ARTESA FAMILY DENTAL 401(K) PLAN
|
2023
|
113818067
|
2024-05-06
|
ARTESA FAMILY DENTAL
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473538050
|
Plan sponsor’s
address |
450 LEE ST, UNIT 1, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2024-05-06 |
Name of individual signing |
QIAN LIU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTESA FAMILY DENTAL 401(K) PLAN
|
2022
|
113818067
|
2023-05-27
|
ARTESA FAMILY DENTAL
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473538050
|
Plan sponsor’s
address |
450 LEE ST, UNIT 1, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2023-05-27 |
Name of individual signing |
CHRISTINE RIMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTESA FAMILY DENTAL 401(K) PLAN
|
2021
|
113818067
|
2022-05-22
|
ARTESA FAMILY DENTAL
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473538050
|
Plan sponsor’s
address |
450 LEE ST, UNIT 1, DES PLAINES, IL, 60016
|
|
ARTESA FAMILY DENTAL 401(K) PLAN
|
2020
|
113818067
|
2021-05-11
|
ARTESA FAMILY DENTAL
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473538050
|
Plan sponsor’s
address |
450 LEE ST, UNIT 1, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2021-05-11 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTESA FAMILY DENTAL 401(K) PLAN
|
2019
|
113818067
|
2020-05-27
|
ARTESA FAMILY DENTAL
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473538050
|
Plan sponsor’s
address |
145 N. MILWAUKEE AVE., WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2020-05-27 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTESA FAMILY DENTAL 401(K) PLAN
|
2018
|
113818067
|
2020-05-06
|
ARTESA FAMILY DENTAL
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473538050
|
Plan sponsor’s
address |
145 N. MILWAUKEE AVE., WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2020-05-06 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTESA FAMILY DENTAL 401(K) PLAN
|
2018
|
113818067
|
2019-07-17
|
ARTESA FAMILY DENTAL
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473538050
|
Plan sponsor’s
address |
145 N. MILWAUKEE AVE., WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2019-07-17 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|