WALTER JAGODZINKSI, D.D.S., P.C. PROFIT SHARING AND SAVINGS PLAN
|
2011
|
364422366
|
2012-10-10
|
WALTER JAGODZINSKI, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7736315200
|
Plan sponsor’s
address |
6426 N. NORTHWEST HIGHWAY, CHICAGO, IL, 606311450
|
Plan administrator’s name and address
Administrator’s EIN |
364422366 |
Plan administrator’s name |
WALTER JAGODZINSKI, D.D.S., P.C. |
Plan administrator’s
address |
6426 N. NORTHWEST HIGHWAY, CHICAGO, IL, 606311450 |
Administrator’s telephone number |
7736315200 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
WALTER J. JAGODZINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WALTER JAGODZINKSI, D.D.S., P.C. PROFIT SHARING AND SAVINGS PLAN
|
2010
|
364422366
|
2011-07-27
|
WALTER JAGODZINSKI, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7736315200
|
Plan sponsor’s
address |
6426 N. NORTHWEST HIGHWAY, CHICAGO, IL, 606311450
|
Plan administrator’s name and address
Administrator’s EIN |
364422366 |
Plan administrator’s name |
WALTER JAGODZINSKI, D.D.S., P.C. |
Plan administrator’s
address |
6426 N. NORTHWEST HIGHWAY, CHICAGO, IL, 606311450 |
Administrator’s telephone number |
7736315200 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
WALTER J. JAGODZINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WALTER JAGODZINKSI, D.D.S., P.C. PROFIT SHARING AND SAVINGS PLAN
|
2009
|
364422366
|
2010-07-06
|
WALTER JAGODZINSKI, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7736315200
|
Plan sponsor’s
address |
6426 N. NORTHWEST HIGHWAY, CHICAGO, IL, 606311450
|
Plan administrator’s name and address
Administrator’s EIN |
364422366 |
Plan administrator’s name |
WALTER JAGODZINSKI, D.D.S., P.C. |
Plan administrator’s
address |
6426 N. NORTHWEST HIGHWAY, CHICAGO, IL, 606311450 |
Administrator’s telephone number |
7736315200 |
Signature of
Role |
Plan administrator |
Date |
2010-07-06 |
Name of individual signing |
WALTER J. JAGODZINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-06 |
Name of individual signing |
WALTER J. JAGODZINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|