ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT PLAN
|
2022
|
364487406
|
2023-10-19
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309090500
|
Plan sponsor’s
address |
383 SCHMALE ROAD, CAROL STREAM, IL, 60188
|
Signature of
Role |
Plan administrator |
Date |
2023-10-19 |
Name of individual signing |
PATTI MCCAULEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT PLAN
|
2022
|
364487406
|
2023-07-20
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309090500
|
Plan sponsor’s
address |
383 SCHMALE ROAD, CAROL STREAM, IL, 60188
|
Signature of
Role |
Plan administrator |
Date |
2023-07-20 |
Name of individual signing |
PATTI MCCAULEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT PLAN
|
2021
|
364487406
|
2022-07-29
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309090500
|
Plan sponsor’s
address |
383 SCHMALE ROAD, CAROL STREAM, IL, 60188
|
Signature of
Role |
Plan administrator |
Date |
2022-07-29 |
Name of individual signing |
PATTI MCCAULEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT PLAN
|
2020
|
364487406
|
2021-06-10
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309090500
|
Plan sponsor’s
address |
383 SCHMALE ROAD, CAROL STREAM, IL, 60188
|
Signature of
Role |
Plan administrator |
Date |
2021-06-10 |
Name of individual signing |
PATTI MCCAULEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT PLAN
|
2019
|
364487406
|
2020-09-14
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309090500
|
Plan sponsor’s
address |
383 SCHMALE ROAD, CAROL STREAM, IL, 60188
|
Signature of
Role |
Plan administrator |
Date |
2020-09-14 |
Name of individual signing |
PATTI MCCAULEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT PLAN
|
2018
|
364487406
|
2019-10-10
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309090500
|
Plan sponsor’s
address |
383 SCHMALE ROAD, CAROL STREAM, IL, 60188
|
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
PATTI MCCAULEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT PLAN
|
2017
|
364487406
|
2018-07-27
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309090500
|
Plan sponsor’s
address |
383 SCHMALE ROAD, CAROL STREAM, IL, 60188
|
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
PATTI MCCAULEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT PLAN
|
2016
|
364487406
|
2017-07-31
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309090500
|
Plan sponsor’s
address |
383 SCHMALE ROAD, CAROL STREAM, IL, 60188
|
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
PATTI MCCAULEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-31 |
Name of individual signing |
PATTI MCCAULEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT PLAN
|
2015
|
364487406
|
2016-08-25
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309090500
|
Plan sponsor’s
address |
383 SCHMALE ROAD, CAROL STREAM, IL, 60188
|
Signature of
Role |
Plan administrator |
Date |
2016-08-25 |
Name of individual signing |
MARK ERICKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-25 |
Name of individual signing |
MARK ERICKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC RETIREMENT PLAN
|
2014
|
364487406
|
2015-09-29
|
ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6309090500
|
Plan sponsor’s
address |
383 SCHMALE ROAD, CAROL STREAM, IL, 60188
|
Signature of
Role |
Plan administrator |
Date |
2015-09-29 |
Name of individual signing |
MARK ERICKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-29 |
Name of individual signing |
MARK ERICKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|