ILLINOIS IMPLANT DENTISTRY LTD
|
2012
|
363518270
|
2013-08-27
|
ILLINOIS IMPLANT DENTISTRY LTD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308718861
|
Plan sponsor’s
address |
7800 W NORTH AVENUE, ELMWOOD PARK, IL, 60635
|
Signature of
Role |
Plan administrator |
Date |
2013-08-27 |
Name of individual signing |
JOSEPH ORRICO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS IMPLANT DENTISTRY, LTD. PROFIT SHARING PLAN AND TRUST
|
2012
|
363518270
|
2013-07-09
|
ILLINOIS IMPLANT DENTISTRY LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084526655
|
Plan sponsor’s
address |
7800 W NORTH AVENUE, ELMWOOD PARK, IL, 607073536
|
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
JOSEPH F. ORRICO, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS IMPLANT DENTISTRY LTD
|
2011
|
363518270
|
2012-10-12
|
ILLINOIS IMPLANT DENTISTRY LTD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308718861
|
Plan sponsor’s
address |
7800 W NORTH AVENUE, ELMWOOD PARK, IL, 60635
|
Plan administrator’s name and address
Administrator’s EIN |
363518270 |
Plan administrator’s name |
ILLINOIS IMPLANT DENTISTRY LTD |
Plan administrator’s
address |
7800 W NORTH AVENUE, ELMWOOD PARK, IL, 60635 |
Administrator’s telephone number |
6308718861 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
JOSEPH ORRICO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS IMPLANT DENTISTRY, LTD. PROFIT SHARING PLAN AND TRUST
|
2011
|
363518270
|
2012-07-17
|
ILLINOIS IMPLANT DENTISTRY LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084526655
|
Plan sponsor’s
address |
7800 W NORTH AVENUE, ELMWOOD PARK, IL, 607073536
|
Plan administrator’s name and address
Administrator’s EIN |
363518270 |
Plan administrator’s name |
ILLINOIS IMPLANT DENTISTRY LTD. |
Plan administrator’s
address |
7800 W NORTH AVENUE, ELMWOOD PARK, IL, 607073536 |
Administrator’s telephone number |
7084526655 |
Signature of
Role |
Plan administrator |
Date |
2012-07-17 |
Name of individual signing |
JOSEPH F. ORRICO, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS IMPLANT DENTISTRY LTD
|
2010
|
363518270
|
2011-08-30
|
ILLINOIS IMPLANT DENTISTRY LTD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308718861
|
Plan sponsor’s
address |
7800 W NORTH AVENUE, ELMWOOD PARK, IL, 60635
|
Plan administrator’s name and address
Administrator’s EIN |
363518270 |
Plan administrator’s name |
ILLINOIS IMPLANT DENTISTRY LTD |
Plan administrator’s
address |
7800 W NORTH AVENUE, ELMWOOD PARK, IL, 60635 |
Administrator’s telephone number |
6308718861 |
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
JOSEPH ORRICO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS IMPLANT DENTISTRY, LTD. PROFIT SHARING PLAN AND TRUST
|
2010
|
363518270
|
2011-08-30
|
ILLINOIS IMPLANT DENTISTRY, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084526655
|
Plan sponsor’s
address |
7800 WEST NORTH AVENUE, ELMWOOD PA, IL, 607073536
|
Plan administrator’s name and address
Administrator’s EIN |
363518270 |
Plan administrator’s name |
ILLINOIS IMPLANT DENTISTRY, LTD. |
Plan administrator’s
address |
7800 WEST NORTH AVENUE, ELMWOOD PA, IL, 607073536 |
Administrator’s telephone number |
7084526655 |
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
JOSEPH F. ORRICO, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-30 |
Name of individual signing |
JOSEPH F. ORRICO, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS IMPLANT DENTISTRY LTD
|
2009
|
363518270
|
2010-09-17
|
ILLINOIS IMPLANT DENTISTRY LTD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-08-01
|
Business code |
621210
|
Sponsor’s telephone number |
6308718861
|
Plan sponsor’s
address |
7800 W NORTH AVENUE, ELMWOOD PARK, IL, 60635
|
Plan administrator’s name and address
Administrator’s EIN |
363518270 |
Plan administrator’s name |
ILLINOIS IMPLANT DENTISTRY LTD |
Plan administrator’s
address |
7800 W NORTH AVENUE, ELMWOOD PARK, IL, 60635 |
Administrator’s telephone number |
6308718861 |
Signature of
Role |
Plan administrator |
Date |
2010-09-17 |
Name of individual signing |
JOSEPH ORRICO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS IMPLANT DENTISTRY, LTD. PROFIT SHARING PLAN AND TRUST
|
2009
|
363518270
|
2010-08-24
|
ILLINOIS IMPLANT DENTISTRY, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084526655
|
Plan sponsor’s
address |
7800 WEST NORTH AVENUE, ELMWOOD PARK, IL, 607073536
|
Plan administrator’s name and address
Administrator’s EIN |
363518270 |
Plan administrator’s name |
ILLINOIS IMPLANT DENTISTRY, LTD. |
Plan administrator’s
address |
7800 WEST NORTH AVENUE, ELMWOOD PARK, IL, 607073536 |
Administrator’s telephone number |
7084526655 |
Signature of
Role |
Plan administrator |
Date |
2010-08-24 |
Name of individual signing |
JOSEPH F. ORRICO, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-24 |
Name of individual signing |
JOSEPH F. ORRICO, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|