JOHN C. ROGERS, D.D.S. PROFIT SHARING PLAN
|
2013
|
462625820
|
2014-11-27
|
ROGERS DENTAL, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084227733
|
Plan sponsor’s
address |
10522 SOUTH CICERO, OAKLAWN, IL, 60453
|
Plan administrator’s name and address
Administrator’s EIN |
462625820 |
Plan administrator’s name |
ROGERS DENTAL, INC. |
Plan administrator’s
address |
10522 SOUTH CICERO, OAKLAWN, IL, 60453 |
Administrator’s telephone number |
7084227733 |
Signature of
Role |
Plan administrator |
Date |
2014-11-27 |
Name of individual signing |
JOHN C. ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN C. ROGERS, D.D.S. PROFIT SHARING PLAN
|
2013
|
462625820
|
2014-04-15
|
ROGERS DENTAL, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084227733
|
Plan sponsor’s
address |
10522 SOUTH CICERO, OAKLAWN, IL, 60453
|
Plan administrator’s name and address
Administrator’s EIN |
462625820 |
Plan administrator’s name |
ROGERS DENTAL, INC. |
Plan administrator’s
address |
10522 SOUTH CICERO, OAKLAWN, IL, 60453 |
Administrator’s telephone number |
7084227733 |
Signature of
Role |
Plan administrator |
Date |
2014-04-15 |
Name of individual signing |
JOHN C. ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|