ROBERT R. OSLAK, D.D.S., P.C. PROFIT SHARING PLAN & TRUST
|
2012
|
363772212
|
2013-07-03
|
ROBERT R. OSLAK, D.D.S., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083440724
|
Plan sponsor’s
address |
9999 W. ROOSEVELT ROAD, WESTCHESTER, IL, 601542775
|
Plan administrator’s name and address
Administrator’s EIN |
363772212 |
Plan administrator’s name |
ROBERT R. OSLAK, D.D.S., P.C. |
Plan administrator’s
address |
9999 W. ROOSEVELT ROAD, WESTCHESTER, IL, 601542775 |
Administrator’s telephone number |
7083440724 |
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
ROBERT R. OSLAK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT R. OSLAK, D.D.S., P.C. PROFIT SHARING PLAN & TRUST
|
2011
|
363772212
|
2012-06-26
|
ROBERT R. OSLAK, D.D.S., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083440724
|
Plan sponsor’s
address |
9999 W. ROOSEVELT ROAD, WESTCHESTER, IL, 601542775
|
Plan administrator’s name and address
Administrator’s EIN |
363772212 |
Plan administrator’s name |
ROBERT R. OSLAK, D.D.S., P.C. |
Plan administrator’s
address |
9999 W. ROOSEVELT ROAD, WESTCHESTER, IL, 601542775 |
Administrator’s telephone number |
7083440724 |
Signature of
Role |
Plan administrator |
Date |
2012-06-26 |
Name of individual signing |
ROBERT R. OSLAK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT R. OSLAK, D.D.S., P.C. PROFIT SHARING PLAN & TRUST
|
2010
|
363772212
|
2011-06-16
|
ROBERT R. OSLAK, D.D.S., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083440724
|
Plan sponsor’s
address |
9999 W. ROOSEVELT ROAD, WESTCHESTER, IL, 601542775
|
Plan administrator’s name and address
Administrator’s EIN |
363772212 |
Plan administrator’s name |
ROBERT R. OSLAK, D.D.S., P.C. |
Plan administrator’s
address |
9999 W. ROOSEVELT ROAD, WESTCHESTER, IL, 601542775 |
Administrator’s telephone number |
7083440724 |
Signature of
Role |
Plan administrator |
Date |
2011-06-16 |
Name of individual signing |
ROBERT R. OSLAK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT R. OSLAK, D.D.S., P.C. PROFIT SHARING PLAN & TRUST
|
2009
|
363772212
|
2010-08-03
|
ROBERT R. OSLAK, D.D.S., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083440724
|
Plan sponsor’s
address |
9999 W. ROOSEVELT ROAD, WESTCHESTER, IL, 601542775
|
Plan administrator’s name and address
Administrator’s EIN |
363772212 |
Plan administrator’s name |
ROBERT R. OSLAK, D.D.S., P.C. |
Plan administrator’s
address |
9999 W. ROOSEVELT ROAD, WESTCHESTER, IL, 601542775 |
Administrator’s telephone number |
7083440724 |
Signature of
Role |
Plan administrator |
Date |
2010-08-03 |
Name of individual signing |
ROBERT R. OSLAK, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|