THE DENTAL LOFT, LLC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
274809117
|
2024-08-01
|
THE DENTAL LOFT, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084820702
|
Plan sponsor’s
address |
1 W HARRIS AVE, #2A, LAGRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-31 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL LOFT, LLC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
274809117
|
2023-10-11
|
THE DENTAL LOFT, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084820702
|
Plan sponsor’s
address |
1 W HARRIS AVE, #2A, LAGRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2023-10-11 |
Name of individual signing |
ELHAM SHARAF-ELDEEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-11 |
Name of individual signing |
ELHAM SHARAF-ELDEEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL LOFT, LLC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
274809117
|
2022-10-13
|
THE DENTAL LOFT, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084820702
|
Plan sponsor’s
address |
1 W HARRIS AVE, #2A, LAGRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-13 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL LOFT, LLC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
274809117
|
2021-10-13
|
THE DENTAL LOFT, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084820702
|
Plan sponsor’s
address |
1 W HARRIS AVE, #2A, LAGRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-13 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL LOFT, LLC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
274809117
|
2020-10-02
|
THE DENTAL LOFT, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084820702
|
Plan sponsor’s
address |
1 W HARRIS AVE, #2A, LAGRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2020-10-02 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-02 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL LOFT, LLC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
274809117
|
2019-07-24
|
THE DENTAL LOFT, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084820702
|
Plan sponsor’s
address |
1 W HARRIS AVE, #2A, LAGRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-23 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL LOFT, LLC SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
274809117
|
2018-10-09
|
THE DENTAL LOFT, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084820702
|
Plan sponsor’s
address |
1 W. HARRIS STREET, UNIT 2A, LAGRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
ELHAM SHARAF-ELDEEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-09 |
Name of individual signing |
ELHAM SHARAF-ELDEEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL LOFT LLC SAFE HARBOR 401(K) PSP
|
2016
|
274809117
|
2017-10-13
|
THE DENTAL LOFT, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084820702
|
Plan sponsor’s
address |
1 W. HARRIS AVE STE 2A, LAGRANGE, IL, 60525
|
Plan administrator’s name and address
Administrator’s EIN |
274809117 |
Plan administrator’s name |
KILEY HIRONS |
Plan administrator’s
address |
1 W HARRIS AVENUE, UNIT 2A, LAGRANGE, IL, 60525 |
Administrator’s telephone number |
7088420702 |
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL LOFT LLC SAFE HARBOR 401(K) PSP
|
2015
|
274809117
|
2016-08-01
|
THE DENTAL LOFT, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084820702
|
Plan sponsor’s
address |
1 W. HARRIS AVE STE 2A, LAGRANGE, IL, 60525
|
Plan administrator’s name and address
Administrator’s EIN |
274809117 |
Plan administrator’s name |
KILEY HIRONS |
Plan administrator’s
address |
1 W HARRIS AVENUE, UNIT 2A, LAGRANGE, IL, 60525 |
Administrator’s telephone number |
7088420702 |
Signature of
Role |
Plan administrator |
Date |
2016-08-01 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-01 |
Name of individual signing |
KILEY HIRONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE DENTAL LOFT LLC SAFE HARBOR 401K PSP T
|
2014
|
274809117
|
2015-10-08
|
THE DENTAL LOFT, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
7084820702
|
Plan sponsor’s
address |
1 W. HARRIS AVE STE 2A, LAGRANGE, IL, 60525
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
RICHARD D WIRTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-08 |
Name of individual signing |
RICHARD D. WIRTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|