SCOTT D. BRENNER, D.D.S., LTD. EMPLOYEES' PROFIT SHARING TRUST
|
2012
|
363193229
|
2013-06-07
|
SCOTT D. BRENNER, D.D.S., LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-01-20
|
Business code |
621210
|
Sponsor’s telephone number |
8479189763
|
Plan sponsor’s
address |
104 HASTINGS CT., VERNON HILLS, IL, 60061
|
Signature of
Role |
Plan administrator |
Date |
2013-06-07 |
Name of individual signing |
SCOTT BRENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-07 |
Name of individual signing |
SCOTT BRENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTT D. BRENNER, D.D.S., LTD. EMPLOYEES PROFIT SHARING TRUST
|
2011
|
363193229
|
2012-05-24
|
SCOTT D. BRENNER, D.D.S., LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-01-20
|
Business code |
621210
|
Sponsor’s telephone number |
8479189763
|
Plan sponsor’s
address |
104 HASTINGS CT., VERNON HILLS, IL, 60061
|
Plan administrator’s name and address
Administrator’s EIN |
363193229 |
Plan administrator’s name |
SCOTT D. BRENNER, D.D.S., LTD. |
Plan administrator’s
address |
104 HASTINGS CT., VERNON HILLS, IL, 60061 |
Administrator’s telephone number |
8479189763 |
Signature of
Role |
Plan administrator |
Date |
2012-05-23 |
Name of individual signing |
SCOTT BRENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-23 |
Name of individual signing |
SCOTT BRENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTT D. BRENNER, D.D.S., LTD. EMPLOYEES PROFIT SHARING TRUST
|
2010
|
363193229
|
2011-06-16
|
SCOTT D. BRENNER, D.D.S., LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-01-20
|
Business code |
621210
|
Sponsor’s telephone number |
8479189763
|
Plan sponsor’s
address |
104 HASTINGS CT., VERNON HILLS, IL, 60061
|
Plan administrator’s name and address
Administrator’s EIN |
363193229 |
Plan administrator’s name |
SCOTT D. BRENNER, D.D.S., LTD. |
Plan administrator’s
address |
104 HASTINGS CT., VERNON HILLS, IL, 60061 |
Administrator’s telephone number |
8479189763 |
Signature of
Role |
Plan administrator |
Date |
2011-06-16 |
Name of individual signing |
SCOTT BRENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-16 |
Name of individual signing |
SCOTT BRENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTT D. BRENNER, D.D.S., LTD. EMPLOYEES PROFIT SHARING TRUST
|
2009
|
363193229
|
2010-09-30
|
SCOTT D. BRENNER, D.D.S., LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-01-20
|
Business code |
621210
|
Sponsor’s telephone number |
8479189763
|
Plan sponsor’s
address |
104 HASTINGS CT., VERNON HILLS, IL, 60061
|
Plan administrator’s name and address
Administrator’s EIN |
363193229 |
Plan administrator’s name |
SCOTT D. BRENNER, D.D.S., LTD. |
Plan administrator’s
address |
104 HASTINGS CT., VERNON HILLS, IL, 60061 |
Administrator’s telephone number |
8479189763 |
Signature of
Role |
Plan administrator |
Date |
2010-09-25 |
Name of individual signing |
SCOTT BRENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-25 |
Name of individual signing |
SCOTT BRENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|