| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1978-01-02
|
| Business code |
621210
|
| Sponsor’s telephone number |
8157255991
|
| Plan sponsor’s
address |
607 WEST JEFFERSON STREET, SHOREWOOD, IL, 604369702
|
Plan administrator’s name and address
| Administrator’s EIN |
362948577 |
| Plan administrator’s name |
SHOREWOOD FAMILY DENTAL CARE, LTD. |
| Plan administrator’s
address |
607 WEST JEFFERSON STREET, SHOREWOOD, IL, 604369702 |
| Administrator’s telephone number |
8157255991 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
RICHARD CRAIG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-13 |
| Name of individual signing |
RICHARD CRAIG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
