WILLIAM E. CUSACK, D.D.S., LTD. 401(K) PLAN
|
2012
|
371091681
|
2013-06-24
|
WILLIAM E. CUSACK, D.D.S., LTD.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096932220
|
Plan sponsor’s
address |
5013 N UNIVERSITY, PEORIA, IL, 61614
|
Signature of
Role |
Plan administrator |
Date |
2013-06-06 |
Name of individual signing |
WILLIAM E CUSACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM E. CUSACK, D.D.S., LTD. 401(K) PLAN
|
2011
|
371091681
|
2012-07-12
|
WILLIAM E. CUSACK, D.D.S., LTD.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096932220
|
Plan sponsor’s
address |
5013 N UNIVERSITY, PEORIA, IL, 61614
|
Plan administrator’s name and address
Administrator’s EIN |
371091681 |
Plan administrator’s name |
WILLIAM E. CUSACK, D.D.S., LTD. |
Plan administrator’s
address |
5013 N UNIVERSITY, PEORIA, IL, 61614 |
Administrator’s telephone number |
3096932220 |
Signature of
Role |
Plan administrator |
Date |
2012-06-06 |
Name of individual signing |
WILLIAM E CUSACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM E. CUSACK, D.D.S., LTD. 401(K) PLAN
|
2010
|
371091681
|
2011-07-14
|
WILLIAM E. CUSACK, D.D.S., LTD.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096932220
|
Plan sponsor’s
address |
5013 N UNIVERSITY, PEORIA, IL, 61614
|
Plan administrator’s name and address
Administrator’s EIN |
371091681 |
Plan administrator’s name |
WILLIAM E. CUSACK, D.D.S., LTD. |
Plan administrator’s
address |
5013 N UNIVERSITY, PEORIA, IL, 61614 |
Administrator’s telephone number |
3096932220 |
Signature of
Role |
Plan administrator |
Date |
2011-06-30 |
Name of individual signing |
WILLIAM E CUSACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM E. CUSACK, D.D.S., LTD. 401(K) PLAN
|
2009
|
371091681
|
2010-07-09
|
WILLIAM E. CUSACK, D.D.S., LTD.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3096932220
|
Plan sponsor’s
address |
5013 N UNIVERSITY, PEORIA, IL, 61614
|
Plan administrator’s name and address
Administrator’s EIN |
371091681 |
Plan administrator’s name |
WILLIAM E. CUSACK, D.D.S., LTD. |
Plan administrator’s
address |
5013 N UNIVERSITY, PEORIA, IL, 61614 |
Administrator’s telephone number |
3096932220 |
Signature of
Role |
Plan administrator |
Date |
2010-06-18 |
Name of individual signing |
WILLIAM E CUSACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|