CEDAR LAKE DENTAL 401(K) PROFIT SHARING PLAN
|
2023
|
475228904
|
2024-10-14
|
CEDAR LAKE DENTAL, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8472011102
|
Plan sponsor’s
address |
1849 S.CEDAR LAKE ROAD,, ROUND LAKE, IL, 60073
|
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
MAUREEN COPELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CEDAR LAKE DENTAL 401(K) PROFIT SHARING PLAN
|
2022
|
475228904
|
2023-10-07
|
CEDAR LAKE DENTAL, P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER PKWY, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2023-10-07 |
Name of individual signing |
MICHAEL VANDERFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CEDAR LAKE DENTAL 401(K) PROFIT SHARING PLAN
|
2021
|
320378328
|
2022-08-19
|
CEDAR LAKE DENTAL, P.C.
|
23
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2022-08-19 |
Name of individual signing |
MAUREEN COPELAND, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CEDAR LAKE DENTAL 401(K) PROFIT SHARING PLAN
|
2021
|
320378328
|
2024-02-04
|
CEDAR LAKE DENTAL, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8475505000
|
Plan sponsor’s
address |
60 LANDOVER, HAWTHORN WOODS, IL, 60047
|
Signature of
Role |
Plan administrator |
Date |
2024-02-04 |
Name of individual signing |
MAUREEN COPELAND, DDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|