CITYWIDE SMILES, P.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
800839597
|
2021-12-10
|
CITYWIDE SMILES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8472768409
|
Plan sponsor’s
address |
34779 N. LINDEN AVE., GRAYSLAKE, IL, 60030
|
Signature of
Role |
Plan administrator |
Date |
2021-12-10 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-12-10 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITYWIDE SMILES, P.C. CASH BALANCE PLAN & TRUST
|
2020
|
800839597
|
2021-06-21
|
CITYWIDE SMILES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8472768409
|
Plan sponsor’s
address |
34779 N. LINDEN AVE., GRAYSLAKE, IL, 60030
|
Signature of
Role |
Plan administrator |
Date |
2021-06-18 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-18 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITYWIDE SMILES, P.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
800839597
|
2021-06-21
|
CITYWIDE SMILES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8472768409
|
Plan sponsor’s
address |
34779 N. LINDEN AVE., GRAYSLAKE, IL, 60030
|
Signature of
Role |
Plan administrator |
Date |
2021-06-18 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-18 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITYWIDE SMILES, P.C. CASH BALANCE PLAN & TRUST
|
2020
|
800839597
|
2021-12-10
|
CITYWIDE SMILES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8472768409
|
Plan sponsor’s
address |
34779 N. LINDEN AVE., GRAYSLAKE, IL, 60030
|
Signature of
Role |
Plan administrator |
Date |
2021-12-10 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-12-10 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITYWIDE SMILES, P.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
800839597
|
2020-10-05
|
CITYWIDE SMILES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8472768409
|
Plan sponsor’s
address |
34779 N. LINDEN AVE., GRAYSLAKE, IL, 60030
|
Signature of
Role |
Plan administrator |
Date |
2020-10-04 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-04 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITYWIDE SMILES, P.C. CASH BALANCE PLAN & TRUST
|
2019
|
800839597
|
2020-10-05
|
CITYWIDE SMILES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8472768409
|
Plan sponsor’s
address |
34779 N. LINDEN AVE., GRAYSLAKE, IL, 60030
|
Signature of
Role |
Plan administrator |
Date |
2020-10-04 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-04 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITYWIDE SMILES, P.C. CASH BALANCE PLAN & TRUST
|
2018
|
800839597
|
2019-09-27
|
CITYWIDE SMILES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8472768409
|
Plan sponsor’s
address |
34779 N. LINDEN AVE., GRAYSLAKE, IL, 60030
|
Signature of
Role |
Plan administrator |
Date |
2019-09-27 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-27 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITYWIDE SMILES, P.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2018
|
800839597
|
2019-09-27
|
CITYWIDE SMILES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8472768409
|
Plan sponsor’s
address |
34779 N. LINDEN AVE., GRAYSLAKE, IL, 60030
|
Signature of
Role |
Plan administrator |
Date |
2019-09-27 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-27 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITYWIDE SMILES, P.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
800839597
|
2018-10-11
|
CITYWIDE SMILES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8472768409
|
Plan sponsor’s
address |
34779 N. LINDEN AVE., GRAYSLAKE, IL, 60030
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITYWIDE SMILES, P.C. CASH BALANCE PLAN & TRUST
|
2017
|
800839597
|
2018-10-11
|
CITYWIDE SMILES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8472768409
|
Plan sponsor’s
address |
34779 N. LINDEN AVE., GRAYSLAKE, IL, 60030
|
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-10 |
Name of individual signing |
ERIC SMYTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|