NORTHWESTERN ORAL & MAXILLOFACIAL SURGEONS, P.C. PROFIT SHARING AND SAVINGS PLAN
|
2011
|
363944088
|
2012-04-11
|
ALEXIS B. OLSSON, D.D.S., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-16
|
Business code |
621210
|
Sponsor’s telephone number |
3129266333
|
Plan sponsor’s
address |
201 E. HURON 12-100, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363944088 |
Plan administrator’s name |
ALEXIS B. OLSSON, D.D.S., P.C. |
Plan administrator’s
address |
201 E. HURON 12-100, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129266333 |
Signature of
Role |
Plan administrator |
Date |
2012-04-11 |
Name of individual signing |
ALEXIS OLSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-11 |
Name of individual signing |
ALEXIS OLSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN ORAL & MAXILLOFACIAL SURGEONS, P.C. PROFIT SHARING AND SAVINGS PLAN
|
2010
|
363944088
|
2011-09-01
|
ALEXIS B. OLSSON, D.D.S., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-16
|
Business code |
621210
|
Sponsor’s telephone number |
3129266333
|
Plan sponsor’s
address |
201 E. HURON SUITE 12-100, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363944088 |
Plan administrator’s name |
ALEXIS B. OLSSON, D.D.S., P.C. |
Plan administrator’s
address |
201 E. HURON SUITE 12-100, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129266333 |
Signature of
Role |
Plan administrator |
Date |
2011-09-01 |
Name of individual signing |
ALEXIS OLSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-01 |
Name of individual signing |
ALEXIS OLSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN ORAL & MAXILLOFACIAL SURGEONS, P.C. PROFIT SHARING AND SAVINGS PLAN
|
2009
|
363944088
|
2010-10-04
|
ALEXIS B. OLSSON, D.D.S., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-16
|
Business code |
621210
|
Sponsor’s telephone number |
3129266333
|
Plan sponsor’s
address |
201 E. HURON, SUITE 12-100, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363944088 |
Plan administrator’s name |
ALEXIS B. OLSSON, D.D.S., P.C. |
Plan administrator’s
address |
201 E. HURON, SUITE 12-100, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3129266333 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
ALEXIS OLSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-04 |
Name of individual signing |
ALEXIS OLSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|