PARK RIDGE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST
|
2012
|
364115042
|
2013-09-05
|
PARK RIDGE DENTAL ASSOCIATES, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476922303
|
Plan sponsor’s
address |
318 W. TOUHY AVENUE, PARK RIDGE, IL, 60068
|
Signature of
Role |
Plan administrator |
Date |
2013-09-05 |
Name of individual signing |
GAILE CERNIAUSKAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-05 |
Name of individual signing |
GAILE CERNIAUSKAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARK RIDGE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2011
|
364115042
|
2012-10-09
|
PARK RIDGE DENTAL ASSOCIATES, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476922303
|
Plan sponsor’s
address |
318 W. TOUHY AVENUE, PARK RIDGE, IL, 60068
|
Plan administrator’s name and address
Administrator’s EIN |
364115042 |
Plan administrator’s name |
PARK RIDGE DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
318 W. TOUHY AVENUE, PARK RIDGE, IL, 60068 |
Administrator’s telephone number |
8476922303 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
GAILE V CERNIAUSKAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-09 |
Name of individual signing |
GAILE V CERNIAUSKAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARK RIDGE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2010
|
364115042
|
2011-07-20
|
PARK RIDGE DENTAL ASSOCIATES, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476922303
|
Plan sponsor’s
address |
318 W. TOUHY AVENUE, PARK RIDGE, IL, 60068
|
Plan administrator’s name and address
Administrator’s EIN |
364115042 |
Plan administrator’s name |
PARK RIDGE DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
318 W. TOUHY AVENUE, PARK RIDGE, IL, 60068 |
Administrator’s telephone number |
8476922303 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
GAILE CERNIAUSKAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
GAILE CERNIAUSKAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARK RIDGE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2010
|
364115042
|
2011-07-18
|
PARK RIDGE DENTAL ASSOCIATES, P.C.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476922303
|
Plan sponsor’s
address |
318 W. TOUHY AVENUE, PARK RIDGE, IL, 60068
|
Plan administrator’s name and address
Administrator’s EIN |
364115042 |
Plan administrator’s name |
PARK RIDGE DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
318 W. TOUHY AVENUE, PARK RIDGE, IL, 60068 |
Administrator’s telephone number |
8476922303 |
Signature of
Role |
Plan administrator |
Date |
2011-07-17 |
Name of individual signing |
DR. GAILE V. CERNIAUSKAS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-17 |
Name of individual signing |
DR. GAILE V. CERNIAUSKAS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PARK RIDGE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2009
|
364115042
|
2010-09-15
|
PARK RIDGE DENTAL ASSOCIATES, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8476922303
|
Plan sponsor’s
address |
318 W. TOUHY AVENUE, PARK RIDGE, IL, 60068
|
Plan administrator’s name and address
Administrator’s EIN |
364115042 |
Plan administrator’s name |
PARK RIDGE DENTAL ASSOCIATES, P.C. |
Plan administrator’s
address |
318 W. TOUHY AVENUE, PARK RIDGE, IL, 60068 |
Administrator’s telephone number |
8476922303 |
Signature of
Role |
Plan administrator |
Date |
2010-09-15 |
Name of individual signing |
GAILE CERNIAUSKAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-15 |
Name of individual signing |
GAILE CERNIAUSKAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|