RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN
|
2011
|
363141429
|
2012-12-21
|
RICHARD R. HERZFELDT, D.D.S., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097975789
|
Plan sponsor’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
363141429 |
Plan administrator’s name |
RICHARD R. HERZFELDT, D.D.S., LTD. |
Plan administrator’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265 |
Administrator’s telephone number |
3097975789 |
Signature of
Role |
Plan administrator |
Date |
2012-12-21 |
Name of individual signing |
RICHARD HERZFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD R. HERZFELDT, D.D.S., LTD. EMPLOYEES PROFIT SHARING PLAN
|
2011
|
363141429
|
2012-12-21
|
RICHARD R. HERZFELDT, D.D.S., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097975789
|
Plan sponsor’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
363141429 |
Plan administrator’s name |
RICHARD R. HERZFELDT, D.D.S., LTD. |
Plan administrator’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265 |
Administrator’s telephone number |
3097975789 |
Signature of
Role |
Plan administrator |
Date |
2012-12-21 |
Name of individual signing |
RICHARD HERZFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN
|
2010
|
363141429
|
2011-12-19
|
RICHARD R. HERZFELDT, D.D.S., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097975789
|
Plan sponsor’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
363141429 |
Plan administrator’s name |
RICHARD R. HERZFELDT, D.D.S., LTD. |
Plan administrator’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265 |
Administrator’s telephone number |
3097975789 |
Signature of
Role |
Plan administrator |
Date |
2011-12-19 |
Name of individual signing |
RICHARD HERZFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD R. HERZFELDT, D.D.S., LTD. EMPLOYEES PROFIT SHARING PLAN
|
2010
|
363141429
|
2011-12-19
|
RICHARD R. HERZFELDT, D.D.S., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097975789
|
Plan sponsor’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
363141429 |
Plan administrator’s name |
RICHARD R. HERZFELDT, D.D.S., LTD. |
Plan administrator’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265 |
Administrator’s telephone number |
3097975789 |
Signature of
Role |
Plan administrator |
Date |
2011-12-19 |
Name of individual signing |
RICHARD HERZFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN
|
2009
|
363141429
|
2011-01-24
|
RICHARD R. HERZFELDT, D.D.S., LTD.
|
6
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097975789
|
Plan sponsor’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
363141429 |
Plan administrator’s name |
RICHARD R. HERZFELDT, D.D.S., LTD. |
Plan administrator’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265 |
Administrator’s telephone number |
3097975789 |
Signature of
Role |
Plan administrator |
Date |
2011-01-24 |
Name of individual signing |
RICHARD HERZFELDT |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN
|
2009
|
363141429
|
2011-01-17
|
RICHARD R. HERZFELDT, D.D.S., LTD.
|
6
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097975789
|
Plan sponsor’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
363141429 |
Plan administrator’s name |
RICHARD R. HERZFELDT, D.D.S., LTD. |
Plan administrator’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265 |
Administrator’s telephone number |
3097975789 |
Signature of
Role |
Plan administrator |
Date |
2011-01-17 |
Name of individual signing |
RICHARD HERZFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD R. HERZFELDT, D.D.S., LTD. CASH BALANCE PENSION PLAN
|
2009
|
363141429
|
2011-01-24
|
RICHARD R. HERZFELDT, D.D.S., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097975789
|
Plan sponsor’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
363141429 |
Plan administrator’s name |
RICHARD R. HERZFELDT, D.D.S., LTD. |
Plan administrator’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265 |
Administrator’s telephone number |
3097975789 |
Signature of
Role |
Plan administrator |
Date |
2011-01-24 |
Name of individual signing |
RICHARD HERZFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD R. HERZFELDT, D.D.S., LTD. EMPLOYEES PROFIT SHARING PLAN
|
2009
|
363141429
|
2010-11-16
|
RICHARD R. HERZFELDT, D.D.S., LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097975789
|
Plan sponsor’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
363141429 |
Plan administrator’s name |
RICHARD R. HERZFELDT, D.D.S., LTD. |
Plan administrator’s
address |
1825 AVENUE OF THE CITIES, MOLINE, IL, 61265 |
Administrator’s telephone number |
3097975789 |
Signature of
Role |
Plan administrator |
Date |
2010-11-16 |
Name of individual signing |
RICHARD HERZFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|