433 EIGHTH, LLC

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

ANTOINETTE M PETTITT DDS LTD FLEXIBLE 401(K) PROFIT SHARING PLAN

2011

363885575

2012-07-17

ANTOINETTE M. PETTITT, D.D.S., LTD.

Plan administrator’s name and address

Administrator’s EIN	363885575
Plan administrator’s name	ANTOINETTE M. PETTITT, D.D.S., LTD.
Plan administrator’s address	457 E. 87TH STREET, CHICAGO, IL, 60619

Signature of

Role	Plan administrator
Date	2012-07-17
Name of individual signing	ANTOINETTE PETTITT
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2012-07-17
Name of individual signing	ANTOINETTE PETTITT
Valid signature	Filed with authorized/valid electronic signature

ANTOINETTE M PETTITT DDS LTD FLEXIBLE 401(K) PROFIT SHARING PLAN

2010

363885575

2011-07-13

ANTOINETTE M. PETTITT, D.D.S., LTD.

Plan administrator’s name and address

Administrator’s EIN	363885575
Plan administrator’s name	ANTOINETTE M. PETTITT, D.D.S., LTD.
Plan administrator’s address	457 E. 87TH STREET, CHICAGO, IL, 60619

Signature of

Role	Plan administrator
Date	2011-06-13
Name of individual signing	ANTOINETTE PETTITT
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2011-06-13
Name of individual signing	ANTOINETTE PETTITT
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
STEPHANIE C MULLINS-WINE, 900 CHICAGO AVENUE, STE 105, EVANSTON, 60202	Agent	2012-05-16

Name and Address	Role	Appointment Date
SCALES, JEFFREY, 900 CHICAGO AVENUE, STE 105, EVANSTON, IL, 60202	Manager	2012-05-16
MULLINS, STEPHEN, 900 CHICAGO AVENUE, STE 105, EVANSTON, IL, 60202	Manager	2012-05-16

Date of last update: 16 Jan 2025