S.W. FURMANEK, D.D.S., P.C. EMPLOYEES PROFIT SHARING PLAN & TRUST
|
2012
|
362808714
|
2014-04-03
|
S.W. FURMANEK, D.D.S., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473986668
|
Plan sponsor’s
address |
6355 N. BROADWAY, CHICAGO, IL, 60660
|
Signature of
Role |
Plan administrator |
Date |
2014-04-03 |
Name of individual signing |
S.W. FURMANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-03 |
Name of individual signing |
S.W. FURMANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S.W. FURMANEK, D.D.S., P.C. EMPLOYEES PROFIT SHARING PLAN & TRUST
|
2011
|
362808714
|
2012-11-09
|
S.W. FURMANEK, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473986668
|
Plan sponsor’s
address |
6355 N. BROADWAY, CHICAGO, IL, 60660
|
Plan administrator’s name and address
Administrator’s EIN |
362808714 |
Plan administrator’s name |
S.W. FURMANEK, D.D.S., P.C. |
Plan administrator’s
address |
6355 N. BROADWAY, CHICAGO, IL, 60660 |
Administrator’s telephone number |
8473986668 |
Signature of
Role |
Plan administrator |
Date |
2012-11-09 |
Name of individual signing |
S.W. FURMANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-11-09 |
Name of individual signing |
S.W. FURMANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S.W. FURMANEK, D.D.S., P.C. EMPLOYEES PROFIT SHARING PLAN & TRUST
|
2010
|
362808714
|
2012-07-09
|
S.W. FURMANEK, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473986668
|
Plan sponsor’s
address |
6355 N. BROADWAY, CHICAGO, IL, 60660
|
Plan administrator’s name and address
Administrator’s EIN |
362808714 |
Plan administrator’s name |
S.W. FURMANEK, D.D.S., P.C. |
Plan administrator’s
address |
6355 N. BROADWAY, CHICAGO, IL, 60660 |
Administrator’s telephone number |
8473986668 |
Signature of
Role |
Plan administrator |
Date |
2012-07-09 |
Name of individual signing |
S.W. FURMANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-09 |
Name of individual signing |
S.W. FURMANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S.W. FURMANEK, D.D.S., P.C. EMPLOYEES PROFIT SHARING PLAN & TRUST
|
2009
|
362808714
|
2011-05-17
|
S.W. FURMANEK, D.D.S., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
8473986668
|
Plan sponsor’s
address |
6355 N. BROADWAY, CHICAGO, IL, 60660
|
Plan administrator’s name and address
Administrator’s EIN |
362808714 |
Plan administrator’s name |
S.W. FURMANEK, D.D.S., P.C. |
Plan administrator’s
address |
6355 N. BROADWAY, CHICAGO, IL, 60660 |
Administrator’s telephone number |
8473986668 |
Signature of
Role |
Plan administrator |
Date |
2011-05-17 |
Name of individual signing |
S.W. FURMANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-17 |
Name of individual signing |
S.W. FURMANEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|