PRINCETON DENTAL CARE, LTD. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2012
|
371359583
|
2013-09-20
|
PRINCETON DENTAL CARE, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8158795273
|
Plan sponsor’s
address |
440 E. PERU ST., PRINCETON, IL, 613562199
|
Signature of
Role |
Plan administrator |
Date |
2013-09-20 |
Name of individual signing |
PEDRO J. MONZON, D.D.S., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRINCETON DENTAL CARE, LTD. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2011
|
371359583
|
2012-10-02
|
PRINCETON DENTAL CARE, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8158795273
|
Plan sponsor’s
address |
440 E. PERU ST., PRINCETON, IL, 613562199
|
Plan administrator’s name and address
Administrator’s EIN |
371359583 |
Plan administrator’s name |
PRINCETON DENTAL CARE, LTD. |
Plan administrator’s
address |
440 E. PERU ST., PRINCETON, IL, 613562199 |
Administrator’s telephone number |
8158795273 |
Signature of
Role |
Plan administrator |
Date |
2012-10-02 |
Name of individual signing |
PEDRO J. MONZON, D.D.S., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRINCETON DENTAL CARE, LTD. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2010
|
371359583
|
2011-10-12
|
PRINCETON DENTAL CARE, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8158795273
|
Plan sponsor’s
address |
440 E. PERU ST., PRINCETON, IL, 613562199
|
Plan administrator’s name and address
Administrator’s EIN |
371359583 |
Plan administrator’s name |
PRINCETON DENTAL CARE, LTD. |
Plan administrator’s
address |
440 E. PERU ST., PRINCETON, IL, 613562199 |
Administrator’s telephone number |
8158795273 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
PEDRO J. MONZON, D.D.S., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRINCETON DENTAL CARE, LTD. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2009
|
371359583
|
2010-10-14
|
PRINCETON DENTAL CARE, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8158795273
|
Plan sponsor’s
address |
440 E. PERU ST., PRINCETON, IL, 613562199
|
Plan administrator’s name and address
Administrator’s EIN |
371359583 |
Plan administrator’s name |
PRINCETON DENTAL CARE, LTD. |
Plan administrator’s
address |
440 E. PERU ST., PRINCETON, IL, 613562199 |
Administrator’s telephone number |
8158795273 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
PEDRO J. MONZON, D.D.S., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|