
2012
|
364365355
|
2013-07-11
|
HOMETOWN DENTAL CARE, P.C
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084248110
|
Plan sponsor’s
address |
4084 SOUTHWEST HIGHWAY, HOMETOWN, IL, 60456
|
Plan administrator’s name and address
Administrator’s EIN |
364365355 |
Plan administrator’s name |
HOMETOWN DENTAL CARE, P.C |
Plan administrator’s
address |
4084 SOUTHWEST HIGHWAY, HOMETOWN, IL, 60456 |
Administrator’s telephone number |
7084248110 |
Signature of
Role |
Plan administrator |
Date |
2013-07-11 |
Name of individual signing |
AMIEL PAPPAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOMETOWN DENTAL CARE SAVINGS & RETIREMENT PLAN
|
2011
|
364365355
|
2012-06-26
|
HOMETOWN DENTAL CARE, P.C
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084248110
|
Plan sponsor’s
address |
4084 SOUTHWEST HIGHWAY, HOMETOWN, IL, 60456
|
Plan administrator’s name and address
Administrator’s EIN |
364365355 |
Plan administrator’s name |
HOMETOWN DENTAL CARE, P.C |
Plan administrator’s
address |
4084 SOUTHWEST HIGHWAY, HOMETOWN, IL, 60456 |
Administrator’s telephone number |
7084248110 |
Signature of
Role |
Plan administrator |
Date |
2012-06-26 |
Name of individual signing |
AMIEL PAPPAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOMETOWN DENTAL CARE SAVINGS & RETIREMENT PLAN
|
2010
|
364365355
|
2011-06-29
|
HOMETOWN DENTAL CARE, P.C
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084248110
|
Plan sponsor’s
address |
4084 SOUTHWEST HIGHWAY, HOMETOWN, IL, 60456
|
Plan administrator’s name and address
Administrator’s EIN |
364365355 |
Plan administrator’s name |
HOMETOWN DENTAL CARE, P.C |
Plan administrator’s
address |
4084 SOUTHWEST HIGHWAY, HOMETOWN, IL, 60456 |
Administrator’s telephone number |
7084248110 |
Signature of
Role |
Plan administrator |
Date |
2011-06-29 |
Name of individual signing |
AMIEL PAPPAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOMETOWN DENTAL CARE SAVINGS & RETIREMENT PLAN
|
2009
|
364365355
|
2010-05-11
|
HOMETOWN DENTAL CARE, P.C
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-02-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084248110
|
Plan sponsor’s
address |
4084 SOUTHWEST HIGHWAY, HOMETOWN, IL, 60456
|
Plan administrator’s name and address
Administrator’s EIN |
364365355 |
Plan administrator’s name |
HOMETOWN DENTAL CARE, P.C |
Plan administrator’s
address |
4084 SOUTHWEST HIGHWAY, HOMETOWN, IL, 60456 |
Administrator’s telephone number |
7084248110 |
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
AMIEL PAPPAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-11 |
Name of individual signing |
AMIEL PAPPAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|