|
DENTAL NETWORK OF AMERICA, LLC WELFARE BENEFIT PLAN
|
2011
|
363339483
|
2012-10-11
|
DENTAL NETWORK OF AMERICA, LLC
|
501
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1985-01-11
|
| Business code |
524290
|
| Sponsor’s telephone number |
6306911133
|
| Plan sponsor’s mailing address |
701 E. 22ND STREET, LOMBARD, IL, 60148
|
| Plan sponsor’s
address |
701 E. 22ND STREET, LOMBARD, IL, 60148
|
Plan administrator’s name and address
| Administrator’s EIN |
363339483 |
| Plan administrator’s name |
DENTAL NETWORK OF AMERICA, LLC WELFARE BENEFIT PLAN |
| Plan administrator’s
address |
701 E 22ND STREET, LOMBARD, IL, 60148 |
| Administrator’s telephone number |
6306911133 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-11 |
| Name of individual signing |
CRAIG SIMUNDZA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENTAL NETWORK OF AMERICA, LLC WELFARE BENEFIT PLAN
|
2010
|
363339483
|
2011-10-15
|
DENTAL NETWORK OF AMERICA, LLC
|
353
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1985-01-11
|
| Business code |
524290
|
| Sponsor’s telephone number |
6306911133
|
| Plan sponsor’s mailing address |
701 E. 22ND STREET, SUITE 300, LOMBARD, IL, 60148
|
| Plan sponsor’s
address |
701 E. 22ND STREET, SUITE 300, LOMBARD, IL, 60148
|
Plan administrator’s name and address
| Administrator’s EIN |
363339483 |
| Plan administrator’s name |
DENTAL NETWORK OF AMERICA, LLC WELFARE BENEFIT PLAN |
| Plan administrator’s
address |
701 E. 22ND STREET, SUITE 300, LOMBARD, IL, 60148 |
| Administrator’s telephone number |
6306911133 |
Number of participants as of the end of the plan year
| Active participants |
501 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-15 |
| Name of individual signing |
CRAIG SIMUNDZA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DENTAL NETWORK OF AMERICA, LLC WELFARE BENEFIT PLAN
|
2010
|
363339483
|
2011-10-14
|
DENTAL NETWORK OF AMERICA, LLC
|
353
|
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1985-01-11
|
| Business code |
524290
|
| Sponsor’s telephone number |
6306911133
|
| Plan sponsor’s mailing address |
701 E. 22ND STREET, SUITE 300, LOMBARD, IL, 60148
|
| Plan sponsor’s
address |
701 E. 22ND STREET, SUITE 300, LOMBARD, IL, 60148
|
Plan administrator’s name and address
| Administrator’s EIN |
363339483 |
| Plan administrator’s name |
DENTAL NETWORK OF AMERICA, LLC WELFARE BENEFIT PLAN |
| Plan administrator’s
address |
701 E. 22ND STREET, SUITE 300, LOMBARD, IL, 60148 |
| Administrator’s telephone number |
6306911133 |
Number of participants as of the end of the plan year
| Active participants |
501 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2011-10-14 |
| Name of individual signing |
CRAIG SIMUNDZA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
